Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHARLES M CUMMINS OD PA

NPI: 1003998451 · UNION, NJ 07083 · Eyewear Supplier · NPI assigned 10/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUMMINS, CHARLES controls 20+ related entities in our dataset. Read more

$74K
Total Medicaid Paid
32,184
Total Claims
23,402
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINS, CHARLES (OWNER)
NPI Enumeration Date10/19/2006

Related Entities

Other providers sharing the same authorized official: CUMMINS, CHARLES

ProviderCityStateTotal Paid
CHARLES M CUMMINS OD PA CLARK NJ $785K
CHARLES M CUMMINS OD PA BLOOMFIELD NJ $197K
CHARLES M CUMMINS OD PA MORRISTOWN NJ $192K
CHARLES M. CUMMINS, OD, PA BAYONNE NJ $157K
CHARLES M CUMMINS OD PA WOODBRIDGE NJ $147K
CHARLES M. CUMMINS, OD, PA TOMS RIVER NJ $125K
CHARLES M CUMMINS OD PA LAKEWOOD NJ $109K
CHARLES M CUMMINS OD PA SUCCASSUNNA NJ $100K
CHARLES M CUMMINS OD PA EDISON NJ $100K
CHARLES M CUMMINS OD PA NEPTUNE NJ $87K
CHARLES M. CUMMINS, OD, PA CHERRY HILL NJ $74K
CHARLES M CUMMINS OD PA CLIFTON NJ $64K
CHARLES M. CUMMINS, OD, PA DEPTFORD NJ $58K
CHARLES M CUMMINS, OD, PA ROCKAWAY NJ $57K
CHARLES M CUMMINS OD PA TOTOWA NJ $57K
CHARLES M. CUMMINS OD PA EWING NJ $56K
CHARLES M CUMMINS OD PA PARAMUS NJ $36K
CHARLES M. CUMMINS, OD, PA MAYS LANDING NJ $33K
CHARLES M. CUMMINS, OD, PA WEST WINDSOR TOWNSHIP NJ $25K
CHARLES M CUMMINS, OD, PA MILLVILLE NJ $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,311 $0.00
2019 1,601 $0.00
2020 2,512 $0.00
2021 4,640 $14K
2022 8,197 $26K
2023 8,378 $18K
2024 5,545 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 1,387 1,005 $15K
V2020 Frames, purchases 6,304 5,714 $15K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9,349 5,100 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,449 2,257 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,939 2,802 $13K
92015 Determination of refractive state 530 486 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 141 93 $1K
92310 222 202 $808.00
92250 2,286 2,126 $721.69
V2784 Lens, polycarbonate or equal, any index, per lens 3,118 1,596 $209.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 700 605 $7.22
V2750 Anti-reflective coating, per lens 1,210 602 $0.00
V2797 Vision supply, accessory and/or service component of another hcpcs vision code 96 88 $0.00
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 43 24 $0.00
V2755 U-v lens, per lens 1,247 601 $0.00
V2744 Tint, photochromatic, per lens 118 62 $0.00
V2799 Vision item or service, miscellaneous 19 13 $0.00
S0500 Disposable contact lens, per lens 26 26 $0.00