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

    NPI 1750400578 · Luquillo, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Luquillo, Puerto Rico. This profile covers 5 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
    Address889 Calle 2
    CityLuquillo
    StatePR
    ZIP00773
    TaxonomyPharmacy
    NPI EnumeratedMarch 29, 2007

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

    Payer SourceTotal Paid
    Medicare$96.7K
    Medicaid$0

    Key Findings

    WALGREEN CO in LUQUILLO is operating as a pharmacy-focused outpatient service provider: its top Medicare codes are K1034, 90694, and 91320, which correspond to provision of nonprescription self‑administered COVID‑19 tests and influenza and SARS‑CoV‑2 vaccine products and their administration. The presence of both product (K1034, 90694, 91320) and administration codes (G0008, 90480) indicates a retail pharmacy model that combines point‑of‑sale distribution of test kits with routine immunization services.

    Medicare revenue is highly concentrated: the precomputed top-3 share is 97.9% of the provider's Medicare revenue, and K1034 alone accounts for $90.2K (93.3% of Medicare revenue) from 7.5K claims with an average paid/claim of $12. This concentration shows the business is primarily generating Medicare dollars from a single code-driven product line rather than a broad mix of clinical services.

    This provider’s Medicare footprint is modest in absolute dollars: total Medicare revenue on file is $96.7K, and there is no Medicaid billing on file. The lack of any Medicaid activity means WALGREEN CO’s public‑payer presence is effectively single‑payer (Medicare) in the available claims dataset, limiting payer diversification for publicly reported revenue.

    K1034 is a national outlier by ranking but characterized as typical volume in the source: it ranks #385 of 30143 providers nationally (99th percentile) and is noted as "typical, unremarkable volume for this code." That ranking indicates WALGREEN CO is among the highest‑ranking national billers for K1034 by volume, even though the descriptive label provided characterizes the observed volume for that code as within typical operational patterns.

    The two vaccine product codes that round out the top three, 90694 and 91320, are small contributors by revenue ($2.3K and $2.2K respectively) and are described as typical, unremarkable volume: 90694 ranks #32962 of 51679 providers (35th percentile) and 91320 ranks #23225 of 27083 providers (13th percentile). These placements suggest routine, low‑volume immunization activity relative to national peers rather than a specialty immunization hub.

    Other administration codes on file (G0008: 46 claims, $1.4K revenue; 90480: 17 claims, $612 revenue) further support a pharmacy vaccination/service role but represent only a small share of Medicare receipts. G0008 ranks #60871 of 119096 providers (48th percentile) and 90480 ranks #41463 of 46950 providers (10th percentile), both described as typical, unremarkable volumes and consistent with occasional vaccine administration alongside product sales.

    Tenure and enumeration data show NPI registration on 2007-03-29 (~19 years ago), indicating the entity has been active in the NPI system for an extended period. This longevity supports the interpretation of WALGREEN CO as an established retail pharmacy location rather than a short‑term clinic or recently formed practice.

    From a competitive and operational perspective, WALGREEN CO is a concentrated, Medicare‑centered retail pharmacy operation that relies heavily on K1034 (nonprescription COVID‑19 test provisioning) for the vast majority of its Medicare revenue. Analysts should treat this profile as a product‑driven revenue stream with modest ancillary vaccine administration activity and no Medicaid footprint to compare against in‑state peer sets.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count7,520$10$90.2K
    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…30$70$2.3K
    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.20$130$2.2K
    G0008Administration of influenza virus vaccine50$30$1.4K
    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–19.20$40$610

    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

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034201403,110$10$43.2K
    91320284020$130$4.4K
    90694338030$70$3.3K
    G00083612030$30$1.6K
    90480386020$40$1.4K

    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
    Servi-lab IncPRClinical Medical Laboratory$7.1K$915K
    Maria Gonzalez-vivesPRFamily Medicine Physician$16.4K$0
    Manuel Betancourt TorresPRVascular & Interventional Radiology Physician$6.3K$0

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