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 1255346318)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Ave. 65 Infanteria, Esq. Ave. Campo Rico
City	San Juan
State	PR
ZIP	00924
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$145.9K
Medicaid	$0

Key Findings

WALGREEN CO’s Medicare billing is narrowly focused: total Medicare revenue is $145.9K with the single code K1034 contributing $137.5K (91.9% of Medicare revenue) from 11.5K claims at $12 avg paid/claim. The code mix — dominated by K1034 (provision of nonprescription self-administered COVID-19 tests) with smaller vaccine billing — indicates a retail pharmacy posture where over-the-counter COVID test provision is the primary revenue activity billed to Medicare.

Revenue concentration is extreme across its Medicare portfolio: the precomputed top 3 Medicare codes account for 96.3% of the provider’s total Medicare revenue, meaning very little Medicare revenue derives from services outside K1034, 90677, and 90694. That concentration implies financial sensitivity to reimbursement changes or utilization shifts for a handful of immunization and testing codes.

K1034 is by far the dominant revenue driver (11.5K claims, $137.5K revenue representing 91.9% of Medicare income) and ranks #296 of 30143 providers nationally (99th percentile). Despite the high percentile position, the provided characterization for this code is “typical, unremarkable volume for this code,” suggesting the provider’s high absolute claim count reflects common, standardized retail testing activity rather than an anomalous specialty service.

Vaccination services are present but marginal: 90677 accounts for $4K (2.7% of Medicare revenue) across 15 claims and 90694 accounts for $2.6K (1.7% of Medicare revenue) across 36 claims, with both codes described as typical, unremarkable volume among national peers (90677 ranks #36982 of 52451 providers, 24th percentile; 90694 ranks #31458 of 51679 providers, 38th percentile). These figures indicate routine vaccine administration activity consistent with a community pharmacy offering pneumococcal and influenza immunizations, but vaccines are not material to this provider’s Medicare revenue base.

On payer mix the profile is effectively single-payer: Medicare revenue is $145.9K and there is no Medicaid billing on file. This absence of Medicaid activity means in-state Medicaid comparisons are not applicable and the practice’s public revenue exposure is concentrated entirely in Medicare.

Competitive standing across codes is modest outside the top testing line: the two vaccine codes and other administration codes rank in mid-to-lower national percentiles (for example, 90677 at the 24th percentile and 90694 at the 38th percentile), indicating WALGREEN CO is a modest participant in vaccine billing relative to national peers rather than a dominant immunization provider. There are no codes in the top list labeled as extreme outliers or notably above typical, so its Medicare pattern aligns with common retail pharmacy operations.

Operational tenure is long: the NPI was enumerated on 2006-07-29 (~20 years ago), showing the entity has an established Medicare enrollment history. That tenure combined with a narrow service mix suggests stable, routine retail pharmacy billing practices rather than a newly established clinical provider shifting into high-acuity services.

From a risk and monitoring perspective, the provider’s heavy reliance on K1034 (91.9% of Medicare revenue) creates a concentrated exposure to policy or reimbursement changes affecting COVID-19 test provisioning. Analysts should treat changes in utilization or payment for K1034 as having outsized impact on this provider’s Medicare revenue given that the top three codes together make up 96.3% of its Medicare receipts.

Medicare: Complete Services Breakdown

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

9 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	11,460	$10	$137.5K
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	$4K
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
G0008	Administration of influenza virus vaccine	60	$30	$1.8K
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.	10	$130	$1.5K
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…	10	$70	$830
0124A	N/A	10	$40	$570
G0009	Administration of pneumococcal vaccine	20	$30	$470
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.	10	$40	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 1 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	4	140	3,110	$10	$43.2K
90677	22	40	20	$270	$6.7K
91320	39	40	20	$130	$4.4K
90694	29	80	30	$70	$3.3K
90662	29	30	20	$70	$2K
G0008	29	120	30	$30	$1.6K
90480	52	60	20	$40	$1.4K
0124A	11	20	20	$40	$1.1K
G0009	24	40	20	$30	$670

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	$124.6K	$0
Walgreen Co	PR	Pharmacy	$116.8K	$0
Walgreen Co	PR	Pharmacy	$103.1K	$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
Laboratorio Clinico El Morro, Inc	PR	Clinical Medical Laboratory	$13.3K	$2.5M
Meditech3 Clinical Laboratories Inc	PR	Clinical Medical Laboratory	$68K	$673.8K
Laboratorio Clinico Ginara Inc	PR	Clinical Medical Laboratory	$15.9K	$147.6K
Carlos Calisto-perez	PR	Internal Medicine Physician	$70.8K	$0
Luis Nieves Garrastegui	PR	Pulmonary Disease Physician	$20.6K	$20.4K
Angel Aleman Gaetan	PR	Physical Therapist	$38.8K	$0
Jorge De Jesus Miranda	PR	Endocrinology, Diabetes & Metabolism Physician	$22K	$0
Norma Agosto-maury	PR	Clinical Neurophysiology Physician	$11.4K	$0

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