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

    NPI 1881609949 · San Lorenzo, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in San Lorenzo, Puerto Rico. This profile covers 2 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
    Address15 Carr 183
    CitySan Lorenzo
    StatePR
    ZIP00754
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$102.7K
    Medicaid$0

    Key Findings

    This entity reports lifetime Medicare revenue of $102.7K and has no Medicaid billing on file, so its public payor footprint is effectively single-payer Medicare at present. The absence of any Medicaid entries (“none below”) indicates no state-program claims to analyze alongside its Medicare activity.

    Revenue is extremely concentrated: top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and one code in particular, K1034, dominates the book. K1034 is recorded at $104.6K in revenue (99.6% of the provider's Medicare revenue) with 8.7K claims and a $12 avg paid/claim, indicating that nearly all reported Medicare dollars derive from a single service line.

    The code mix is consistent with a retail pharmacy operation focused on COVID-19 self-test provision and a very small amount of immunization services. K1034 (provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count) drives the vast majority of revenue, while G0008 (administration of influenza virus vaccine) accounts for only $403 (0.4% of Medicare revenue) across 13 claims, suggesting immunizations are a marginal revenue stream for this NPI.

    On national competitive standing for its primary code, K1034 ranks #345 of 30143 providers nationally (99th percentile) and is described in the file as a "typical, unremarkable volume for this code." This combination implies the provider is high-ranking by raw position for K1034 yet still falls within the dataset’s label of typical activity for that service, so its K1034 volumes are notable in rank but not flagged by the dataset as an outlier.

    By contrast, G0008 (influenza vaccine administration) ranks #110539 of 119096 providers nationally (5th percentile) and is likewise labeled a "typical, unremarkable volume for this code." That low percentile position indicates this NPI participates in vaccine administration at a relatively modest rate compared with peers, and the $403 revenue and 13 claims confirm immunization is not a major Medicare line for this entity.

    The NPI was enumerated on 2006-07-29 (~20 years ago), indicating long-standing registration to bill Medicare. Despite this tenure, the provider shows no Medicaid billing on file, so longevity has not translated into a dual-payer on-file presence under this NPI.

    From a risk and business-line perspective, the provider shows no code-level statistical red flags in the supplied labels—both listed codes are described as "typical, unremarkable volume for this code"—but the business is highly exposed to one service type. The near-total dependence on K1034 for Medicare revenue creates concentration risk: changes in demand, coverage, or coding for nonprescription COVID-19 tests would materially affect reported Medicare revenue for this NPI.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count8,710$10$104.6K
    G0008Administration of influenza virus vaccine10$30$400

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034101403,110$10$43.2K
    G000810112030$30$1.6K

    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$253.3K$0
    Walgreen CoPRPharmacy$145.9K$0
    Walgreen CoPRPharmacy$124.6K$0
    Walgreen CoPRPharmacy$116.8K$0
    Walgreen CoPRPharmacy$103.1K$0
    Walgreen CoPRPharmacy$99.2K$0
    Walgreen CoPRPharmacy$87.4K$0
    Walgreen CoPRPharmacy$85.4K$0
    Walgreen CoPRPharmacy$65.3K$0
    Walgreen CoPRPharmacy$63.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Walgreen Co, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro De Imagenes SonograficasPRBody Imaging Physician$0$3.2M
    Praxis CpsPRSpeech-Language Pathologist$0$2.9M
    Laboratorio Clinico Las Antillas PscPRClinical Medical Laboratory$1.4K$1.9M
    Fernando Miranda-ramirezPRGeneral Practice Dentistry$0$1.2M
    Carmen Cermira Rivera MarcanoPRClinical Medical Laboratory$0$1M
    Javier Lee BorgesPRGeneral Practice Dentistry$0$897.3K

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