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

    NPI 1346256781 · Guaynabo, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Guaynabo, Puerto Rico. This profile covers 11 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
    Address2505 Carr 841
    CityGuaynabo
    StatePR
    ZIP00969
    TaxonomyPharmacy
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$253.3K
    Medicaid$0

    Key Findings

    WALGREEN CO in GUAYNABO, PR is enumerated as a pharmacy and has been an NPI registrant since 2006-07-31, indicating roughly 20 years of active enrollment which supports an established retail pharmacy presence in the market. The code mix dominated by vaccine and COVID testing/vaccination codes aligns with operations typical of a community retail pharmacy offering immunizations and point-of-care COVID testing.

    Medicare revenue for this entity totals $253.3K and there is no Medicaid billing on file, making this provider effectively single-payer (Medicare) in the available claims data; analysts should treat Medicaid activity as absent rather than simply low.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 79.1% of the provider’s total Medicare revenue, showing dependence on a very narrow set of services. Those leading codes are K1034 (COVID-19 nonprescription self-test provision), 91320 (COVID-19 vaccine, 30 mcg), and 90694 (quadrivalent influenza vaccine), which together drive the majority of Medicare receipts.

    K1034 alone represents $154.3K and 59.7% of Medicare revenue and is described as "typical, unremarkable volume" at the national level (rank #287 of 30143, 99th percentile). That ranking and share indicate WALGREEN CO performs a substantial volume of COVID test provisioning relative to its own revenue base, but it is not an extreme national outlier in volume for this code.

    The vaccination services (91320 and 90694) are meaningful secondary revenue streams: 91320 accounts for $31K (12.0% of Medicare revenue) and ranks in the 90th percentile nationally for that code, while 90694 accounts for $19.2K (7.4%) and sits in the 93rd percentile. These placements suggest the pharmacy attains above-typical but not dominant national volumes for COVID and flu immunizations.

    Other vaccine administration and influenza codes (G0008, 90677, G0009 and several flu-product CPTs) appear across the top codes list, indicating a consistent immunization service line rather than isolated procedures; multiple entry-level administration codes (for flu and pneumococcal vaccines) together account for additional Medicare receipts beyond the three largest codes.

    Competitive standing analysis: for K1034 and several vaccine codes the provider ranks at high national percentiles (eg, 99th, 95th, 93rd, 90th), which implies WALGREEN CO is a relatively active participant in these service lines compared with most U.S. providers, but its overall Medicare revenue ($253.3K) remains modest in absolute terms. Put differently, it is a locally busy pharmacy for vaccines and COVID testing but not a large national revenue center.

    Because no Medicaid billing is present, public-payer strategy appears concentrated on Medicare beneficiaries and retail-payor flows; any analysis of payer mix, access for Medicaid populations, or Medicaid-dependent contracting should note the absence of Medicaid claims rather than low counts. This pattern may reflect local payer enrollment, billing choices, or formulary/contracting differences in PR.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count12,860$10$154.3K
    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.250$130$31K
    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…270$70$19.2K
    90677This 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…70$270$17.6K
    G0008Administration of influenza virus vaccine420$30$13.1K
    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–19.250$40$8.9K
    0124AN/A130$40$5.5K
    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…70$70$4.8K
    G0009Administration of pneumococcal vaccine70$30$2.3K
    90686This 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…60$20$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K103421403,110$10$43.2K
    9067724020$270$6.7K
    9132014020$130$4.4K
    9069418030$70$3.3K
    9066223020$70$2K
    G0008112030$30$1.6K
    9048016020$40$1.4K
    0124A12020$40$1.1K
    9067451020$30$760
    G000924020$30$670

    Showing 1–10 of 11

    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$145.9K$0
    Walgreen CoPRPharmacy$124.6K$0
    Walgreen CoPRPharmacy$116.8K$0
    Walgreen CoPRPharmacy$103.1K$0
    Walgreen CoPRPharmacy$102.7K$0
    Walgreen CoPRPharmacy$99.2K$0
    Walgreen CoPRPharmacy$87.4K$0
    Walgreen CoPRPharmacy$85.4K$0
    Walgreen CoPRPharmacy$65.3K$0
    Walgreen CoPRPharmacy$63.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Walgreen Co, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elderly Transportation Services, LLCPRTransportation Broker$0$25.7M
    Rmc Orthopedic & Surgical, Inc.PRProsthetic/Orthotic Supplier$0$7.5M
    Surgical Solutions-j.a. Puerto Rico, IncPRDurable Medical Equipment & Medical Supplies$0$7.1M
    Bless Therapy Place PscPRHearing and Speech Clinic/Center$0$3.7M
    Elderly Transportation Services Management LLCPRTransportation Broker$0$3.4M
    Osvaldo Niebla DiazPRGeneral Practice Physician$2.9K$3.1M
    Four Molar PscPROral and Maxillofacial Surgery (Dentist)$0$3M
    Ccs PscPRCardiovascular Disease Physician$0$2.3M
    Johnson & Johnson Medical CaribbeanPRProsthetic/Orthotic Supplier$0$2.2M
    J.e.r.i. Cardiomed, P.s.c.PRCardiovascular Disease Physician$0$1.1M

    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 — 10 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico