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 1972518876)

Field	Value
Entity Type	Organization
Organization	Walgreen Co
Address	4203 Calle Marginal
City	Fajardo
State	PR
ZIP	00738
Taxonomy	Pharmacy
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$116.8K
Medicaid	$0

Key Findings

This entity has a very small Medicare billing footprint: lifetime Medicare revenue is $116.8K and there is no Medicaid billing on file, so the provider is effectively a single‑payer (Medicare) billing entity in the available records. Analysts should treat this profile as a Medicare-focused retail pharmacy operation rather than a mixed‑payer clinic or large multiservice provider.

Revenue is extremely concentrated: the precomputed top 3 Medicare codes account for 96.3% of this provider's total Medicare revenue, and a single code dominates the portfolio. K1034 alone generates $110.1K (92.2% of Medicare revenue), indicating the business derives the overwhelming majority of its Medicare receipts from one service line.

The code mix points to a retail pharmacy model focused on point‑of‑care testing and immunizations. The dominant code K1034 (provision of nonprescription self‑administered COVID‑19 tests) plus multiple vaccine codes (for example 90677, G0008, 90694, 91320) show the location is providing testing and vaccination services, but vaccine billing is a much smaller revenue stream (90677 $3.5K, 2.9%; G0008 $1.4K, 1.2%).

Competitive standing for the top code is notable by rank but not flagged as exceptional by the supplied label: K1034 ranks #334 of 30143 providers nationally (99th percentile) while the descriptor attached is "typical, unremarkable volume for this code." This means the provider files a high absolute count for K1034 relative to many peers but the dataset classifies that volume as within expected norms for providers billing that code.

Vaccine administration volumes are modest relative to national peers. For example, 90677 (pneumococcal vaccine) generated $3.5K and ranks #42473 of 52451 providers nationally (13th percentile; labeled "typical, unremarkable volume") and G0008 (influenza vaccine) generated $1.4K and ranks #60871 of 119096 providers nationally (48th percentile; labeled "typical, unremarkable volume"). These ranks indicate vaccination activity exists but is not a major competitive strength in the Medicare market.

The provider has long tenure in the NPI registry (enumerated 2006-07-29, ~20 years ago), suggesting an established retail presence despite the small and highly concentrated Medicare revenue profile. Long enumeration paired with limited Medicare receipts may reflect a local retail pharmacy location or a corporate outlet that bills Medicare only for selected services like testing and vaccines.

No codes in the supplied top listings are described as statistical outliers beyond the provided "typical, unremarkable volume" labels, so there are no flagged anomalies in the available metrics; the pattern is one of concentrated but not statistically unusual billing behavior for the services listed. Analysts should therefore prioritize operational and service‑line interpretation over anomaly investigation based on these code-level descriptors.

Implications for payers and contract analysts: this WALGREEN CO site in FAJARDO, PR should be considered a small, Medicare‑centric retail pharmacy with heavy reliance on K1034 (nonprescription COVID test provision) and limited vaccine revenue. Network or utilization decisions should account for the single‑payer billing profile (Medicare only on file), the $116.8K lifetime Medicare scale, and the revenue concentration (top 3 codes = 96.3%) when evaluating this location's strategic or financial role in a broader pharmacy network.

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	9,180	$10	$110.1K
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	$3.5K
G0008	Administration of influenza virus vaccine	50	$30	$1.4K
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…	20	$70	$1.4K
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.	10	$130	$1.4K
0124A	N/A	10	$40	$450
G0009	Administration of pneumococcal vaccine	10	$30	$400
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.	10	$40	$400
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$400

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	8	140	3,110	$10	$43.2K
90677	27	40	20	$270	$6.7K
91320	43	40	20	$130	$4.4K
90694	53	80	30	$70	$3.3K
G0008	36	120	30	$30	$1.6K
90480	55	60	20	$40	$1.4K
0124A	17	20	20	$40	$1.1K
G0009	28	40	20	$30	$670
90686	4	20	10	$20	$420

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	$253.3K	$0
Walgreen Co	PR	Pharmacy	$145.9K	$0
Walgreen Co	PR	Pharmacy	$124.6K	$0
Walgreen Co	PR	Pharmacy	$103.1K	$0
Walgreen Co	PR	Pharmacy	$102.7K	$0
Walgreen Co	PR	Pharmacy	$99.2K	$0
Walgreen Co	PR	Pharmacy	$87.4K	$0
Walgreen Co	PR	Pharmacy	$85.4K	$0
Walgreen Co	PR	Pharmacy	$65.3K	$0
Walgreen Co	PR	Pharmacy	$63.3K	$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
Laboratorio Clinico Y De Ref De Fajardo Inc	PR	Clinical Medical Laboratory	$26.2K	$2.8M
Servicios Medicos Integrados De Fajardo, P.s.c.	PR	General Practice Physician	$0	$2.8M
Centro C.i.e.h.l.o.inc.	PR	Hearing and Speech Clinic/Center	$0	$1.6M
Jrc Maxillofacial Services,psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.5M
Caribe Physicians Plaza Corporation	PR	General Acute Care Hospital	$0	$1.4M
Fajardo Imaging Inc	PR	Magnetic Resonance Imaging (MRI) Clinic/Center	$0	$1.2M
Continuum Mental Care Corp	PR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$972.3K
Jose J Lopez Agudo Oftalmologo Csp	PR	Ophthalmology Physician	$0	$763.5K
Laboratorio Clinico Fajardo, Inc.	PR	Clinical Medical Laboratory	$19.6K	$691K
Luis Arraut-ramirez	PR	Internal Medicine Physician	$0	$651.3K

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