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

    NPI 1851589113 · Trujillo Alto, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Trujillo Alto, Puerto Rico. This profile covers 8 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
    AddressCarr. 181 Y 850
    CityTrujillo Alto
    StatePR
    ZIP00976
    TaxonomyPharmacy
    NPI EnumeratedOctober 11, 2007

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

    Payer SourceTotal Paid
    Medicare$96.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is narrowly concentrated: total Medicare revenue is $96.7K and the precomputed top 3 codes by revenue account for 96.2% of this provider's total Medicare revenue. The single largest contributor is K1034, which alone generated $88.1K (91.0% of Medicare revenue), indicating that a single service dominates the revenue stream and creates high exposure to changes in reimbursement or demand for that service.

    The code mix indicates a retail pharmacy operational profile focused on SARS–CoV–2 testing and vaccination services. K1034 (provision of nonprescription self-administered COVID-19 tests) is the primary revenue driver at $88.1K, while vaccine products and administration codes such as 90694 ($2.7K), 91320 ($2.3K), and G0008 ($2K) together make up the remaining material Medicare activity, consistent with a pharmacy offering point-of-care immunizations and test distribution.

    This entity is effectively single‑payer in the available data: there is no Medicaid billing on file (none below), so Medicare ($96.7K) represents the only recorded public-payer activity. Analysts should treat comparisons that require dual-payer mixes with caution because Medicaid activity is absent from the present dataset.

    Competitive standing on K1034 is unusually strong by rank: K1034 ranks #393 of 30143 providers nationally (99th percentile), a top-tier national position for that code. Notably, the source labels that level as "typical, unremarkable volume for this code," so while the rank is high, the dataset characterizes the activity as within normal expectations for providers reporting this service.

    Other vaccine-related codes show more modest national standing. 90694 ranks #30510 of 51679 providers nationally (40th percentile) and 91320 ranks #22820 of 27083 providers nationally (14th percentile), both described as "typical, unremarkable volume for this code," which indicates vaccination activity exists but is not a strong outlier versus national peers.

    Several administration and vaccine codes register very low absolute revenue and low national standing: G0009 ($341) ranks #54541 of 58343 providers (0th percentile) and 90686 ($242) ranks near the bottom of its peer group. These low values further emphasize that K1034 constitutes the dominant service line and that ancillary vaccine administration contributes only marginally to Medicare revenue.

    The provider’s tenure in the NPI registry (enumerated 2007-10-11 (~19 years ago)) indicates longstanding enrollment, which suggests that the narrow Medicare activity profile is a sustained pattern rather than a newly initiated billing practice. Despite long tenure, lifetime Medicare revenue remains modest at $96.7K, implying small scale of Medicare-facing operations relative to many peers.

    From a risk and business planning perspective, the heavy reliance on one code (K1034 at $88.1K, 91.0% of Medicare revenue) plus the absence of Medicaid billing means any payer-policy, demand, or coding change affecting K1034 could materially alter this provider’s public-payer revenue. For payer or competitor analysis, this profile flags a pharmacy with concentrated Medicare-tested product sales and limited diversification into Medicaid or broader Medicare service lines.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count7,340$10$88.1K
    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…40$70$2.7K
    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.20$130$2.3K
    G0008Administration of influenza virus vaccine60$30$2K
    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$650
    0124AN/A10$40$490
    G0009Administration of pneumococcal vaccine10$30$340
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…10$20$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034211403,110$10$43.2K
    91320234020$130$4.4K
    90694278030$70$3.3K
    G00082712030$30$1.6K
    90480336020$40$1.4K
    0124A162020$40$1.1K
    G0009334020$30$670
    90686162010$20$420

    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
    Neomed Center, Inc.PREmergency Care Clinic/Center$0$1.8M
    Nilma LugoPRPhysical Therapist$0$1.1M
    Neomed Center, Inc.PRClinical Medical Laboratory$0$1.1M
    Integrated Pathology PscPRClinical Medical Laboratory$0$1.1M
    X-radio PscPRRadiology Clinic/Center$0$777.5K
    Laboratorio Clinico Plaza Encantada IncPRClinical Medical Laboratory$31.9K$298.9K
    Walgreen CoPRPharmacy$44.4K$0
    Elimaris Fuentes TiradoPRPhysical Therapist$42.8K$0
    Cristian Vargas RamosPREmergency Medicine Physician$21.3K$0
    Yaslin TorresPRGeneral Practice Physician$10.4K$540

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