G0379
Direct admission to hospital observation
Direct admission to hospital observation is the #1,256 most-billed Medicaid procedure code, with $30.8M in payments across 196K claims from 2018–2024. The national median cost per claim is $48.25. Costs vary widely — the 90th percentile is $541.22 per claim, 11.2× the median.
Total Paid
$30.8M
0.00% of all spending
Total Claims
196K
Providers
313
Avg Cost/Claim
$157
National Cost Distribution
How much do providers bill per claim for G0379? Based on 270 providers billing this code nationally.
Median
$48.25
Average
$183.31
Std Dev
$363.75
Max
$2,497.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.57 and $149.40 per claim for this code.
90% bill between $2.81 and $541.22.
Top 1% bill above $2,101.14.
About This Procedure
HCPCS code G0379 (Direct admission to hospital observation) was billed by 313 providers across 196K claims, totaling $30.8M in Medicaid payments from 2018–2024. This code was used for 160K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$48.25
Providers Billing
270
National Spending
$30.8M
Avg/Median Ratio
3.80×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0379
| # | Provider | Total Paid |
|---|---|---|
| 1 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $4.5M |
| 2 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $2.3M |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.9M |
| 4 | 1770581894 | $1.5M |
| 5 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $1.5M |
| 6 | 1316394638 | $1.4M |
| 7 | 1831116441 | $1.1M |
| 8 | 1689676835 | $1.1M |
| 9 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $1.1M |
| 10 | 1043293608 | $848K |
| 11 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $808K |
| 12 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $792K |
| 13 | 1902841414 | $650K |
| 14 | 1053301127 | $603K |
| 15 | 1255684460 | $534K |
| 16 | State Of Connecticut Farmington, CT · Counselor, Professional | $465K |
| 17 | 1083759633 | $412K |
| 18 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $375K |
| 19 | 1285253252 | $349K |
| 20 | Novant Health New Hanover Regional Medical Center Llc Wilmington, NC · Psychiatric Unit | $292K |
Showing top 20 of 313 providers billing this code