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

    NPI 1154337582 · San Juan, PR · Pharmacy

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    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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWalgreen Co
    AddressEsq Cesar Gonzalez 685 Ave Jesus T Pineiro
    CitySan Juan
    StatePR
    ZIP00918
    TaxonomyPharmacy
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$108K
    Medicaid$0

    Key Findings

    WALGREEN CO’s billed activity in the available claims file is concentrated in Medicare only: Total Medicare revenue is $108K and Total Medicaid revenue is none (no Medicaid billing on file), so this profile reflects effectively single-payer exposure to Medicare for the period covered rather than a mixed Medicare/Medicaid practice footprint. Analysts should interpret competitive standing and service mix knowing there is no Medicaid billing to compare in-state behavior.

    Revenue is heavily concentrated in a small set of services: the precomputed top 3 Medicare codes account for 73.1% of the provider’s Medicare revenue, driven primarily by K1034 (56.0%), 90694 (9.4%), and 90677 (7.7%). This concentration indicates that a large share of the $108K Medicare receipts come from COVID testing and routine vaccines rather than a broad clinical service mix.

    The code mix points to a retail pharmacy immunization and testing operation rather than an office-based clinical practice: K1034 is the top code (provision of COVID-19 nonprescription self-test kits) and the next highest codes are influenza and pneumococcal vaccine products (90694, 90677), with additional vaccine administration codes (G0008, G0009, 91320, 91322) also present. This pattern is consistent with a location that primarily dispenses tests and administers vaccines rather than providing extended medical encounters.

    K1034 performance is a standout within this dataset: the provider reports 5.1K claims and $61.5K revenue on K1034, ranking #539 of 30143 providers nationally (98th percentile) and is described in the source as typical, unremarkable volume for this code. In practical terms, WALGREEN CO is a high-volume distributor of over-the-counter COVID self-tests relative to national peers, and that single code is the single largest driver of Medicare receipts here.

    Vaccine-related codes show steady but more modest competitive positioning: 90694 ranks #9496 of 51679 (81th percentile; typical, unremarkable volume for this code) and 90677 ranks #12508 of 52451 (75th percentile; typical, unremarkable volume for this code), while COVID vaccine codes like 91320 and 91322 fall nearer to median national ranks (91320 at the 53th percentile, 91322 at the 30th percentile). Overall, WALGREEN CO participates consistently in immunization delivery at volumes that are notable but not uniformly top-ranked across all vaccine products.

    The provider has an established billing history, with NPI enumeration dated 2006-07-31 (~20 years ago), which implies a long tenure in Medicare billing and suggests observed patterns are not from a newly established outpatient site. Analysts can treat current code mix and volumes as the output of a longstanding retail immunization/testing operation rather than a short-term programmatic spike.

    Given the small absolute Medicare revenue base ($108K) combined with high concentration (73.1% from the top 3 codes), the provider’s Medicare financial exposure is vulnerable to pricing or utilization shifts in a handful of products—particularly K1034 and leading vaccines. For payers or network planners, this means reimbursement or coverage changes affecting OTC COVID tests or vaccine administration could materially change this provider’s Medicare revenue profile despite its long tenure.

    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 count5,120$10$61.5K
    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…150$70$10.3K
    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…30$270$8.5K
    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.70$130$8.3K
    G0008Administration of influenza virus vaccine200$30$6.1K
    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.40$140$5.4K
    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–19.100$40$3.7K
    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$2.4K
    0134AN/A50$40$2.1K
    G0009Administration of pneumococcal vaccine30$30$1.1K

    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

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034411403,110$10$43.2K
    90677104020$270$6.7K
    9132044020$130$4.4K
    9132262030$140$3.9K
    9069448030$70$3.3K
    90662113020$70$2K
    G0008512030$30$1.6K
    0134A62030$40$1.4K
    9048036020$40$1.4K
    90674111020$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.

    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$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
    Laboratorio De Patologia Dr NoyPRAnatomic Pathology Physician$0$45.7M
    Hato Rey Pathology Associates IncPRClinical Medical Laboratory$58.5K$42M
    Home Orthopedics CorpPRProsthetic/Orthotic Supplier$0$20.7M
    Orthobone, IncPRCustomized Equipment (DME)$0$15.5M
    Smith & Nephew Inc.PRProsthetic/Orthotic Supplier$0$12M
    Laboratorio Clinico Noy IncPRClinical Medical Laboratory$76.1K$9.9M
    Servicios Radiologicos Asociados Jorge Perez BraisPRDiagnostic Radiology Physician$0$2.9M
    Luis Torres VeraPRAllergy Physician$21.5K$2.7M
    Inspira Psychiatric Services PscPRAdult Mental Health Clinic/Center$0$2.5M
    Frankie AlvaradoPRPulmonary Disease Physician$7.3K$2.4M

    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