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 1164437216)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	5800 Ave Jesus T Pinero
City	Cayey
State	PR
ZIP	00736
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$116.3K
Medicaid	$0

Key Findings

This provider is effectively single-payer on file: lifetime Medicare revenue is $116.3K while there is no Medicaid billing on file. The absence of any Medicaid claims means analysts should treat Medicare activity as the primary — and only reported — public-payer footprint for this NPI.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 97.7% of total Medicare revenue. Those top three are K1034 ($110.6K, 93.3% of Medicare revenue), 90694 ($2.6K, 2.2%), and 91320 ($2.5K, 2.1%), indicating that a very small set of services drives nearly all billed Medicare dollars.

The code mix points to a retail pharmacy model focused on distribution of self-administered COVID tests and episodic immunizations. K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) dominates revenue, while vaccine product codes 90694 and 91320 plus administration codes (G0008, 90480) show ancillary immunization activity consistent with pharmacy-run vaccination services.

K1034 is both the dominant revenue driver and high-volume in claims: 9.2K claims generated $110.6K and represent 93.3% of the provider’s Medicare revenue; this code ranks #332 of 30143 providers nationally (99th percentile; typical, unremarkable volume for this code). The combination of very high claim count and a national rank at the 99th percentile suggests this site is a major distributor of nonprescription COVID tests compared with most providers.

Vaccine-related activity is modest in scale: 90694 shows 37 claims and $2.6K revenue (ranks #30988 of 51679, 39th percentile; typical, unremarkable volume for this code) and 91320 shows 20 claims and $2.5K revenue (ranks #22054 of 27083, 17th percentile; typical, unremarkable volume for this code). These ranks indicate routine, unexceptional participation in Medicare vaccination supply relative to national peers rather than a dominant immunization provider.

Operational profile implied by claims counts is skewed toward high-volume test provisioning versus low-volume vaccine administration: 9.2K claims for K1034 versus 37 claims for 90694 and 20 claims for 91320. This suggests transactional throughput (retail test distribution) is the primary daily activity, with vaccine services present but limited in Medicare-reported volume.

The NPI was enumerated on 2006-07-29 (~20 years ago), indicating a long-tenured registration in the Medicare system. That tenure, combined with the concentrated revenue mix, implies a stable billing identity that has recently generated material Medicare activity driven by pandemic-related test provisioning.

Because K1034 represents 93.3% of Medicare revenue and the top three codes together account for 97.7% of Medicare revenue, this provider’s Medicare financial exposure is highly sensitive to reimbursement or utilization changes for COVID test distribution. Analysts should flag this concentration for monitoring of policy or demand shifts that could materially change the provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

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

6 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	9,220	$10	$110.6K
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…	40	$70	$2.6K
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	$2.5K
G0008	Administration of influenza virus vaccine	50	$30	$1.6K
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.	20	$40	$720
0124A	N/A	10	$40	$450

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	7	140	3,110	$10	$43.2K
91320	21	40	20	$130	$4.4K
90694	28	80	30	$70	$3.3K
G0008	34	120	30	$30	$1.6K
90480	31	60	20	$40	$1.4K
0124A	17	20	20	$40	$1.1K

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	$241.3K	$0
Walgreen Co	PR	Pharmacy	$179.3K	$0
Walgreen Co.	PR	Pharmacy	$129K	$0
Walgreen Co	PR	Pharmacy	$122.4K	$0
Walgreen Co	PR	Pharmacy	$114.7K	$0
Walgreen Co	PR	Pharmacy	$112.5K	$0
Walgreen Co	PR	Pharmacy	$108K	$0
Walgreen Co	PR	Pharmacy	$107.4K	$0
Walgreen Co	PR	Pharmacy	$106.7K	$0
Walgreen Co	PR	Pharmacy	$102K	$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
Agosto Allergy And Immunology Csp	PR	Allergy & Immunology Physician	$0	$2.4M
Advanced Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$2M
Laboratorio Clinico Montellano Inc	PR	Clinical Medical Laboratory	$16.3K	$1.8M
Juan Benitez Santana	PR	General Practice Physician	$3.6K	$1.3M
Anestesia Del Caribe,csp	PR	Anesthesiology Physician	$0	$1.2M
Luis Suarez Almedina	PR	Pediatrics Physician	$0	$1.1M
Luis Garcia - Lopez	PR	Physical Medicine & Rehabilitation Physician	$0	$1M
Gobierno Municipal De Cayey	PR	Clinic/Center	$0	$1M
Centro Fisiatrico Del Plata Psc	PR	Physical Medicine & Rehabilitation Physician	$0	$994.3K
Jam Ambulance Service Inc	PR	Land Ambulance	$17.6K	$962.3K

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