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

    NPI 1487665626 · Bayamon, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Bayamon, 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
    Address550 Carreterra #167
    CityBayamon
    StatePR
    ZIP00956
    TaxonomyPharmacy
    NPI EnumeratedAugust 11, 2006

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

    Payer SourceTotal Paid
    Medicare$99.6K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is small in dollar terms: Total Medicare revenue is $99.6K while there is no Medicaid billing on file, making its payable activity effectively single-payer (Medicare-only) in the available records. The absence of any Medicaid billing suggests either no Medicaid participation in this NPI’s operations in PR or no Medicaid claims submitted under this billing entity.

    Revenue is highly concentrated in a single service line: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue, and K1034 alone represents $99.1K (99.5% of the provider’s Medicare revenue). This concentration means nearly all billed Medicare dollars derive from one code, leaving limited diversification across other billed services.

    The code mix identifies the operation as a retail pharmacy delivering point-of-sale testing and some immunization services: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) accounts for 8.3K claims and $99.1K revenue, while G0008 (Administration of influenza virus vaccine) accounts for 17 claims and $527 revenue. This pattern is consistent with pharmacies that distribute and bill for over-the-counter COVID-19 tests and also offer routine influenza vaccination services.

    K1034 is a major national rank for this provider: it ranks #360 of 30143 providers nationally (99th percentile) for that code, placing the NPI among top-ranked billers on a national list for K1034; however, the provided descriptor characterizes the provider’s K1034 volume as "typical, unremarkable" for this code relative to peers. That juxtaposition suggests high absolute volume at this NPI but not an unusual billing pattern once large numbers of similar retail pharmacies are considered.

    By contrast, G0008 shows modest participation in influenza vaccination billing: 17 claims and $527 revenue and a national rank of #100608 of 119096 providers (14th percentile), which the data also labels as "typical, unremarkable" volume. This placement indicates the provider is not a leading Medicare biller for influenza vaccine administration and participates at a relatively low level on that specific service.

    The NPI has long tenure: enumerated on 2006-08-11 (~20 years ago), indicating a long-established billing identifier that has persisted through multiple policy and program changes. That longevity supports continuity of operations even though the current Medicare revenue scale reported here is modest.

    Taken together, the profile shows a small-scale Medicare revenue base ($99.6K) that is almost entirely driven by pandemic-era testing (K1034) with negligible Medicaid activity; this creates a narrow Medicare revenue stream focused on one high-volume retail pharmacy service line rather than a diversified set of billed clinical services. Analysts should interpret the provider as a pharmacy-centric billing entity with concentrated Medicare dependence on OTC COVID-19 test provision rather than a broad Medicaid/Medicare clinical service provider.

    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 count8,260$10$99.1K
    G0008Administration of influenza virus vaccine20$30$530

    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
    K1034141403,110$10$43.2K
    G00088912030$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
    Lab Clinico Van ScoyPRClinical Medical Laboratory$29.6K$2M
    Laboratorio Clinico Principal IncPRClinical Medical Laboratory$11.5K$1.6M
    United Emergency Medical CorporationPRAmbulance$70.7K$1.4M
    Elsa JustinianoPRDentist$0$1.1M
    Multiple Medical Preventive Group LLC.PRGeneral Practice Physician$0$1.1M
    Dr.hiramvegaayoroa,pscPRPediatric Dentistry$0$835.5K
    Quality Gastroenterology LLCPRGastroenterology Physician$0$757.9K
    Neysha MunizPRSpeech-Language Pathologist$0$708.3K
    Lemuel Martinez-bonillaPRInfectious Disease Physician$9.9K$689.8K
    Ricardo Diaz IrizarryPRPersonal Emergency Response Attendant$0$686.9K

    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