Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Steven Kraljic (NPI 1043227630)

Field	Value
Entity Type	Individual
Organization	Steven Kraljic
Address	310 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Neurological Surgery Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicare	$426.1K
Medicaid	$0

Key Findings

This provider’s Medicare billing is concentrated in complex spinal surgery: the top three Medicare codes by revenue are 22633, 63047, and 22551, together accounting for 49.8% of this provider's total Medicare revenue. Each of those codes is described in the file as higher-complexity fusion or decompression procedures, indicating the practice is oriented toward operative spinal care rather than primary-care or nonoperative management.

Total Medicare revenue on file is $426.1K while there is no Medicaid billing on file, so the provider operates effectively as a single-payer Medicare biller in the available data. The absence of any Medicaid claims suggests limited or no participation in Medicaid billing, referral patterns that bypass Medicaid, or a payer mix skewed heavily to Medicare and other non-Medicaid payers.

Several individual CPT codes show exceptionally high national standing that points to specialization rather than diffuse service provision. For example, 22633 generated $99.8K (74 claims, $1349 avg paid/claim) and ranks #15 of 1677 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), while 63047 generated $69.3K (88 claims, $788 avg paid/claim) and ranks #40 of 4170 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code).

Beyond the top three, multiple instrumentation and interbody codes — including 22842 ($34.3K, ranks #32 of 2689, 99th percentile; extreme outlier) and 22853 ($33.8K, 181 claims, ranks #26 of 4082, 99th percentile; extreme outlier) — have high volumes that support a surgical spine service line with frequent use of hardware and interbody devices. This pattern reinforces the conclusion that the provider’s business model centers on operative spine procedures rather than occasional spine work.

Office and hospital evaluation-and-management activity is present but secondary to the procedural mix: 99204 contributed $19.5K (167 claims, 4.6% of Medicare revenue) and 99214 contributed $14.4K (152 claims, 3.4% of Medicare revenue), indicating a steady stream of new and established patient visits that likely feed the surgical caseload. The E/M codes are notable in count but together represent a modest share of total Medicare revenue compared with the high-revenue surgical codes.

The provider’s competitive standing is concentrated and code-specific: for several spine and decompression codes the provider is an outlier at the national level (numerous entries flagged as "extreme outlier, far above typical national volume for this code" or "notably above typical national volume for this code"), which suggests the provider is a dominant or high-volume operator for selected spine procedures rather than broadly high-volume across all neurosurgical services. These rank positions are national comparisons and indicate unusual specialization or throughput on those procedures.

The enrollment/tenure data show the NPI was enumerated on 2006-08-03 (~20 years ago), indicating long-standing Medicare participation. That tenure combined with concentrated, high-rank volumes for spine procedures is consistent with an established spine surgeon whose practice has developed a strong procedural focus over many years.

Given the geographic detail (BISMARCK, ND) combined with multiple national top-percentile ranks, the provider appears to be a regional spine surgery resource whose procedural volumes are high relative to national peers for specific fusion and decompression codes. Those national outlier ranks imply referral or case concentration that extends beyond routine local volumes for these specialized spine operations.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	70	$1,350	$99.8K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	90	$790	$69.3K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	40	$1,240	$43.3K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	60	$560	$34.3K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	180	$190	$33.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	170	$120	$19.5K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	120	$160	$19.1K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	70	$290	$19K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	150	$100	$14.4K
63052	At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.	70	$190	$14.1K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Steven Kraljic — 8 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22633	1	10	30	$830	$31.4K
63047	1	10	20	$570	$21.2K
22551	1	10	20	$840	$19.3K
22614	3	10	70	$180	$11.5K
22842	1	10	10	$340	$10.9K
63048	2	10	120	$90	$10.8K
99214	490	1,470	90	$60	$10.4K
22853	1	10	50	$120	$8.5K
22634	3	10	40	$210	$8.1K
22840	3	10	20	$340	$6.4K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Steven Kraljic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Winona Health Services	MN	General Acute Care Hospital	$0	$13.4M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
St. Alexius Medical Center	ND	General Acute Care Hospital	$0	$3.5M
Mid Dakota Clinic, Inc.	ND	Clinic/Center	$0	$2.9M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Robert Reynolds	ND	Radiation Oncology Physician	$1.4M	$0
Rohit Kapoor	TX	Hematology & Oncology Physician	$1.2M	$0
Joseph Rosen	AZ	Medical Oncology Physician	$978.5K	$0
Cole Kreofsky	ND	Radiation Oncology Physician	$959K	$0

Nearby Providers

Other providers in the same ZIP code as Steven Kraljic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M
Sanford Bismarck	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M

Steven Kraljic — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References