Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWalgreen Co
    Ask Trek AI about this page

    Walgreen Co — Billing Profile & Reimbursement Data

    NPI 1144235045 · San Juan, PR · Pharmacy

    Customize your policy alerts

    Sign up for Walgreen Co — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Walgreen Co is a pharmacy provider located in San Juan, Puerto Rico. This profile covers 11 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWalgreen Co
    AddressAve Ashford Esquina Condado
    CitySan Juan
    StatePR
    ZIP00908
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$87.4K
    Medicaid$0

    Key Findings

    WALGREEN CO in SAN JUAN, PR is registered as a pharmacy with an NPI enumerated 2006-07-29 (~20 years ago) and shows a modest Medicare footprint with lifetime Medicare revenue of $87.4K and no Medicaid billing on file, making its public-payer record effectively single-payer (Medicare) in scale. This tenure suggests a long-established pharmacy presence, but the billing scale reported to Medicare is limited.

    The provider’s Medicare activity is concentrated in point-of-care testing and immunizations, consistent with retail pharmacy operations: K1034 (provision of nonprescription self-administered COVID-19 tests), and multiple vaccine codes including 90677 (pneumococcal) and 90694 (influenza) dominate the code mix. The presence of administration codes such as G0008 and G0009 and SARS–CoV–2 vaccine codes 91322 and 91320 further supports a service-line focused on vaccination and COVID-related services.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 66.6% of the provider’s total Medicare revenue. Individually those top-three codes are K1034 with $37.3K (42.3% of Medicare revenue), 90677 with $13.3K (15.0%), and 90694 with $8.2K (9.3%), indicating that a small set of immunization/testing services drive most reported Medicare dollars.

    As a payer-mix observation, the provider reports $87.4K in total Medicare revenue and explicitly has no Medicaid billing on file ("none below"), so any public-payor analysis should treat this entity as effectively Medicare-only in the available claims data. That single-payer profile limits comparability for in-state Medicaid market share or contracting analysis.

    Competitive standing by code is mixed but not indicative of a dominant national role across multiple services: K1034 ranks #1191 of 30143 providers nationally (96th percentile) and is labeled as having "typical, unremarkable volume for this code," while 90677 ranks #4933 of 52451 providers (90th percentile) and 90694 ranks #12316 of 51679 providers (76th percentile), both also characterized as typical volumes. Overall, the provider shows relatively elevated national percentiles for certain COVID/test and vaccine codes but remains a modest participant in absolute Medicare revenue.

    Operational detail shows differing volume and reimbursement profiles: K1034 has 3.1K claims at $12 avg paid/claim (yielding $37.3K revenue), while vaccine codes appear in far fewer claims with higher avg paid/claim—90677 has 50 claims at $265 avg paid/claim ($13.3K revenue) and 90694 has 117 claims at $70 avg paid/claim ($8.2K revenue). This pattern—high-claim, low-unit-pay tests plus lower-claim, higher-unit-pay vaccines—is typical of retail pharmacy testing and immunization services and helps explain the revenue concentration.

    There are no codes in the Top-25 list flagged as extreme outliers; most listed codes are described as "typical, unremarkable volume for this code" or occupy mid-range percentiles (for example, G0008 at the 87th percentile and G0009 at the 91th percentile). The data therefore indicate concentrated, seasonal or campaign-driven activity (vaccines and COVID testing) rather than broad, high-dollar clinical billing across multiple Medicare service lines.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count3,110$10$37.3K
    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…50$270$13.3K
    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…120$70$8.2K
    91322This 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.50$140$7.4K
    G0008Administration of influenza virus vaccine180$30$5.6K
    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.40$130$4.9K
    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…50$70$3.3K
    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$3.2K
    0134AN/A70$40$3K
    G0009Administration of pneumococcal vaccine50$30$1.6K

    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

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034701403,110$10$43.2K
    9067744020$270$6.7K
    91320114020$130$4.4K
    9132212030$140$3.9K
    9069468030$70$3.3K
    9066243020$70$2K
    G0008612030$30$1.6K
    0134A12030$40$1.4K
    9048046020$40$1.4K
    G000944020$30$670

    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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Walgreen CoPRPharmacy$253.3K$0
    Walgreen CoPRPharmacy$145.9K$0
    Walgreen CoPRPharmacy$124.6K$0
    Walgreen CoPRPharmacy$116.8K$0
    Walgreen CoPRPharmacy$103.1K$0
    Walgreen CoPRPharmacy$102.7K$0
    Walgreen CoPRPharmacy$99.2K$0
    Walgreen CoPRPharmacy$85.4K$0
    Walgreen CoPRPharmacy$65.3K$0
    Walgreen CoPRPharmacy$63.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Latorre-lopezPRAnesthesiology Physician$17.5K$0

    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 — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico