Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWalgreen Co
    Ask Trek AI about this page

    Walgreen Co — Billing Profile & Reimbursement Data

    NPI 1962536474 · San Juan, PR · Pharmacy

    Customize your policy alerts

    Sign up for Walgreen Co — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Walgreen Co is a pharmacy provider located in San Juan, Puerto Rico. This profile covers 11 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWalgreen Co
    Address150 Calle F Vizcarrondo
    CitySan Juan
    StatePR
    ZIP00926
    TaxonomyPharmacy
    NPI EnumeratedMarch 15, 2007

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

    Payer SourceTotal Paid
    Medicare$179.3K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is small in absolute terms, reporting $179.3K in total Medicare revenue while reporting no Medicaid billing on file; it is effectively a Medicare-only billing entity in the dataset. The top 3 Medicare codes by revenue account for 92.3% of this provider's total Medicare revenue, indicating extreme concentration within a very limited set of services.

    Revenue is overwhelmingly driven by K1034: the provider reported 12.7K claims for K1034 with $12 avg paid/claim and $152.8K in revenue, which represents 83.6% of its Medicare revenue. K1034 ranks #288 of 30143 providers nationally (99th percentile) and is described in the data as typical, unremarkable volume for this code, which together point to a high-volume distribution role for this single COVID self-test product.

    Vaccination services appear as secondary revenue drivers: 90677 generated $9.5K (36 claims, $265 avg paid/claim; 5.2% of Medicare revenue) and 90694 generated $6.3K (90 claims, $70 avg paid/claim; 3.4% of Medicare revenue). Both vaccine codes sit in middle-to-upper national percentiles (90677 at 80th, 90694 at 68th) and, together with administration codes G0008 (131 claims, $4.1K) and G0009 (38 claims, $1.2K), indicate routine point-of-care immunization activity beyond the dominant test distribution.

    The overall code mix (a dominant retail COVID self-test code plus several vaccine product and vaccine administration codes) is consistent with a community pharmacy or retail clinic workflow that combines high-volume dispense/distribution of OTC/self-tests with on-site immunizations. The presence of multiple influenza and pneumococcal vaccine product codes and administration codes supports that this entity provides standard pharmacy immunization services in addition to test provisioning.

    Competitive standing is mixed: for its top revenue driver K1034 the provider ranks high nationally (99th percentile) yet the label for that rank is "typical, unremarkable volume for this code," while its vaccine product ranks (90677 at the 80th percentile and 90694 at the 68th percentile) are described as typical, unremarkable volumes. In aggregate these positions suggest the provider is a strong local distributor for COVID self-tests and a modest, typical participant in adult vaccination compared with national peers rather than a dominant multi-service medical provider.

    The provider has a long tenure in the NPI file, enumerated on 2007-03-15 (~19 years ago), which indicates an established registration and likely sustained retail presence in SAN JUAN over time. That longevity combined with the product mix reinforces an operational profile centered on routine pharmacy services rather than episodic clinical specialties.

    Revenue concentration creates operational vulnerability: with $152.8K (83.6% of Medicare revenue) tied to K1034 and the top three codes totaling 92.3% of Medicare revenue, changes in Medicare reimbursement, coding policy, or consumer demand for COVID self-tests would disproportionately affect this provider’s Medicare receipts. The absence of any Medicaid billing on file further increases sensitivity to shifts in Medicare payments because there is no Medicaid revenue diversification reported.

    For payers and network analysts, this provider should be viewed as a local retail pharmacy resource for test distribution and routine immunizations rather than a broad clinical partner; total Medicare revenue is $179.3K, so it is not a major Medicare revenue generator overall. Contracting or inclusion decisions that prioritize Medicaid coverage, broader clinical services, or large Medicare volume should account for the lack of Medicaid activity and the heavy reliance on a single test product.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count12,740$10$152.8K
    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…40$270$9.5K
    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…90$70$6.3K
    G0008Administration of influenza virus vaccine130$30$4.1K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.20$140$2.6K
    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
    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–19.40$40$1.3K
    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…20$70$1.3K
    0134AN/A30$40$1.2K
    G0009Administration of pneumococcal vaccine40$30$1.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K103431403,110$10$43.2K
    9067774020$270$6.7K
    91320234020$130$4.4K
    91322152030$140$3.9K
    90694118030$70$3.3K
    90662203020$70$2K
    G00081112030$30$1.6K
    0134A92030$40$1.4K
    90480186020$40$1.4K
    G000964020$30$670

    Showing 1–10 of 11

    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 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
    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
    Farmacia Doral, Inc.PRSpecialty Pharmacy$0$115.6M
    Grupo Neonatal C.s.p.PRNeonatal-Perinatal Medicine Physician$0$6M
    Aps Clinics Of Puerto Rico, Inc.PRAdult Mental Health Clinic/Center$0$5.7M
    Alejandro MarmolejoPRGeneral Practice Physician$2.5K$2.1M
    Bvr Ambulance Best Care IncPRLand Ambulance$10.2K$1.6M
    Jan Rodriguez FerrerPRInternal Medicine Physician$60.6K$1.4M
    Nuvasive Pr, Inc.PRDurable Medical Equipment & Medical Supplies$0$1.2M
    Rebeca CuebasPRPediatrics Physician$0$1M
    Cck Medical CspPRCardiovascular Disease Physician$0$983K
    Renato RiveraPRFamily Medicine Physician$0$886.7K

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