Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWalgreen Co
    Ask Trek AI about this page

    Walgreen Co — Billing Profile & Reimbursement Data

    NPI 1619982774 · San Juan, PR · Pharmacy

    Customize your policy alerts

    Sign up for Walgreen Co — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Walgreen Co is a pharmacy provider located in San Juan, Puerto Rico. This profile covers 12 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWalgreen Co
    Address100 Ave Grand Boulevard
    CitySan Juan
    StatePR
    ZIP00926
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$124.6K
    Medicaid$0

    Key Findings

    WALGREEN CO in SAN JUAN, PR is a pharmacy-level outpatient provider with total Medicare revenue of $124.6K and no Medicaid billing on file; this makes its active payer footprint effectively single-payer Medicare in the claims data rather than a dual-payer operation. The absolute Medicare revenue is small in market terms, consistent with a retail pharmacy outlet rather than a hospital or large clinic.

    Revenue is highly concentrated in a narrow set of services: the precomputed top 3 Medicare codes account for 74.5% of the provider's Medicare revenue. Those three codes are K1034 ($62.1K, 49.2%), 90677 ($19.3K, 15.3%), and 90694 ($12.7K, 10.0%), indicating that a small group of product- and vaccine-related codes drive the majority of billed Medicare dollars.

    The code mix indicates operational emphasis on point-of-care testing and adult immunizations: K1034 (5.2K claims) is the single largest revenue driver and represents provision of over-the-counter, self-collected COVID-19 tests, while 90677 (73 claims) and 90694 (181 claims) are pneumococcal and influenza vaccine products respectively. The presence of both vaccine product codes (e.g., 90677, 90694, 91322, 91320) and administration codes (G0008, G0009, 90480) shows the site bills for both vaccine supply and the act of administration.

    Competitive standing by code is mixed but generally aligns with expected pharmacy volumes: K1034 ranks #530 of 30143 providers nationally (98th percentile; typical, unremarkable volume for this code), 90677 ranks #2029 of 52451 providers (96th percentile; typical, unremarkable volume for this code), and 90694 ranks #6919 of 51679 providers (87th percentile; typical, unremarkable volume for this code). These percentiles indicate this outlet posts relatively high national ranks on its top vaccine/test lines but are characterized in the source data as typical, unremarkable volumes for pharmacy participants — consistent with a busy retail pharmacy rather than a dominant regional immunization hub.

    Other Medicare billings reinforce the immunization/testing profile: G0008 (influenza administration) generated $9K (289 claims, 7.1% of Medicare revenue) and G0009 (pneumococcal administration) produced $2.4K (77 claims, 1.9%). A suite of additional flu vaccine product codes (90662, 90674, 90686) and COVID vaccine product codes (91322, 91320) contribute smaller, but consistent, revenue streams, underscoring a recurring seasonal and preventive-care service line.

    From a network and payer strategy perspective, the lack of any Medicaid billing on file (none) means payers evaluating Medicaid network adequacy in Puerto Rico should not rely on this NPI for Medicaid-covered immunization or testing capacity. For Medicare-focused contracting or immunization outreach, the provider is an established retail node with concentrated vaccine/test activity but limited overall Medicare spend.

    The provider has long tenure in the NPI registry (NPI enumerated 2006-07-29 (~20 years ago)), suggesting an established operational presence. Despite this longevity, the modest total Medicare revenue ($124.6K) and the concentration in a few transactional product/admin codes point to a stable, local retail pharmacy operation rather than a broad multiservice or institutional provider expanding payer revenue streams.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count5,180$10$62.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…70$270$19.3K
    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…180$70$12.7K
    G0008Administration of influenza virus vaccine290$30$9K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.40$140$5.7K
    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.40$130$4.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.2K
    0134AN/A70$40$3K
    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–19.80$40$2.7K
    G0009Administration of pneumococcal vaccine80$30$2.4K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034391403,110$10$43.2K
    9067714020$270$6.7K
    91320134020$130$4.4K
    9132242030$140$3.9K
    9069428030$70$3.3K
    9066263020$70$2K
    G0008212030$30$1.6K
    0134A22030$40$1.4K
    9048086020$40$1.4K
    9067441020$30$760

    Showing 1–10 of 12

    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$116.8K$0
    Walgreen CoPRPharmacy$103.1K$0
    Walgreen CoPRPharmacy$102.7K$0
    Walgreen CoPRPharmacy$99.2K$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
    Farmacia Doral, Inc.PRSpecialty Pharmacy$0$115.6M
    Grupo Neonatal C.s.p.PRNeonatal-Perinatal Medicine Physician$0$6M
    Aps Clinics Of Puerto Rico, Inc.PRAdult Mental Health Clinic/Center$0$5.7M
    Alejandro MarmolejoPRGeneral Practice Physician$2.5K$2.1M
    Bvr Ambulance Best Care IncPRLand Ambulance$10.2K$1.6M
    Jan Rodriguez FerrerPRInternal Medicine Physician$60.6K$1.4M
    Nuvasive Pr, Inc.PRDurable Medical Equipment & Medical Supplies$0$1.2M
    Rebeca CuebasPRPediatrics Physician$0$1M
    Cck Medical CspPRCardiovascular Disease Physician$0$983K
    Renato RiveraPRFamily Medicine Physician$0$886.7K

    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 — 4 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico