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NPI 1215942362 · Superior, WI · Pharmacy
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Walgreen Co is a pharmacy provider located in Superior, Wisconsin. This profile covers 11 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Walgreen Co |
| Address | 2015 Tower Ave |
| City | Superior |
| State | WI |
| ZIP | 54880 |
| Taxonomy | Pharmacy |
| NPI Enumerated | July 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $245.3K |
| Medicaid | $54.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91322 | This 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. | 850 | $130 | $114.3K |
| 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. | 850 | $40 | $30.7K |
| 90662 | This 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… | 420 | $70 | $29K |
| G0008 | Administration of influenza virus vaccine | 810 | $30 | $23.5K |
| 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… | 330 | $70 | $23.2K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,170 | $10 | $14K |
| 90677 | This 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… | 20 | $270 | $4.8K |
| 0134A | N/A | 100 | $40 | $3.9K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 30 | $30 | $860 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 40 | $20 | $780 |
Showing 1–10 of 11
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 91322 | 4 | 750 | 70 | $140 | $17.5K |
| K1034 | 82 | 510 | 520 | $10 | $8K |
| 90677 | 508 | 1,080 | 20 | $280 | $6.5K |
| 90694 | 26 | 1,020 | 50 | $70 | $5.9K |
| 90662 | 18 | 1,640 | 40 | $70 | $5.2K |
| 90480 | 4 | 1,210 | 70 | $30 | $4.5K |
| G0008 | 6 | 2,540 | 40 | $30 | $2.4K |
| 0134A | 16 | 310 | 30 | $40 | $1.5K |
| 90674 | 21 | 160 | 20 | $30 | $670 |
| G0009 | 495 | 1,150 | 20 | $30 | $610 |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0011A | N/A | 420 | $30 | $12.7K |
| 0012A | N/A | 350 | $40 | $12.3K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 440 | $20 | $9.2K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 230 | $30 | $6.4K |
| 91322 | This 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 | $120 | $5.7K |
| 0064A | N/A | 90 | $40 | $3.4K |
| 0134A | N/A | 70 | $40 | $2.4K |
| 0013A | N/A | 40 | $40 | $1.6K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 20 | $30 | $500 |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 30 | $10 | $300 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 91322 | This 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. | 36 | 130 | 30 | $80 | $8K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 145 | 910 | 80 | $10 | $6.4K |
| 0012A | N/A | 15 | 310 | 60 | $30 | $3.5K |
| 0011A | N/A | 15 | 340 | 70 | $30 | $3K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 32 | 330 | 60 | $20 | $3K |
| 0013A | N/A | 11 | 30 | 40 | $30 | $2.3K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 162 | 210 | 40 | $10 | $2.2K |
| 0064A | N/A | 33 | 180 | 50 | $30 | $2.1K |
| 0134A | N/A | 11 | 70 | 30 | $30 | $1.7K |
| 90679 | This code represents a prefusion F (preF) vaccine product administered into the muscle to protect against respiratory syncytial virus. It includes an adjuvant, an ingredient that helps create a… | 13 | 40 | 30 | $10 | $510 |
Showing 1–10 of 13
Other providers in the same ZIP code as Walgreen Co, ranked by combined Medicare and Medicaid revenue.
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