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 1255346300)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Plaza Juana Diaz Barrio
City	Juana Diaz
State	PR
ZIP	00795
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$103.1K
Medicaid	$0

Key Findings

WALGREEN CO in JUANA DIAZ, PR is a pharmacy NPI enumerated on 2006-07-29 (~20 years ago), indicating long-standing enrollment in Medicare billing. The taxonomy and the mix of codes reported are consistent with a retail pharmacy offering point-of-care testing and immunization services.

This provider’s Medicare revenue totaled $103.1K while there is no Medicaid billing on file, so the observable payer footprint is effectively single-payer (Medicare) in scale for the available data. Analysts should treat Medicaid as absent rather than low when comparing state-level payer mixes.

Revenue is extremely concentrated: the precomputed top three Medicare codes account for 100.0% of the provider’s Medicare revenue, with K1034 alone representing $101.7K (98.6% of Medicare revenue). The other two codes are small contributors: 90694 brings $840 (0.8%) and G0008 brings $589 (0.6%).

The code mix points to a service model centered on distribution of nonprescription self-administered COVID-19 tests and occasional influenza vaccination. K1034 has 8.5K claims at an average paid/claim of $12, while vaccine-related codes record only 12 and 19 claims respectively, indicating the operation is driven by high-volume, low-unit-value test provisioning rather than vaccine administration.

On competitive standing for the primary code, the provider ranks #352 of 30143 nationally (99th percentile) for K1034, which suggests a high national placement for that specific service; the record also characterizes this standing as "typical, unremarkable volume for this code," and that descriptor should temper interpretation of the rank.

For influenza vaccination activity, 90694 ranks #49208 of 51679 nationally (described as "typical, unremarkable volume for this code") and G0008 ranks #96357 of 119096 (also described as "typical, unremarkable volume for this code"); together these ranks indicate the provider is a modest participant nationally on vaccine-related billing relative to large immunizers.

Because nearly all Medicare dollars reported flow from a single code (K1034 = 98.6%), the provider’s Medicare revenue profile is highly sensitive to changes in reimbursement policy or patient demand for that testing product. Given the total Medicare revenue of $103.1K, this concentration implies limited diversification of Medicare-treated service lines.

Operational detail to note for utilization analysis: K1034 shows 8.5K claims at $12 avg paid/claim, while the two vaccine codes show very low claim counts (12 and 19) with higher avg paid/claim ($70 and $31 respectively). This pattern signals a high-transaction retail distribution model for tests alongside sporadic vaccine administration activity rather than a balanced immunization clinic workflow.

Medicare: Complete Services Breakdown

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

3 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	8,470	$10	$101.7K
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…	10	$70	$840
G0008	Administration of influenza virus vaccine	20	$30	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	12	140	3,110	$10	$43.2K
90694	70	80	30	$70	$3.3K
G0008	85	120	30	$30	$1.6K

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	$253.3K	$0
Walgreen Co	PR	Pharmacy	$145.9K	$0
Walgreen Co	PR	Pharmacy	$124.6K	$0
Walgreen Co	PR	Pharmacy	$116.8K	$0
Walgreen Co	PR	Pharmacy	$102.7K	$0
Walgreen Co	PR	Pharmacy	$99.2K	$0
Walgreen Co	PR	Pharmacy	$87.4K	$0
Walgreen Co	PR	Pharmacy	$85.4K	$0
Walgreen Co	PR	Pharmacy	$65.3K	$0
Walgreen Co	PR	Pharmacy	$63.3K	$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
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$2.4M
Laboratorio Clinico Profesional Emanuel Inc	PR	Clinical Medical Laboratory	$9.8K	$2.4M
Awilda Vazquez Quintana	PR	Physical Therapist	$0	$1.3M
Southern Hospital Service Inc	PR	Clinical Medical Laboratory	$0	$1M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$852.7K
Maria J Lopez Aguado	PR	Clinical Medical Laboratory	$1.9K	$835.2K
Quality Care Hospice LLC	PR	Community Based Hospice Care Agency	$0	$777.9K
Dr Jose E Martinez Campos Csp	PR	Medical Specialty Clinic/Center	$0	$637.1K
Sonia Mercado Cruz	PR	Clinical Medical Laboratory	$140	$612.3K
Glenda Rodriguez	PR	General Practice Physician	$316.2K	$6.1K

Walgreen Co — Billing Profile & Reimbursement Data

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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