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

    NPI 1790790855 · San Juan, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in San Juan, Puerto Rico. This profile covers 10 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
    Address400 Ave La Sierra
    CitySan Juan
    StatePR
    ZIP00926
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$112.5K
    Medicaid$0

    Key Findings

    WALGREEN CO (SAN JUAN, PR) is a pharmacy with $112.5K in lifetime Medicare revenue and no Medicaid billing on file, making its recorded business effectively single‑payer Medicare. Its NPI was enumerated on 2006-07-29 (~20 years ago), indicating a long-standing enrollment in federal programs that supports continued Medicare billing activity.

    Revenue is highly concentrated: the precomputed top three Medicare codes account for 76.5% of this provider’s Medicare revenue. Those top drivers are K1034 ($66.6K, 58.4% of Medicare revenue), 90677 ($13K, 11.4%), and 90694 ($7.6K, 6.7%), which together dominate receipts and suggest a narrow set of high-impact services.

    The code mix signals a retail pharmacy operational profile focused on point-of-care testing and immunizations: K1034 is for provision of nonprescription self‑administered COVID‑19 tests, and the largest vaccine/product codes include 90677 (pneumococcal), 90694 (influenza), 91320/91322 (SARS–CoV–2 vaccines) alongside administration codes such as G0008 and G0009 and 90480. This combination implies routine walk‑in testing and vaccination services rather than clinic-based evaluation or chronic care management.

    K1034 shows a relatively strong national ranking at 98th percentile (rank #499 of 30143) while the data characterizes its standing as "typical, unremarkable volume for this code," indicating the provider reports high absolute claims for that test (5.5K claims) but the pattern falls within expected national variability. Similarly, 90677 sits at the 90th percentile (rank #5171 of 52451) yet is also described as "typical, unremarkable volume for this code," so the provider is comparatively prominent on some vaccine/test codes without being an outlier by the dataset’s qualitative labels.

    Other vaccine and administration codes show mixed competitive positioning: 90694 is at the 74th percentile, G0008 at the 84th percentile, 91320 at the 44th percentile, and 91322 at the 27th percentile — each noted as "typical, unremarkable volume for this code." This spread indicates the provider offers a breadth of immunization services but does not consistently rank as a dominant national supplier across all vaccine products.

    Operational economics are uneven across code types: K1034 drives large claim volume (5.5K claims) at a low average paid/claim ($12), while vaccine lines such as 90677 have far fewer claims (49) but higher average paid/claim ($265). This mix produces the observed revenue concentration and suggests day-to-day throughput of low‑dollar test sales paired with intermittent higher‑value vaccine administrations.

    The complete absence of Medicaid billing on file is business‑relevant: the provider’s revenue profile is concentrated in Medicare and commercial/OTC activity rather than state Medicaid programs, which limits insight into participation in Medicaid formularies, 340B or state vaccine programs. From a payer or network perspective, this makes WALGREEN CO effectively single‑payer in the available data and could constrain competitiveness for Medicaid‑directed contracting.

    Given the narrow set of high-impact codes (top 3 = 76.5% of Medicare revenue) and the provider’s long tenure since 2006-07-29 (~20 years ago), priorities for analysis should include monitoring service concentration risk around K1034 and core vaccines, assessing payer reimbursement trends for test vs. vaccine lines, and evaluating whether expansion into Medicaid billing or broader clinical services is reflected in future claims data.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count5,550$10$66.6K
    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…50$270$13K
    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…110$70$7.6K
    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.50$130$6.4K
    G0008Administration of influenza virus vaccine160$30$5.1K
    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$5K
    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–19.90$40$3.1K
    0134AN/A70$40$2.9K
    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…40$70$2.7K
    G0009Administration of pneumococcal vaccine50$30$1.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034371403,110$10$43.2K
    9067754020$270$6.7K
    9132084020$130$4.4K
    9132282030$140$3.9K
    9069488030$70$3.3K
    9066283020$70$2K
    G0008712030$30$1.6K
    0134A32030$40$1.4K
    9048056020$40$1.4K
    G000944020$30$670

    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$108K$0
    Walgreen CoPRPharmacy$107.4K$0
    Walgreen CoPRPharmacy$106.7K$0
    Walgreen CoPRPharmacy$102K$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 — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico