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 1386817658)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Carr 3 Km 50 Bo Quebrada Vuelta
City	Fajardo
State	PR
ZIP	00738
Taxonomy	Pharmacy
NPI Enumerated	April 8, 2008

Payer Source	Total Paid
Medicare	$87.7K
Medicaid	$0

Key Findings

WALGREEN CO in FAJARDO, PR is a long-tenured enumerated pharmacy (NPI enumerated 2008-04-08, ~18 years ago) with a small Medicare billing footprint totaling $87.7K in lifetime Medicare revenue on file. There is no Medicaid billing on file, so analysis of this entity’s public payer activity is effectively limited to Medicare data in the available records.

This provider’s Medicare activity is highly concentrated: the precomputed top three Medicare codes account for 100.0% of its Medicare revenue, and a single code, K1034, represents $86.5K (98.6% of the provider’s total Medicare revenue). That concentration indicates that changes to reimbursement or utilization for that one service would materially affect reported Medicare revenue.

The code mix (K1034, 90694, G0008) is consistent with a retail pharmacy operating model focused on distribution of nonprescription COVID-19 self-test kits and seasonal influenza vaccination services. K1034 (provision of nonprescription self-administered COVID-19 test) dominates revenue, while 90694 (vaccine product) and G0008 (vaccine administration) together represent a very small share of Medicare revenue ($781 and $434 respectively).

Competitive standing across codes is mixed: for the dominant code K1034 the provider ranks #396 of 30143 providers nationally (99th percentile), indicating a high national rank for that service even though the dataset labels the volume as "typical, unremarkable volume for this code". By contrast 90694 ranks #50444 of 51679 providers nationally (0th percentile; typical, unremarkable volume) and G0008 ranks #107998 of 119096 providers nationally (7th percentile; typical, unremarkable volume), reflecting modest activity on vaccination lines relative to many peers.

From a payer-mix and scale perspective this entity is effectively single-payer in the available data: $87.7K reported to Medicare versus none reported to Medicaid. That lack of Medicaid billing means the provider’s public-payer exposure is concentrated in Medicare sources in the dataset rather than split across both major public programs.

Although K1034 accounts for the vast majority of Medicare revenue, the dataset’s plain-English characterization does not flag these volumes as extreme outliers; K1034 is high-ranked but described as "typical, unremarkable volume for this code." This suggests the provider’s pattern is one of concentrated but broadly comparable activity in the national distribution of the same code rather than an anomalous billing profile.

Operational implications: the combination of dominant revenue from K1034 and only token vaccine-related Medicare receipts implies this location functions primarily as a point-of-sale/retail dispenser for OTC COVID-19 tests, with limited documented Medicare vaccination throughput. That profile suggests both vulnerability to reimbursement or demand changes in OTC testing and potential runway to grow immunization services if pursued.

For monitoring and competitive analysis, prioritize tracking K1034 utilization and reimbursement trends (it drives $86.5K and 98.6% of Medicare revenue) and note the absence of Medicaid claims when benchmarking against in-state peers. Given the small absolute Medicare total ($87.7K) but high rank on K1034, interpret competitive position as focused and code-specific rather than broadly dominant across pharmacy services.

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	7,210	$10	$86.5K
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…	10	$70	$780
G0008	Administration of influenza virus vaccine	10	$30	$430

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	24	140	3,110	$10	$43.2K
90694	75	80	30	$70	$3.3K
G0008	98	120	30	$30	$1.6K

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 Y De Ref De Fajardo Inc	PR	Clinical Medical Laboratory	$26.2K	$2.8M
Servicios Medicos Integrados De Fajardo, P.s.c.	PR	General Practice Physician	$0	$2.8M
Centro C.i.e.h.l.o.inc.	PR	Hearing and Speech Clinic/Center	$0	$1.6M
Jrc Maxillofacial Services,psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.5M
Caribe Physicians Plaza Corporation	PR	General Acute Care Hospital	$0	$1.4M
Fajardo Imaging Inc	PR	Magnetic Resonance Imaging (MRI) Clinic/Center	$0	$1.2M
Continuum Mental Care Corp	PR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$972.3K
Jose J Lopez Agudo Oftalmologo Csp	PR	Ophthalmology Physician	$0	$763.5K
Laboratorio Clinico Fajardo, Inc.	PR	Clinical Medical Laboratory	$19.6K	$691K
Luis Arraut-ramirez	PR	Internal Medicine Physician	$0	$651.3K

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

Nearby Providers

Frequently Asked Questions

References