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

    NPI 1891700951 · Dorado, PR · Pharmacy

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    Walgreen Co is a pharmacy provider located in Dorado, 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
    AddressCarr 693 Km 7.5
    CityDorado
    StatePR
    ZIP00646
    TaxonomyPharmacy
    NPI EnumeratedJuly 29, 2006

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

    Payer SourceTotal Paid
    Medicare$122.4K
    Medicaid$0

    Key Findings

    This profile is consistent with a retail pharmacy operations model: the top Medicare codes are dominated by a high-volume, low-unit-payment COVID-19 self-test (K1034) and several vaccine products (90677, 91320, plus seasonal influenza codes), indicating the site primarily bills for over-the-counter COVID testing and routine immunizations rather than clinically intensive services. The code mix—testing plus multiple vaccine product codes—aligns with pharmacy-based point-of-care services and immunization delivery.

    Revenue is highly concentrated: the provider reports $122.4K in total Medicare revenue with the top 3 Medicare codes accounting for 92.8% of that total. K1034 alone generates $107.5K (86.3% of Medicare revenue), while 90677 and 91320 contribute $4.5K (3.6%) and $3.6K (2.9%) respectively, showing a heavy dependence on a single service line for Medicare receipts.

    The payer mix is effectively single-payer at the public program level: the profile shows $122.4K in Medicare revenue and no Medicaid billing on file. This absence of Medicaid activity means the provider’s public-program footprint in claims and revenue is concentrated entirely in Medicare-managed transactions.

    K1034 is a national outlier by rank but is described in the dataset as typical: K1034 has 9K claims, $12 avg paid/claim and ranks #339 of 30143 providers nationally (99th percentile), with the dataset label “typical, unremarkable volume for this code.” Despite that label, the raw rank and claim count indicate unusually large throughput for this single test code relative to most peers.

    By contrast, the vaccine codes show modest national participation: 90677 reports 17 claims, $265 avg paid/claim, $4.5K revenue and ranks #32323 of 52451 (34th percentile; typical, unremarkable volume for this code), while 91320 reports 29 claims, $124 avg paid/claim, $3.6K revenue and ranks #19340 of 27083 (28th percentile; typical, unremarkable volume for this code). These ranks and small claim counts suggest the provider is a routine but not dominant supplier of vaccine products compared with national peers.

    The revenue mix shows many low-dollar test claims versus fewer higher-paid vaccine administrations: K1034 had 9K claims at $12 average paid/claim, whereas vaccine codes such as 90677 and 91320 had only tens of claims but materially higher average payments ($265 and $124 respectively). This mix indicates a business model where volume-driven, low-unit-revenue testing is the principal Medicare revenue engine, supplemented by episodic vaccine reimbursements.

    There are no flagged Medicaid codes and no in-state Medicaid revenue on file ("none below"), which constrains comparative analysis against Puerto Rico Medicaid peers and suggests the provider does not participate in Medicaid billing in its state. For payers or competitors analyzing state-level market share, this provider should be treated as absent from Medicaid-reimbursed services.

    This NPI has long tenure: it was enumerated on 2006-07-29 (~20 years ago), indicating a long-standing registration that could reflect an established retail presence or corporate-affiliated pharmacy location rather than a recently opened clinic or temporary testing site. Tenure supports stability in operational presence even though current public-program revenue is narrowly concentrated.

    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 count8,960$10$107.5K
    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…20$270$4.5K
    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.30$120$3.6K
    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$3K
    G0008Administration of influenza virus vaccine80$30$2.4K
    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–19.30$40$1.1K
    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…10$70$950
    G0009Administration of pneumococcal vaccine20$30$590
    0124AN/A10$40$570
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…10$30$420

    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
    K103491403,110$10$43.2K
    90677204020$270$6.7K
    91320154020$130$4.4K
    90694258030$70$3.3K
    90662263020$70$2K
    G00082312030$30$1.6K
    90480216020$40$1.4K
    0124A112020$40$1.1K
    9067471020$30$760
    G0009184020$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$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
    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
    Optima Infusion Pharmacy IncPRPharmacy$0$2M
    Best Vision LLCPROphthalmology Physician$0$759.6K
    Shc Owner LLCPRGeneral Acute Care Hospital$0$645.2K
    Jose Puig RiveraPRPhysical Medicine & Rehabilitation Physician$20.6K$475.2K
    Yamil Castillo BeauchampPRSurgery Physician$29.5K$289.3K
    Carlos RoblesPRPulmonary Disease Physician$5.9K$208.3K
    Hector MayolPROphthalmology Physician$13.8K$102.8K
    Iliana Alvarez RamirezPRDiagnostic Radiology Physician$35.1K$10.1K
    Caribe Pharmacy Management LLCPRCommunity/Retail Pharmacy$41.8K$0
    Sara Sanz LebronPRAnatomic Pathology & Clinical Pathology Physician$37.7K$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.

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    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