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

    NPI 1386938850 · San Juan, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in San Juan, Puerto Rico. This profile covers 2 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
    Address404 Ave Barbosa Esq Sicilia
    CitySan Juan
    StatePR
    ZIP00917
    TaxonomyPharmacy
    NPI EnumeratedJune 2, 2011

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

    Payer SourceTotal Paid
    Medicare$83.9K
    Medicaid$0

    Key Findings

    This entity reports $83.9K in total Medicare revenue and no Medicaid billing on file, making its publicly visible payer footprint effectively single-payer (Medicare-only) in the dataset. The absence of any Medicaid claims suggests either no participation in Medicaid fee-for-service billing in Puerto Rico or use of alternate billing arrangements not captured here.

    Revenue is extremely concentrated: the precomputed top-3 Medicare codes account for 100.0% of the provider's Medicare revenue, with a single code, K1034, representing $83.4K (99.4% of Medicare revenue). This narrow code mix indicates the provider’s Medicare receipts are almost entirely driven by one service line.

    The operational profile implied by the specific codes is that of a retail pharmacy distribution model focused on diagnostic test provision and occasional immunization: K1034 (provision of COVID-19 nonprescription self-administered tests) shows 7K claims at $12 avg paid/claim for $83.4K in revenue, and G0008 (influenza vaccine administration) shows 16 claims and $496 in revenue. This combination is consistent with a pharmacy that primarily distributes over-the-counter COVID tests and offers sporadic vaccine administration to Medicare beneficiaries.

    Competitive standing differs sharply between the two reported codes. For K1034 the provider ranks #409 of 30143 providers nationally (99th percentile), indicating a high national volume position for that COVID-19 test distribution code, while for G0008 the provider ranks #102974 of 119096 providers nationally (11th percentile), indicating relatively low volume for influenza vaccine administration compared with peers.

    The provider’s NPI was enumerated on 2011-06-02 (~15 years ago), indicating long-standing enrollment in the Medicare provider file; despite this tenure, lifetime Medicare revenue is modest at $83.9K, reflecting limited Medicare billing breadth or low per-claim reimbursement levels tied to the dominant code mix.

    Both top codes are described in the source as "typical, unremarkable volume for this code," which should be interpreted with nuance: K1034’s 99th percentile rank suggests high absolute volume nationally for that code even though the dataset labels it as typical in distributional terms, while G0008’s low percentile aligns with its small contribution to this provider’s revenue.

    For payer and competitor analysis, the concentrated reliance on K1034 implies that changes in COVID-19 test coverage, reimbursement, or demand could materially affect this provider’s Medicare revenue. Analysts should treat this provider as a narrow-service retail pharmacy actor rather than a broad clinical services provider, and expect limited Medicaid exposure based on the absence of Medicaid claims on file.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count6,950$10$83.4K
    G0008Administration of influenza virus vaccine20$30$500

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034251403,110$10$43.2K
    G00089512030$30$1.6K

    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$241.3K$0
    Walgreen CoPRPharmacy$179.3K$0
    Walgreen Co.PRPharmacy$129K$0
    Walgreen CoPRPharmacy$122.4K$0
    Walgreen CoPRPharmacy$116.3K$0
    Walgreen CoPRPharmacy$114.7K$0
    Walgreen CoPRPharmacy$112.5K$0
    Walgreen CoPRPharmacy$108K$0
    Walgreen CoPRPharmacy$107.4K$0
    Walgreen CoPRPharmacy$106.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Puerto Rico Pathology Associates PPRAnatomic Pathology & Clinical Pathology Physician$0$6.8M
    Metro Pavia At Home LLCPRHome Health Agency$0$5.6M
    Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLCPRPhysical Medicine & Rehabilitation Physician$0$1.8M
    Retina Consultants Of P.r.PROphthalmology Physician$0$1.7M
    Er Specialized Care LLCPREmergency Medical Services (Emergency Medicine) Physician$0$1.5M
    Aid System LLCPRDiagnostic Radiology Physician$0$1.3M
    Rvp Dental Medical Center, LLCPRDental Clinic/Center$0$948.1K
    Oncology & Body Imaging PscPRDiagnostic Radiology Physician$0$905.6K
    Endourological Institute IncPRAmbulatory Surgical Clinic/Center$16.9K$609.4K
    Mirelis AcostaPRHematology & Oncology Physician$6.3K$215.1K

    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 — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico