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 Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Walgreen Co (NPI 1124039359)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	100 Ave San Patricio Ste D14
City	Guaynabo
State	PR
ZIP	00968
Taxonomy	Pharmacy
NPI Enumerated	August 11, 2006
NPI Deactivated	July 5, 2007

Payer Source	Total Paid
Medicare	$85.4K
Medicaid	$0

Key Findings

This pharmacy’s Medicare billing is concentrated in point-of-care COVID testing and routine immunizations: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) accounts for $45K (52.0% of Medicare revenue), while influenza and pneumococcal vaccine products such as 90694 ($10K, 11.6%) and 90677 ($8.7K, 10.1%) are the next-largest contributors. The code mix — a high-volume testing code plus several vaccine product and administration codes — is consistent with a retail pharmacy operation that combines mass dispensing/testing with immunization services.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 73.7% of the provider’s total Medicare revenue, indicating most Medicare dollars come from a small set of service lines (K1034, 90694, 90677). That concentration implies that shifts in COVID testing demand, vaccine availability, or reimbursement for those specific codes would disproportionately affect this provider’s Medicare receipts.

Payer mix is effectively single-payer from the data on file: Total Medicare revenue is $85.4K while Total Medicaid revenue is none (no Medicaid billing on file). This absence of Medicaid billing suggests the provider’s recorded public-payor footprint is dominated by Medicare, limiting statewide Medicaid comparators and contracting leverage with Medicaid plans based on this dataset.

Competitive standing on the highest-revenue code is relatively strong by raw rank: K1034 ranks #841 of 30143 nationally (97th percentile) but is described in the source as a "typical, unremarkable volume for this code," which indicates that while the provider is high in the national distribution for K1034 claims, the behavior falls within expected norms for pharmacies offering this service. Other top codes like 90694 (rank #9859 of 51679, 81th percentile) and 90677 (rank #11783 of 52451, 76th percentile) are also characterized as "typical, unremarkable volume for this code," supporting a view of a solid but not uniquely dominant national position across vaccines.

Operational detail: K1034 shows very high claim volume (3.8K claims at $12 avg paid/claim for $45K revenue) while vaccine codes like 90677 show low claim counts with higher per-claim payments (33 claims at $265 avg paid/claim for $8.7K revenue). This mix — high-volume, low-unit-payment testing alongside lower-volume, higher-unit-payment vaccines — signals a business model combining scale services (testing distribution) with episodic clinical services (immunizations).

Ancillary vaccine administration and product codes corroborate an immunization service line: G0008 (202 claims, $31 avg paid/claim, $6.3K revenue, ranks #13286 of 119096, 89th percentile, "typical, unremarkable volume for this code"), 91322 ($6.3K, 7.3%) and several other COVID vaccine product codes appear in the top-25, indicating routine in-store vaccine delivery across multiple vaccine types in addition to testing.

The provider has an established enrollment history (NPI enumerated 2006-08-11 (~20 years ago)), which suggests a long-standing presence in the market despite modest lifetime Medicare revenue ($85.4K). The longevity combined with a pharmacy service mix indicates stability in operations, though scale of Medicare billing remains limited.

The lack of any Medicaid billing on file constrains in-state competitive analysis: without Medicaid claims, it is not possible from these records to assess the provider’s role within Puerto Rico’s Medicaid network or to compare Medicaid-specific service lines and pricing. Analysts should treat Medicaid market conclusions as indeterminate from this dataset and consider alternative data sources or NPIs for a fuller state-level view.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	3,750	$10	$45K
90694	This 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…	140	$70	$10K
90677	This 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…	30	$270	$8.7K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	40	$140	$6.3K
G0008	Administration of influenza virus vaccine	200	$30	$6.3K
90662	This 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	$2.7K
0134A	N/A	50	$40	$2.1K
90480	The 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.	60	$40	$2.1K
91320	This 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.	20	$130	$1.9K
G0009	Administration of pneumococcal vaccine	30	$30	$1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	62	140	3,110	$10	$43.2K
90677	9	40	20	$270	$6.7K
91320	31	40	20	$130	$4.4K
91322	3	20	30	$140	$3.9K
90694	5	80	30	$70	$3.3K
90662	9	30	20	$70	$2K
G0008	4	120	30	$30	$1.6K
0134A	5	20	30	$40	$1.4K
90480	10	60	20	$40	$1.4K
90674	7	10	20	$30	$760

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	PR	Pharmacy	$253.3K	$0
Walgreen Co	PR	Pharmacy	$145.9K	$0
Walgreen Co	PR	Pharmacy	$124.6K	$0
Walgreen Co	PR	Pharmacy	$116.8K	$0
Walgreen Co	PR	Pharmacy	$103.1K	$0
Walgreen Co	PR	Pharmacy	$102.7K	$0
Walgreen Co	PR	Pharmacy	$99.2K	$0
Walgreen Co	PR	Pharmacy	$87.4K	$0
Walgreen Co	PR	Pharmacy	$65.3K	$0
Walgreen Co	PR	Pharmacy	$63.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alivia Specialty, LLC	PR	Specialty Pharmacy	$0	$189M
Medtronic Puerto Rico Operations	PR	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Cuerpo De Emergencias Medicas De	PR	Land Ambulance	$108.2K	$9.4M
Ortho & Surgical Solutions, Inc	PR	Prosthetic/Orthotic Supplier	$0	$7.8M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Bard Shannon Limited	PR	Prosthetic/Orthotic Supplier	$0	$1.2M
Guaynabo Ambulatory Surgical Group, Inc	PR	Ambulatory Surgical Clinic/Center	$275K	$53.4K
Ricardo Hernandez-castillo	PR	Pulmonary Disease Physician	$28.6K	$211.9K
Maria De Aranzazu Villamil Jarauta	PR	Endocrinology, Diabetes & Metabolism Physician	$42.3K	$151.8K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K

Walgreen Co — 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