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 1881609782)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	Carr 2 Km 160.1
City	Hormigueros
State	PR
ZIP	00612
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$114.7K
Medicaid	$0

Key Findings

WALGREEN CO in HORMIGUEROS, PR is essentially a pharmacy operations profile: its top Medicare revenue driver is K1034 (provision of nonprescription, self-administered COVID-19 tests), and its mix also includes routine immunization codes (91320, 90677, 90694). The code descriptions indicate point-of-dispensing retail services (over-the-counter test provision and vaccine administration) rather than clinical evaluation or ongoing care management. This pattern is consistent with a retail pharmacy focused on vaccination and point-of-care testing services for Medicare beneficiaries.

Revenue is heavily concentrated in a single CPT/HCPCS code: K1034 accounts for $99.3K and represents 84.6% of this provider’s total Medicare revenue, and the precomputed top-3 Medicare codes together account for 93.2% of Medicare revenue. That concentration implies the provider’s Medicare business is dominated by COVID-19 test dispensing with secondary contributions from a small set of vaccine administration codes, making overall Medicare receipts sensitive to demand or reimbursement changes for those specific services.

Payer mix is effectively single-payer for this dataset: total Medicare revenue is $114.7K while there is no Medicaid billing on file. This means Medicaid contributes $0 in reported revenue and WALGREEN CO’s reimbursement exposure and reporting in this profile comes entirely from Medicare claims activity rather than a dual Medicare–Medicaid footprint.

Competitive standing on Medicare is modest-to-typical for most services but extreme for the top test code: K1034 ranks #359 of 30143 providers nationally (99th percentile) and is described as a typical, unremarkable volume for that code despite the very high rank, indicating WALGREEN CO is among the highest-volume national dispensers of that particular COVID-19 test product. By contrast, vaccine codes such as 91320 (rank #15068 of 27083, 44th percentile) and 90677 (rank #39661 of 52451, 19th percentile) place the provider at typical or below-typical volumes nationally for immunizations.

Tenure is long enough to establish sustained registration: the NPI was enumerated on 2006-07-29 (~20 years ago). That longevity supports interpretation of the current billing pattern as the activity of an established retail/pharmacy entity rather than a newly created enterprise reporting a brief spike in claims.

Code-level statistical context shows mixed standing: K1034 is a very high national rank but labeled 'typical, unremarkable volume for this code,' suggesting the distribution for that code is skewed and many pharmacies report similar activity; other high-revenue vaccine codes fall in middle-to-lower percentiles (for example, 91320 at the 44th percentile and 90677 at the 19th percentile), indicating the provider does not dominate immunization billing nationally. These percentile placements point to a specialized, concentrated service profile rather than broad-based Medicare clinical billing.

Operational implications for payers and analysts include concentration risk and predictability: because 93.2% of Medicare revenue is concentrated in the top three codes, payer exposure to payment- or policy-driven reductions in reimbursement for COVID-19 test provision or related vaccine administration would disproportionately affect this provider’s Medicare revenue. Conversely, the strong presence in K1034 suggests WALGREEN CO is an accessible local supply point for beneficiaries seeking over-the-counter COVID-19 tests.

Given there is no Medicaid billing on file, WALGREEN CO will not be a meaningful competitor within Puerto Rico Medicaid networks based on this dataset. Analysts seeking to understand in-state pharmacy competition or network adequacy for Medicaid should not rely on this provider’s Medicaid claims, and should instead focus on other pharmacies with active Medicaid billing in PR.

Medicare: Complete Services Breakdown

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

9 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	8,280	$10	$99.3K
91320	This 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	$6.3K
90677	This 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…	10	$270	$3.7K
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…	30	$70	$2.3K
90480	The 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.	50	$40	$1.8K
G0008	Administration of influenza virus vaccine	60	$30	$1.7K
0124A	N/A	20	$40	$980
90662	This 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…	10	$70	$750
G0009	Administration of pneumococcal vaccine	20	$30	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Walgreen Co — 0 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	13	140	3,110	$10	$43.2K
90677	23	40	20	$270	$6.7K
91320	9	40	20	$130	$4.4K
90694	34	80	30	$70	$3.3K
90662	32	30	20	$70	$2K
G0008	32	120	30	$30	$1.6K
90480	13	60	20	$40	$1.4K
0124A	5	20	20	$40	$1.1K
G0009	22	40	20	$30	$670

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	$112.5K	$0
Walgreen Co	PR	Pharmacy	$108K	$0
Walgreen Co	PR	Pharmacy	$107.4K	$0
Walgreen Co	PR	Pharmacy	$106.7K	$0
Walgreen Co	PR	Pharmacy	$102K	$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
Sociedad De Servicios Neonatales De Arecibo	PR	Neonatal-Perinatal Medicine Physician	$0	$14.3M
Laboratorio Clinico Toledo, LLC	PR	Clinical Medical Laboratory	$83.2K	$11.9M
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$6.6M
Hospicio La Paz Inc	PR	Community Based Hospice Care Agency	$0	$5.7M
Retina Care Psc	PR	Ophthalmology Physician	$0	$4.3M
Integral Therapy Center	PR	Hearing and Speech Clinic/Center	$0	$3.8M
Luis Montalvo	PR	Ophthalmology Physician	$8K	$3.5M
Laboratorio Clinico Villa Los Santos	PR	Clinical Medical Laboratory	$360	$3.1M
Emergency Physician Providers, LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.8M
Arraiza Radiology Psc	PR	Diagnostic Radiology Physician	$0	$2.8M

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