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    OpenPayerNPI Medicare & MedicaidWalgreen Co
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    Walgreen Co — Billing Profile & Reimbursement Data

    NPI 1073528139 · Guaynabo, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Guaynabo, Puerto Rico. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWalgreen Co
    Address35 Calle Juan C Borbon Ste 77
    CityGuaynabo
    StatePR
    ZIP00969
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$241.3K
    Medicaid$0

    Key Findings

    WALGREEN CO in GUAYNABO, PR presents as a retail pharmacy operation whose Medicare revenue mix is dominated by COVID test distribution and immunizations: the single largest line is K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) with 16.4K claims yielding $197.2K (80.2% of this provider's total Medicare revenue), and other vaccine products 90677 and 91320 together contribute $16.7K (6.8%) and $10.8K (4.4%) respectively. The code descriptions and claim counts point to high-volume over-the-counter test provisioning plus routine vaccine administration as the core service lines driving revenue.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 91.4% of the provider's total Medicare revenue, while total Medicare revenue is $241.3K. This concentration means most payer exposure to this NPI is tied to a very small set of test and vaccine products rather than a broad mix of clinical services.

    Payer mix is effectively single-payer at present: Medicare activity is $241.3K while there is no Medicaid billing on file (none). For payers and network analysts, that absence of Medicaid claims implies WALGREEN CO’s Medicare-facing footprint in PR is measurable while it contributes no observable Medicaid volume for in-state comparisons.

    Competitive standing on the dominant code shows high national placement but a dataset label of routine activity: K1034 generates $197.2K and ranks #273 of 30143 providers nationally (99th percentile); the record explicitly describes this as "typical, unremarkable volume" for the code. In practice this means the pharmacy is a major originator of K1034 volume in absolute terms, but the pattern aligns with expected retail pharmacy behavior rather than an anomalous billing profile.

    Pneumococcal and COVID vaccine activity is present but less dominant: 90677 (pneumococcal 20-valent) accounts for $16.7K (6.8%) and ranks #2862 of 52451 providers nationally (94th percentile; typical, unremarkable volume), while 91320 (SARS–CoV–2 vaccine) contributes $10.8K (4.4%) and ranks #10535 of 27083 providers nationally (61th percentile; typical, unremarkable volume). These placements indicate stronger-than-average vaccination throughput on pneumococcal shots compared with peers and middle-range COVID vaccine activity, consistent with a community pharmacy immunization role.

    Secondary administration and influenza codes appear as small, distributed revenue lines rather than material drivers: examples include 90694 at $6.1K (2.5%), G0008 at $4.8K (1.9%), 90480 at $3.1K (1.2%), and several other flu vaccine codes each under $3K. The spread of small-value vaccine and administration codes suggests routine seasonal immunization services supplement the large COVID-test and select vaccine revenue streams.

    The provider has a long-standing enrollment history that supports stable operations: NPI enumerated (registered) 2006-07-29 (~20 years ago). This tenure is consistent with an established retail pharmacy location that has been visible to Medicare for decades and may have integrated routine public-health services such as testing and vaccinations into its ongoing workflow.

    For payer strategy and contracting, the practical implication is narrow product exposure concentrated in OTC COVID testing and selected vaccines; because top codes dominate ($197.2K from K1034 alone) and there is no Medicaid billing on file, payers assessing network capacity or utilization in Puerto Rico should treat WALGREEN CO primarily as a Medicare-facing retail vaccination and testing outlet rather than a broad Medicaid provider or diversified clinical practice.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count16,430$10$197.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$270$16.7K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.90$130$10.8K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…90$70$6.1K
    G0008Administration of influenza virus vaccine150$30$4.8K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.90$40$3.1K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…40$70$2.5K
    G0009Administration of pneumococcal vaccine60$30$2K
    0134AN/A30$40$1.1K
    0124AN/A20$40$900

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K103411403,110$10$43.2K
    9067734020$270$6.7K
    9132034020$130$4.4K
    90694128030$70$3.3K
    90662103020$70$2K
    G0008912030$30$1.6K
    0134A112030$40$1.4K
    9048066020$40$1.4K
    0124A62020$40$1.1K
    9067461020$30$760

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Walgreen CoPRPharmacy$179.3K$0
    Walgreen Co.PRPharmacy$129K$0
    Walgreen CoPRPharmacy$122.4K$0
    Walgreen CoPRPharmacy$116.3K$0
    Walgreen CoPRPharmacy$114.7K$0
    Walgreen CoPRPharmacy$112.5K$0
    Walgreen CoPRPharmacy$108K$0
    Walgreen CoPRPharmacy$107.4K$0
    Walgreen CoPRPharmacy$106.7K$0
    Walgreen CoPRPharmacy$102K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elderly Transportation Services, LLCPRTransportation Broker$0$25.7M
    Rmc Orthopedic & Surgical, Inc.PRProsthetic/Orthotic Supplier$0$7.5M
    Surgical Solutions-j.a. Puerto Rico, IncPRDurable Medical Equipment & Medical Supplies$0$7.1M
    Bless Therapy Place PscPRHearing and Speech Clinic/Center$0$3.7M
    Elderly Transportation Services Management LLCPRTransportation Broker$0$3.4M
    Osvaldo Niebla DiazPRGeneral Practice Physician$2.9K$3.1M
    Four Molar PscPROral and Maxillofacial Surgery (Dentist)$0$3M
    Ccs PscPRCardiovascular Disease Physician$0$2.3M
    Johnson & Johnson Medical CaribbeanPRProsthetic/Orthotic Supplier$0$2.2M
    J.e.r.i. Cardiomed, P.s.c.PRCardiovascular Disease Physician$0$1.1M

    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. Puerto Rico Distribution
    Walgreen Co — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico