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

    NPI 1417962317 · Carolina, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Carolina, Puerto Rico. This profile covers 5 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
    Address200 Ave Fragoso Ste 127
    CityCarolina
    StatePR
    ZIP00983
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$99.2K
    Medicaid$0

    Key Findings

    WALGREEN CO (Pharmacy) in CAROLINA, PR is an established NPI registrant (enumerated 2006-07-29, ~20 years ago) with a small lifetime Medicare footprint reporting Total Medicare revenue: $99.2K and no Medicaid billing on file. The absence of any Medicaid activity means this provider’s public-payer profile is effectively single-payer (Medicare) in the available claims record.

    Revenue is highly concentrated in a single service line: the precomputed top 3 Medicare codes by revenue account for 98.6% of this provider’s total Medicare revenue. In particular, K1034 drives $94.8K (95.6% of Medicare revenue), while 91320 and 90694 contribute $1.8K (1.8%) and $1.1K (1.1%) respectively.

    The code mix points to a retail pharmacy operation focused on distribution of nonprescription COVID-19 self-tests and limited immunization services. K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) dominates revenue, and smaller receipts for vaccine product codes 91320 (SARS–CoV–2 vaccine) and 90694 (influenza vaccine) indicate some immunization activity but at a minor scale relative to testing.

    K1034 shows strong national ranking by raw position—#371 of 30143 providers nationally (99th percentile)—which signifies substantial billed volume for that specific test in absolute rank terms; however, the dataset’s plain-English characterization for K1034 is “typical, unremarkable volume for this code,” a label that should temper interpretation of competitiveness when comparing utilization patterns across peers.

    Vaccine-related codes reflect only modest participation compared with national peers. 91320 ranks #24562 of 27083 (7th percentile) and 90694 ranks #44891 of 51679 (11th percentile), and both are labeled “typical, unremarkable volume for this code,” indicating these immunization services are not major drivers of competitive standing for this provider.

    The payer mix and dollar scale create concentration risk: with Total Medicare revenue: $99.2K and no Medicaid revenue recorded, the provider’s publicly reported income is narrowly sourced and could be sensitive to changes in Medicare coverage or reimbursement for the programs it bills (notably K1034). This profile suggests revenue stability is tied to a single high-volume retail service rather than a diversified set of payer relationships.

    Taken together, the long tenure on file (~20 years) combined with very concentrated, low-dollar Medicare revenue suggests WALGREEN CO in CAROLINA operates as a retail pharmacy location that primarily monetized nonprescription COVID-19 testing through Medicare while offering some ancillary vaccination services. For payer/provider analysts, the key considerations are the heavy reliance on K1034 for nearly all Medicare receipts and the absence of Medicaid billing, which frames both competitive positioning and payer exposure.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count7,900$10$94.8K
    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.10$130$1.8K
    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…20$70$1.1K
    G0008Administration of influenza virus vaccine30$30$900
    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–19.10$40$500

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034171403,110$10$43.2K
    91320334020$130$4.4K
    90694628030$70$3.3K
    G00086312030$30$1.6K
    90480456020$40$1.4K

    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$253.3K$0
    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$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
    Coreplus Servicios Clinicos Y Patologicos LLCPRAnatomic Pathology & Clinical Pathology Physician$110.9K$13M
    Jose LozadaPRGynecology Physician$1.2K$777.8K
    Monserrate Imaging Center PscPRBody Imaging Physician$0$753.9K
    Luis Ortiz-espinosaPRDermatology Physician$183.3K$0
    Elena Nogales PerezPRDermatology Physician$15.7K$93.7K
    Lynette Rios RodriguezPRPhysical Therapist$29.9K$46.8K
    Ricardo JaenPRPodiatrist$11.6K$25.7K
    Walgreen CoPRPharmacy$34.4K$0
    Signet Puerto RicoPRNuclear Medicine Physician$18K$10.7K
    Cesar GomezPRPhysical Medicine & Rehabilitation Physician$27K$0

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