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

    NPI 1164438503 · Caguas, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Caguas, Puerto Rico. This profile covers 6 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
    AddressInt. Pr-1 Y Pr-34, Ave. Degetau
    CityCaguas
    StatePR
    ZIP00725
    TaxonomyPharmacy
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$102K
    Medicaid$0

    Key Findings

    WALGREEN CO in CAGUAS, PR is primarily operating as a pharmacy-focused COVID‑19 testing and immunization site based on its Medicare code mix; the top Medicare code by revenue is K1034 (provision of nonprescription self‑administered COVID‑19 tests) which accounts for $97.4K and 95.4% of the provider's total Medicare revenue, indicating testing is the dominant revenue driver.

    Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 98.0% of the provider's total Medicare revenue, with K1034 alone representing 95.4% of Medicare dollars, so a very small set of services generates nearly all reported Medicare receipts.

    This provider is essentially single‑payer from a billing perspective: lifetime Medicare revenue is $102K while there is no Medicaid billing on file, so Medicaid contributes $0 to this provider’s recorded public-payer activity and Medicare is the only public payer with reported revenue.

    Competitive standing for the primary revenue code is modest in context: K1034 activity is ranked #364 of 30143 providers nationally (99th percentile), which the source labels as typical/unremarkable volume for the code, suggesting WALGREEN CO’s testing volumes are high in absolute terms but not atypical for pharmacies offering this service nationwide.

    Other Medicare services beyond K1034 are very small contributors: 91320 ($1.6K, 1.6% of Medicare revenue) and 90694 ($923, 0.9%) each make marginal contributions and both rank in low national percentiles (5th), indicating limited vaccine administration volume relative to national peers.

    Tenure is long: the NPI was enumerated around 2006-07-31 (~20 years ago), so this entity has been an active, registered Medicare provider for roughly two decades, which supports continuity of billing patterns observed.

    Code-level statistical context: for codes with meaningful volume the provided labels indicate these are "typical, unremarkable" volumes rather than statistical outliers, so while K1034 drives nearly all revenue, its utilization level is consistent with many other pharmacies offering COVID‑19 testing and therefore does not reflect an unusual billing pattern in the benchmarked metrics.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count8,120$10$97.4K
    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.10$130$1.6K
    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…10$70$920
    G0008Administration of influenza virus vaccine30$30$870
    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…10$70$750
    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–19.10$40$470

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034151403,110$10$43.2K
    91320364020$130$4.4K
    90694698030$70$3.3K
    90662323020$70$2K
    G00086612030$30$1.6K
    90480496020$40$1.4K

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