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 1538175930)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	#121 Calle Cruz Ortiz Stella
City	Humacao
State	PR
ZIP	00791
Taxonomy	Pharmacy
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicare	$107.4K
Medicaid	$0

Key Findings

WALGREEN CO in HUMACAO, PR is operating as a pharmacy-focused provider: its top revenue-driving code is K1034 (provision of nonprescription self-administered COVID-19 tests), with 8.6K claims generating $102.7K revenue (95.7% of this provider's total Medicare revenue). Secondary clinical services tied to immunizations appear only at very low volume, with codes 90694 and 91320 each contributing roughly $1.5K to Medicare revenue. This mix indicates a retail pharmacy model centered on COVID-19 test provision rather than a broad clinical vaccination practice for Medicare patients.

Medicare revenue for this NPI totals $107.4K while Medicaid shows none (no Medicaid billing on file), making this effectively a single-payer (Medicare) billing profile. The absence of Medicaid activity means comparisons or competitive positioning in the Medicaid market are not possible from the available data and the provider’s financial exposure is concentrated in Medicare reimbursement.

Revenue concentration is extreme within Medicare: the precomputed top-3 Medicare codes account for 98.4% of the provider’s total Medicare revenue. K1034 alone represents $102.7K (95.7%) of the $107.4K Medicare total, underscoring that a single service line drives nearly all documented Medicare receipts.

Competitive standing by code shows a mixed picture. K1034 ranks #350 of 30143 providers nationally (99th percentile) but is labeled as "typical, unremarkable volume for this code," while 90694 (#40530 of 51679, 20th percentile), 91320 (#25733 of 27083, 3th percentile), G0008 (#69621 of 119096, 41th percentile), and 90480 (#42699 of 46950, 8th percentile) are all described as "typical, unremarkable volume" in their respective peer distributions. In aggregate this profile suggests WALGREEN CO is not a broad dominant clinical provider across multiple Medicare service lines, though it registers notably high national rank on K1034 under the given labeling.

The provider has an established NPI tenure: NPI enumerated 2006-07-31 (~20 years ago), indicating long-standing registration in Medicare systems. This duration supports the interpretation that the current billing pattern reflects an ongoing operational focus rather than a brief or new entrant activity spike.

Operational implications from the code mix are clear: heavy reliance on K1034 points to retail dispensing or distribution of over-the-counter COVID-19 tests at scale, while low counts for vaccine administration codes (90694: 21 claims; 91320: 12 claims; G0008: 37 claims; 90480: 15 claims) indicate limited vaccine delivery to Medicare beneficiaries at this location. Analysts evaluating service capacity or network adequacy should treat this location primarily as a testing resource rather than a vaccination hub.

The concentration of Medicare revenue in a single code creates sensitivity to changes in testing demand or reimbursement policy. Because the top-3 Medicare codes contribute 98.4% of Medicare revenue and Medicaid is absent, any reduction in reimbursement or patient demand for K1034-like services would disproportionately affect reported Medicare receipts for this NPI.

Across the listed Medicare codes there are no plain-English statistical outlier labels reported; each code is described as "typical, unremarkable volume for this code." This indicates that, aside from the high proportion of revenue coming from K1034, the provider’s activity on vaccination and administration codes falls within expected peer variation rather than representing extreme outlier behavior.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 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	8,560	$10	$102.7K
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	$1.5K
91320	This 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	$120	$1.5K
G0008	Administration of influenza virus vaccine	40	$30	$1.1K
90480	The 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.	20	$40	$540

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

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

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	11	140	3,110	$10	$43.2K
91320	39	40	20	$130	$4.4K
90694	51	80	30	$70	$3.3K
G0008	49	120	30	$30	$1.6K
90480	42	60	20	$40	$1.4K

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	$106.7K	$0
Walgreen Co	PR	Pharmacy	$102K	$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
Dr Jose A Nassar & Asociados	PR	Radiology Clinic/Center	$0	$6.3M
Laboratorio Clinico Roxell Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Redes De Salud Inc.	PR	Specialist	$0	$1.7M
Jimergency Medical Transport Inc.	PR	Ambulance	$46.2K	$1.5M
Yamilka Abreu Delgado	PR	Gastroenterology Physician	$0	$1.2M
Eastern Retina Consultants Of Puerto Rico, Psc	PR	Ophthalmology Physician	$0	$1.2M
Instituto De Radioterapia Avanzada Del Este, Psc	PR	Radiation Oncology Clinic/Center	$0	$1.1M
Servicios Anatomico Patologicos Oriental, Inc.	PR	Clinical Medical Laboratory	$2.6K	$1.1M
Vc Partners LLC	PR	Diagnostic Radiology Physician	$0	$1M
Ivette Rodriguez	PR	Pediatric Dentistry	$0	$936.9K

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