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 1700897931)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Carr 172 Km 13.8
City	Cidra
State	PR
ZIP	00739
Taxonomy	Pharmacy
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicare	$93.6K
Medicaid	$0

Key Findings

This provider reports lifetime Medicare revenue of $93.6K and has no Medicaid billing on file, indicating an effectively single‑payer footprint in the available claims data. The absence of any Medicaid activity suggests the entity’s visible revenue stream is concentrated entirely in Medicare-covered services.

Revenue is extremely concentrated in a very small set of Medicare codes: the precomputed top three Medicare codes account for 100.0% of this provider’s total Medicare revenue, and a single code, K1034, represents $92.3K (98.5% of Medicare revenue). This concentration means nearly all reported Medicare dollars flow through a single service line.

The dominant code, K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count), points to a retail pharmacy operational model focused on distribution/processing of over‑the‑counter COVID-19 self-tests rather than extended clinical services. The presence of influenza vaccine product/administration codes (90694 and G0008) at very low volumes indicates ancillary immunization activity but not a major immunization practice for Medicare patients.

For K1034 the provider ranks #377 of 30143 providers nationally (99th percentile) while the dataset labels the observed volume as 'typical, unremarkable volume for this code.' This places the provider among the higher-ranked billers for K1034 at a national level by rank, even as the record’s characterization does not flag the per‑claim profile as unusual.

The influenza vaccine product code 90694 (11 claims, $71 avg paid/claim, $781 revenue) ranks #50444 of 51679 providers nationally (0th percentile; typical, unremarkable volume for this code), and the administration code G0008 (19 claims, $31 avg paid/claim, $589 revenue) ranks #96357 of 119096 providers nationally (17th percentile; typical, unremarkable volume for this code). Together these ranks and small claim counts characterize the provider as a modest participant in Medicare influenza vaccination billing rather than a major immunizer.

The provider’s NPI has been enumerated since 2006-08-11 (~20 years ago), indicating long-standing registration in the provider system. That tenure is consistent with an established retail pharmacy presence that may maintain steady, transaction‑level claims activity over time.

Operational scale is skewed toward high claim counts for low-dollar items: K1034 shows 7.7K claims at $12 avg paid/claim, while vaccine-related activity is minimal (11 and 19 claims for 90694 and G0008, respectively). This pattern reflects a high‑volume, low‑unit‑reimbursement transaction model typical of pharmacies distributing OTC COVID tests alongside occasional clinical services.

The extreme concentration of Medicare revenue in K1034 creates a business risk tied to reimbursement or coverage changes for that specific test code; any policy or market change affecting K1034 reimbursement could materially change the provider’s Medicare revenue. Analysts should treat the provider as heavily dependent on a single Medicare service line when modeling future revenue scenarios.

Medicare: Complete Services Breakdown

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

3 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	7,690	$10	$92.3K
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…	10	$70	$780
G0008	Administration of influenza virus vaccine	20	$30	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	19	140	3,110	$10	$43.2K
90694	75	80	30	$70	$3.3K
G0008	85	120	30	$30	$1.6K

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
Cossma Inc	PR	Primary Care Clinic/Center	$0	$3M
Cyrcorp	PR	Radiologic Technologist	$0	$1.7M
Cidra Medical Labs Inc	PR	Clinical Medical Laboratory	$1.3K	$1.6M
Clinica Cardiovascular Md C S P	PR	Cardiovascular Disease Physician	$0	$1.2M
Jocelyn Montalvo Ortiz	PR	Neurology with Special Qualifications in Child Neurology Physician	$0	$1.1M
Andral St. Fleur	PR	General Practice Physician	$0	$871.3K
Centro De Terapia Fisica Y Clinica Del Dolor, Csp	PR	Physical Therapist	$0	$758.8K
Inspira Behavioral Care Corp.	PR	Adult Mental Health Clinic/Center	$0	$712K
Christian Hernandez Cuevas	PR	General Practice Physician	$0	$682.5K
Hablemos Centro De Habilitacion Y Rehabilitacion Del Habla-lenguajecrl	PR	Speech-Language Pathologist	$0	$680.4K

Walgreen Co — Billing Profile & Reimbursement Data

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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