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

    NPI 1518972678 · Juncos, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Juncos, 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
    AddressCarr Estatal 31 Km 24.0
    CityJuncos
    StatePR
    ZIP00777
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$95.9K
    Medicaid$0

    Key Findings

    WALGREEN CO is cataloged under the Pharmacy taxonomy and its Medicare activity is dominated by retail testing and immunization services: the top Medicare billing activity is K1034 (provision of nonprescription self‑administered COVID‑19 tests) with 8K claims at $12 avg paid/claim producing $95.5K in revenue, and a much smaller volume of influenza vaccine administration billed as G0008 (13 claims, $31 avg paid/claim, $403 revenue). These two codes together reflect a service mix consistent with a retail pharmacy dispensing over‑the‑counter COVID tests and offering routine immunizations to Medicare beneficiaries.

    Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and a single code, K1034, alone represents 99.6% of its Medicare revenue. That concentration indicates the provider’s Medicare financial footprint is nearly entirely dependent on one service line rather than a diversified set of clinical or dispensing revenue streams.

    On payer mix, WALGREEN CO reports Total Medicare revenue of $95.9K and has no Medicaid billing on file. The absence of Medicaid activity makes this an effectively single‑payer (Medicare) operation in the claims data, which limits visibility into any Medicaid-facing service lines or revenue sources.

    K1034’s national standing is high by rank: it ranks #368 of 30143 providers nationally (99th percentile); despite that rank the code’s profile is described as "typical, unremarkable volume" for this code. This suggests that while the provider sits near the top of national counts for K1034, the underlying benchmark labeling classifies its volume as within the common range for pharmacies that bill this code.

    G0008 (influenza vaccine administration) is a marginal contributor to Medicare revenue and ranks much lower nationally: #110539 of 119096 providers (5th percentile) and is likewise described as "typical, unremarkable volume". The tiny revenue amount ($403, 0.4% of the provider’s Medicare revenue) shows vaccination billing is not a meaningful revenue driver for this NPI in the Medicare dataset.

    The provider’s NPI was enumerated on 2006-07-29 (~20 years ago), indicating long-standing enrollment in federal programs; however, the lifetime Medicare revenue reported is modest at $95.9K. Long tenure combined with small Medicare receipts suggests either limited scale at this specific NPI (e.g., a single retail outlet) or that other corporate/affiliate NPIs capture larger shares of related business.

    From a risk and opportunity perspective, dependence on K1034 revenue (8K claims generating $95.5K) makes the provider’s Medicare performance sensitive to changes in COVID test demand or reimbursement for that specific code. Additionally, having no Medicaid billing on file reduces exposure to Medicaid populations in Puerto Rico and may constrain competitive positioning for services typically reimbursed through Medicaid channels.

    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 count7,960$10$95.5K
    G0008Administration of influenza virus vaccine10$30$400

    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
    K1034161403,110$10$43.2K
    G000810112030$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
    Jose Carlos Flores SantiagoPRClinical Medical Laboratory$16.4K$9.5M
    Frenchys Ambulance IncPRLand Ambulance$66.6K$2.8M
    Instituto De Fisiatria Y Medicina Deportiva Del Este, IncPRRehabilitation Clinic/Center$0$1.8M
    Edda Bautista PerezPRGeneral Practice Dentistry$0$751.8K
    Carmen Cermira Rivera MarcanoPRClinical Medical Laboratory$0$734.8K
    Victorias Advanced Life Support CorpPRLand Ambulance$4.9K$667K
    Ricardo Calderon OrtizPRNephrology Physician$32.9K$553.4K

    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