Physician
Demb, Claudio
Demb, Claudio was paid $1.46M by Medicaid between May 2019 and Dec 2024, across 10 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 53% of everything it billed.
33Billing provider infoDEMB, CLAUDIO
LA JOLLA, CA 92037
LA JOLLA, CA 92037
33aNPI1730174921assigned 09/14/2005
33bProvider typePsychiatry Physician
28Total paid$1.46M
24GClaims14,848
24DCodes billed10
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in California
Rank by total paid#45 of 483
Median peer was paid$24K
This provider vs. median61×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 308 | $25K | |
| 2020 | 2,616 | $211K | |
| 2021 | 2,965 | $222K | |
| 2022 | 2,406 | $207K | |
| 2023 | 3,616 | $432K | |
| 2024incomplete | 2,937 | $364K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 53% | 3,281 | 1,847 | $768K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 34% | 8,406 | 4,364 | $497K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.0% | 1,550 | 1,392 | $102K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 719 | 698 | $61K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 558 | 454 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 71 | 71 | $6K |
| 99443 | <1% | 127 | 122 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 38 | 37 | $1K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 75 | 43 | $231.10 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 23 | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.