H0033
Oral medication administration, direct observation
Oral medication administration, direct observation is the #488 most-billed Medicaid procedure code, with $190.8M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $31.37. Costs vary widely — the 90th percentile is $188.11 per claim, 6.0× the median.
Total Paid
$190.8M
0.02% of all spending
Total Claims
5.6M
Providers
681
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for H0033? Based on 530 providers billing this code nationally.
Median
$31.37
Average
$82.13
Std Dev
$110.39
Max
$1,273.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.77 and $138.72 per claim for this code.
90% bill between $0.97 and $188.11.
Top 1% bill above $383.93.
About This Procedure
HCPCS code H0033 (Oral medication administration, direct observation) was billed by 681 providers across 5.6M claims, totaling $190.8M in Medicaid payments from 2018–2024. This code was used for 811K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.37
Providers Billing
530
National Spending
$190.8M
Avg/Median Ratio
2.62×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0033
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609998137 | $18.7M |
| 2 | 1932244712 | $14.7M |
| 3 | 1659722114 | $12.4M |
| 4 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $9.3M |
| 5 | 1437213865 | $8.9M |
| 6 | 1013483486 | $8.1M |
| 7 | 1538628904 | $5.9M |
| 8 | 1376712786 | $5.3M |
| 9 | 1891246658 | $5.0M |
| 10 | 1922056415 | $5.0M |
| 11 | 1720126626 | $4.3M |
| 12 | 1679926745 | $4.1M |
| 13 | 1144897372 | $4.1M |
| 14 | Los Angeles County Department Of Mental Health Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center) | $3.4M |
| 15 | 1801345285 | $3.1M |
| 16 | 1154637429 | $3.0M |
| 17 | Alabama Department Of Youth Services Mount Meigs, AL · Community/Behavioral Health | $2.4M |
| 18 | 1598256117 | $2.4M |
| 19 | 1881713261 | $2.1M |
| 20 | County Of Santa Clara San Jose, CA · Community/Behavioral Health | $1.7M |
Showing top 20 of 681 providers billing this code