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 1407861560)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Int Carr Estatal 3 Y #857 Los Colobos
City	Carolina
State	PR
ZIP	00987
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$95.6K
Medicaid	$0

Key Findings

This entity reported Total Medicare revenue of $95.6K and has no Medicaid billing on file, making its public payer footprint effectively single‑payer and Medicare‑centric. The absence of any Medicaid claims means comparisons or competitive statements against in‑state Medicaid peers are not applicable for this provider.

Revenue is extremely concentrated: the precomputed top 3 Medicare codes account for 100.0% of this provider's Medicare revenue, with K1034 alone representing $93.3K (97.6% of Medicare revenue). This concentration indicates that a single product line drives nearly all reported Medicare receipts.

The top revenue driver, K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use), shows 7.8K claims at $12 avg paid/claim and $93.3K revenue, consistent with retail distribution of low‑unit‑price, high‑volume COVID test units rather than fee‑for‑service clinical encounters. The presence of 90694 and G0008 (influenza vaccine product and administration) at $1.4K and $837 respectively suggests the provider also offers some immunization services, but those are marginal to total revenue.

On national competitive standing for the primary code, the provider ranks #375 of 30143 nationally for K1034 (99th percentile), indicating a top national rank by count for that code; however, the dataset’s plain-English assessment labels this as "typical, unremarkable volume for this code." Analysts should note both the high numeric rank and the accompanying characterization when interpreting market position.

The two influenza codes are modest contributors and rank well below top tiers nationally: 90694 ranks #41273 of 51679 (19th percentile) with $1.4K in revenue (1.5%), and G0008 ranks #82502 of 119096 (29th percentile) with $837 (0.9%). Both codes are described in the file as "typical, unremarkable volume for this code," signaling that vaccine services are present but not competitively dominant.

Operationally, the claim and payment mix (7.8K claims for K1034 at $12 avg paid/claim) points to a high‑transaction, low‑unit‑value retail pharmacy activity pattern rather than a procedure‑heavy clinical practice. This profile aligns with a pharmacy model focused on dispensing tests and occasional immunizations rather than extensive Medicare clinical billing.

The provider's NPI was enumerated on 2006-07-29 (~20 years ago), indicating longstanding registration; however, the current Medicare revenue profile is focused on pandemic‑era test dispensing and small‑scale vaccination billing rather than a diversified set of Medicare services. Analysts should consider tenure separately from present service mix when assessing provider stability.

Because nearly all Medicare revenue is concentrated in one OTC test code (K1034 at 97.6% of Medicare revenue), payers and contracting teams should treat this provider as specialized in test distribution for Medicare purposes and evaluate reimbursement, billing patterns, and seasonality accordingly; the marginal vaccine revenues (90694 and G0008) appear ancillary and unlikely to materially change the provider’s Medicare billing profile.

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	7,780	$10	$93.3K
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…	20	$70	$1.4K
G0008	Administration of influenza virus vaccine	30	$30	$840

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	18	140	3,110	$10	$43.2K
90694	53	80	30	$70	$3.3K
G0008	68	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	$241.3K	$0
Walgreen Co	PR	Pharmacy	$179.3K	$0
Walgreen Co.	PR	Pharmacy	$129K	$0
Walgreen Co	PR	Pharmacy	$122.4K	$0
Walgreen Co	PR	Pharmacy	$116.3K	$0
Walgreen Co	PR	Pharmacy	$114.7K	$0
Walgreen Co	PR	Pharmacy	$112.5K	$0
Walgreen Co	PR	Pharmacy	$108K	$0
Walgreen Co	PR	Pharmacy	$107.4K	$0
Walgreen Co	PR	Pharmacy	$106.7K	$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
Vimar Therapy Group Inc	PR	Clinic/Center	$0	$16.8M
Mervin Figueroa-pinto	PR	Gastroenterology Physician	$0	$1.5M
Laboratorio Clinico Parque Escorial	PR	Clinical Medical Laboratory	$22.8K	$1.4M
Emergency Medical Inc	PR	Land Ambulance	$23.6K	$276.4K
Evolution Ambulance Inc.	PR	Land Ambulance	$13.4K	$196.9K
Thaer Abukhalil	PR	Emergency Medicine Physician	$63K	$0
Hector Santos	PR	Neurology Physician	$25.2K	$0
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$23.8K	$0
Salvador Ribot Ruiz	PR	General Practice Physician	$210	$0

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