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    Steven Kroft — Billing Profile & Reimbursement Data

    NPI 1952352791 · Milwaukee, WI · Anatomic Pathology & Clinical Pathology Physician

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    Steven Kroft is a anatomic pathology & clinical pathology physician provider located in Milwaukee, Wisconsin. This profile covers 15 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSteven Kroft
    Address9200 W Wisconsin Ave
    CityMilwaukee
    StateWI
    ZIP53226
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$103.9K
    Medicaid$830

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,750$10$38K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.1,830$10$22K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…1,830$10$21.9K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.70$60$4.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$30$3K
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.210$10$2.8K
    86335The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…210$10$2.8K
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.60$40$2.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…50$20$1.1K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.40$20$650

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305260300460$40$44.8K
    88341214240190$30$7.4K
    8834224427090$40$6.9K
    88189214070$60$4.8K
    86334350100$20$4.8K
    84165350170$10$4.7K
    36415112,30070$10$2.3K
    85097195060$40$2.1K
    8633532030$20$1.7K
    8831313714040$20$1.4K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.160$1$320
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.110$1$220
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…90$1$170
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…120$1$120
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.310$0$0
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2092603,590$20$232.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2483003,190$10$91.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…1792001,810$10$75.5K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1702301,030$10$56.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…188250940$10$36.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.260420900$1$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Medical College Of Wisconsin, Inc.WIInternal Medicine Physician$17.8K$74.8M
    Children's Hospital And Health System, Inc.WIUrgent Care Clinic/Center$0$17.7M
    Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.WIInternal Medicine Physician$1.2M$13.9M
    Children's Specialty Group, Inc.WIPediatrics Physician$0$10.4M
    Raafay SophieMIOphthalmology Physician$839.4K$0
    Douglas MarxWIFamily Medicine Physician$789.6K$15.9K
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Jeffrey YoungWIOphthalmology Physician$697.5K$0
    Monther QandeelWIDiagnostic Radiology Physician$29.6K$645.7K
    Saad AliWIDiagnostic Radiology Physician$42.9K$628.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital Of Wisconsin, Inc.WIChildren's Hospital$0$262.3M
    Froedtert Memorial Lutheran Hospital, Inc.WIGeneral Acute Care Hospital$0$157.8M
    Emergency Medicine Specialists, S.c.WIEmergency Medicine Physician$0$35.3M
    Wisconsin Diagnostic Laboratories LLCWIClinical Medical Laboratory$2.3M$22.7M
    Childrens Hospital Of Wisconsin, Inc.WIPediatrics Physician$0$19M
    Option Care Home Care IncWIPharmacy$0$12.5M
    Curative Care Network, Inc.WIRehabilitation Clinic/Center$0$12.2M
    Brian BlocherWIOral & Maxillofacial Surgery (D.M.D.)$0$5.5M
    Nicholas TosiWIRetina Specialist (Ophthalmology) Physician$4.9M$0
    Wisconsin Laser And Surgery Center LLCWIAmbulatory Surgical Clinic/Center$1.1M$2.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Steven Kroft — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Steven Kroft — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin