Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Charles M. Cummins, Od, PA

Charles M. Cummins, Od, PA was paid $22K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is V2020, Frames, purchases — 33% of everything it billed.

33Billing provider infoCHARLES M. CUMMINS, OD, PA
MARLTON, NJ 08053
33aNPI1144644683assigned 02/04/2014
33bProvider typeOptometrist
28Total paid$22K
24GClaims21,251
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in New Jersey

Rank by total paid#186 of 599
Median peer was paid$2K
This provider vs. median12×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official REYNOLDS, DOROTHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,140$0.00
20191,613$0.00
20201,785$0.00
20213,334$2K
20224,230$5K
20235,337$8K
2024incomplete3,812$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 33% 4,559 4,262 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 27% 6,514 3,611 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 412 334 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10% 1,781 1,716 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.1% 2,301 2,221 $2K
92015 Determination of refractive state 3.3% 416 304 $704.00
92250 <1% 621 587 $154.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 52 26 $150.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 2,098 1,143 $38.00
V2750 Anti-reflective coating, per lens 0% 1,835 901 $0.00
V2755 U-v lens, per lens 0% 394 191 $0.00
92310 0% 196 188 $0.00
1 more codes
S0500 Disposable contact lens, per lens 0% 72 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialREYNOLDS, DOROTHY (DIRECTOR)
Same official

Other billing entities under REYNOLDS, DOROTHY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.