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

    NPI 1144235201 · Caguas, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Caguas, Puerto Rico. This profile covers 8 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
    Address101 Carr 1
    CityCaguas
    StatePR
    ZIP00725
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$91.1K
    Medicaid$0

    Key Findings

    This entity reports $91.1K in lifetime Medicare revenue and has no Medicaid billing on file, so its reimbursed activity in the dataset is effectively single‑payer and concentrated in Medicare; the top 3 Medicare codes by revenue account for 91.8% of its Medicare receipts, indicating a narrow revenue base.

    The provider’s code mix is consistent with a retail pharmacy model focused on COVID testing and immunization services: K1034 (provision of a nonprescription, self‑administered COVID‑19 test) alone is billed 6.4K times for $77K in revenue, and additional receipts come from vaccine product codes such as 91320 ($4.6K) and 90694 ($3.5K).

    Revenue concentration is high: K1034 contributes $77K (83.1% of Medicare revenue) and, together with the next highest codes, produces the precomputed 91.8% top‑3 share, meaning most Medicare dollars flow from a very small set of point‑of‑care test and vaccine services.

    Volume and unit‑price dynamics differ by code: K1034 shows very high claim volume (6.4K claims) with a low average paid per claim ($12), while vaccine codes (for example 91320 at $127 avg paid/claim and 90694 at $71 avg paid/claim) generate materially less claim volume but higher reimbursement per service.

    Competitive standing is mixed: K1034 ranks #432 of 30143 providers nationally (99th percentile) but is described in the data as a "typical, unremarkable volume for this code," whereas the vaccine product codes sit at more moderate national positions (91320 at the 34th percentile, 90694 at the 49th percentile), indicating a strong national presence for test provisioning but only modest participation in vaccine administration relative to peers.

    The provider has a long enumeration history (NPI enumerated 2006-07-29, ~20 years ago), which suggests an established billing identity; given the extreme revenue concentration in a few codes, that tenure likely reflects operational continuity rather than diversification of billable services.

    From an operational and payer‑risk perspective, absence of Medicaid billing and the dominant reliance on COVID testing/vaccine codes means this provider’s Medicare revenue is sensitive to policy or rate changes affecting K1034 and related immunization administration codes, so analysts should flag reimbursement policy shifts for monitoring.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count6,410$10$77K
    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$4.6K
    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…50$70$3.5K
    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…10$270$3.2K
    G0008Administration of influenza virus vaccine70$30$2.1K
    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–19.40$40$1.3K
    0124AN/A20$40$660
    G0009Administration of pneumococcal vaccine10$30$370

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034281403,110$10$43.2K
    90677314020$270$6.7K
    91320134020$130$4.4K
    90694208030$70$3.3K
    G00082512030$30$1.6K
    90480186020$40$1.4K
    0124A92020$40$1.1K
    G0009314020$30$670

    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$241.3K$0
    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

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Borinquen, IncPRClinical Medical Laboratory$1.4M$37.1M
    Msl Therapeutical Services, PscPROccupational Therapist$0$12.8M
    Laboratorio Clinico Bairoa IncPRClinical Medical Laboratory$271.3K$11.3M
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    Mediko Imaging Inc.PRRadiology Clinic/Center$0$6.8M
    Consolidated Radiology Complex CspPRRadiology Clinic/Center$0$6.8M
    Caribbean Heart Institute LLCPRClinical Cardiac Electrophysiology Physician$0$5.7M
    Nuscan CspPRNuclear Medicine Physician$0$5.5M
    Conmed Laboratories IncPRClinical Medical Laboratory$105.5K$5.4M
    Sps Specialty Pharmacy Services IncPRSpecialty Pharmacy$0$4.2M

    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 — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico