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

    NPI 1922240217 · Rio Grande, PR · Pharmacy

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    Walgreen Co. is a pharmacy provider located in Rio Grande, 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.
    AddressCarr 3 Km 23.9
    CityRio Grande
    StatePR
    ZIP00745
    TaxonomyPharmacy
    NPI EnumeratedApril 1, 2009

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

    Payer SourceTotal Paid
    Medicare$129K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller in the available data: Total Medicare revenue is $129K and there is no Medicaid billing on file. The absence of any Medicaid claims suggests analyses of payer mix should treat this profile as single-payer (Medicare) for program-level comparisons.

    Revenue is extremely concentrated in a single Medicare code set: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and K1034 alone is listed as contributing 99.6% of Medicare revenue. The dataset lists K1034 with $131.3K revenue, which the file identifies as the dominant source of reported Medicare dollars.

    Operationally this profile reads like a retail pharmacy activity focused on over-the-counter COVID-19 test provision: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count) accounts for the vast majority of revenue and volume. The presence of G0008 (Administration of influenza virus vaccine) at much smaller scale (17 claims) indicates the site may offer routine vaccination services but that these are a minor component of billed Medicare activity.

    Claim-level economics reinforce a high-volume, low-unit-price model for the primary service line: K1034 shows 10.9K claims at $12 avg paid/claim yielding $131.3K in revenue, while G0008 shows 17 claims at $31 avg paid/claim and $527 in revenue. These figures imply the provider’s Medicare revenue is driven by many low-reimbursed transactions rather than a small number of high-value procedures.

    On competitive standing for K1034, the provider ranks #307 of 30143 providers nationally (99th percentile) while the dataset labels its K1034 activity as "typical, unremarkable volume for this code." This combination indicates the provider is among the higher-ranked national billers for that specific OTC COVID test code in absolute terms, yet the data does not flag the pattern as an extreme anomaly.

    For influenza vaccination (G0008) the provider ranks #100608 of 119096 nationally (14th percentile) and is also described as "typical, unremarkable volume for this code," signaling modest participation in vaccine administration relative to peers. Given the small claim and revenue counts for G0008, influenza shots represent a negligible share of billed Medicare services compared with COVID test provisioning.

    The NPI tenure (enumerated 2009-04-01 (~17 years ago)) indicates a long-established registration in the provider directory. Coupled with the billing mix dominated by test dispensing, the profile is consistent with an established pharmacy location that has recently generated Medicare revenue primarily through OTC COVID-19 test billing rather than a broad portfolio of Medicare clinical services.

    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 count10,940$10$131.3K
    G0008Administration of influenza virus vaccine20$30$530

    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
    K103461403,110$10$43.2K
    G00088912030$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$241.3K$0
    Walgreen CoPRPharmacy$179.3K$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
    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
    Centro De Diagnostico Y Tratamiento De Rio GrandePREmergency Care Clinic/Center$0$4.7M
    Raul MedinaPRLand Ambulance$9.7K$4.6M
    Laboratorio Clinico Chegar IncPRClinical Medical Laboratory$8.8K$1.9M
    Fajardo Imaging Mri CspPRMammography Clinic/Center$0$1.1M
    Centro De Medicina Fisica Y Rehabilitacion Rio Grande,incPRPhysical Therapy Clinic/Center$0$680.3K
    Aracelis MendozaPRClinical Medical Laboratory$0$2.5K

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