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 1669487732)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	500 Carr 1
City	Caguas
State	PR
ZIP	00727
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$89.9K
Medicaid	$0

Key Findings

This provider reports modest lifetime Medicare revenue of $89.9K and has no Medicaid billing on file, making its commercial footprint effectively single‑payer in the public programs represented here. The absence of any Medicaid claims means analyses of state Medicaid competition or reliance are not possible from this record; all public-program revenue activity is through Medicare.

Revenue is extremely concentrated in a single code set: the precomputed top three Medicare codes account for 99.5% of this provider's total Medicare revenue, signaling dependence on a very narrow set of services. In particular, K1034 alone represents $87.4K (97.3% of Medicare revenue), so shifts in reimbursement or utilization for that code would materially affect the provider's public‑payer revenue.

The code mix indicates a retail‑pharmacy operating profile focused on high‑volume distribution of over‑the‑counter COVID‑19 test kits and routine seasonal immunizations. K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) accounts for 7.3K claims at $12 avg paid/claim and $87.4K revenue, while 90694 (influenza vaccine product) and G0008 (administration of influenza vaccine) together contribute only marginally to Medicare revenue. This pattern is consistent with a pharmacy model that generates revenue from large volumes of low‑unit‑reimbursement transactions rather than a clinical service mix.

Competitive standing varies by code: for the dominant K1034 this provider ranks #394 of 30143 providers nationally (99th percentile), placing it among the higher national volumes for that code, yet the data labels the activity as “typical, unremarkable volume for this code,” suggesting this is consistent with broad retail pharmacy behavior rather than a narrow specialist outlier. By contrast, 90694 ranks #45896 of 51679 (9th percentile) and G0008 ranks #78261 of 119096 (33rd percentile), both described as "typical, unremarkable volume for this code," indicating modest participation on influenza vaccine product and administration relative to peers.

Payer mix implications: because Medicaid shows "none below," WALGREEN CO in CAGUAS is effectively a Medicare‑only public‑payer entrant in these data, which concentrates analytic focus on Medicare patterns and limits insight into low‑income or pediatric volumes that Medicaid billing would reveal. For payers and competitors, this means benchmarking against Medicare pharmacy activity is more relevant than state Medicaid dynamics for this entity.

Margin and utilization signals are visible in the average paid amounts: K1034 has an average paid amount of $12 per claim with 7.3K claims, indicating revenue driven by transaction volume rather than high per‑service reimbursement. The influenza product 90694 shows $71 avg paid/claim (15 claims) and G0008 $31 avg paid/claim (30 claims), both small contributors to total revenue, reinforcing that vaccination services are a minor Medicare revenue stream for this location.

Tenure is long: the NPI was enumerated on 2006-07-29 (~20 years ago), which supports interpretation of these billing patterns as occurring within an established retail pharmacy operation rather than a new entrant. Longevity combined with very concentrated Medicare revenue suggests stable operational focus on the services observed rather than a recent strategic pivot.

No code in the top list is flagged as an unusual statistical outlier in the provided descriptors; each top code is reported as "typical, unremarkable volume for this code," so while the provider is high‑volume on K1034 by rank, the pattern aligns with common practice among national pharmacy peers rather than anomalous billing behavior.

Medicare: Complete Services Breakdown

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

4 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	7,290	$10	$87.4K
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	$1.1K
G0008	Administration of influenza virus vaccine	30	$30	$930
0134A	N/A	10	$40	$450

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	22	140	3,110	$10	$43.2K
90694	64	80	30	$70	$3.3K
G0008	60	120	30	$30	$1.6K
0134A	19	20	30	$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	$107.4K	$0
Walgreen Co	PR	Pharmacy	$106.7K	$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
Amp Services Incorporated	PR	Health Service Clinic/Center	$0	$1.6M
Laboratorio Clinico Sharem	PR	Clinical Medical Laboratory	$0	$1.1M
Scr Empresas Visuales, Psc	PR	Eyewear Supplier	$0	$667K
Manuel Ortiz Bustillo	PR	General Practice Physician	$15K	$626.9K
Primary Internal Med LLC	PR	Internal Medicine Physician	$0	$633.8K
Mario Sanchez-pares	PR	Physical Medicine & Rehabilitation Physician	$4.2K	$622.3K
Walgreen Co	PR	Pharmacy	$131.8K	$0

Walgreen Co — Billing Profile & Reimbursement Data

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

Walgreen Co — Billing Profile & Reimbursement Data

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

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