Charles M. Cummins, Od, PA
Charles M. Cummins, Od, PA was paid $190K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 22% of everything it billed.
SHREWSBURY, NJ 07702
Next to other Optometrist providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,091 | $43.00 | |
| 2019 | 2,001 | $0.00 | |
| 2020 | 3,387 | $0.00 | |
| 2021 | 6,765 | $7K | |
| 2022 | 10,929 | $41K | |
| 2023 | 16,961 | $67K | |
| 2024incomplete | 23,425 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 6,428 | 6,176 | $42K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 5,008 | 4,673 | $40K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 17,501 | 9,545 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 2,220 | 2,000 | $32K |
| V2020 | Frames, purchases | 11% | 11,819 | 11,128 | $21K |
| 92015 | Determination of refractive state | 3.2% | 2,085 | 1,803 | $6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.0% | 1,204 | 740 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.8% | 7,168 | 3,669 | $4K |
| 92310 | 1.7% | 641 | 597 | $3K | |
| 92341 | 1.4% | 208 | 191 | $3K | |
| 92250 | <1% | 3,681 | 3,463 | $849.42 | |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 14 | 13 | $420.00 |
10 more codes
| V2755 | U-v lens, per lens | <1% | 1,327 | $5.70 |
| S0500 | Disposable contact lens, per lens | 0% | 123 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 253 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 268 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 34 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 3,415 | $0.00 |
| V2797 | Vision supply, accessory and/or service component of another hcpcs vision code | 0% | 131 | $0.00 |
| 92201 | 0% | 272 | $0.00 | |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 709 | $0.00 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 0% | 50 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Empire Vision Center INC | Camp Hill, PA | $1.20M |
| Empire Vision Center INC | Lancaster, PA | $1.08M |
| Visionworks, INC. | Erie, PA | $894K |
| Visionworks INC | Mentor, OH | $333K |
| Empire Vision Center, INC | Pittsburgh, PA | $277K |
| Visionworks, INC. | Erie, PA | $269K |
| Visionworks INC | Catonsville, MD | $210K |
| Visionworks, INC. | Towson, MD | $207K |
| Visionworks, INC. | Owings Mills, MD | $193K |
| Visionworks INC | Joliet, IL | $190K |
| Visionworks, INC | Bolingbrook, IL | $131K |
| Visionworks, INC | Chicago, IL | $128K |
| Visionworks INC | Chicago Ridge, IL | $125K |
| Visionworks, INC. | Westminister, MD | $123K |
| Visionworks INC | Brooklyn, OH | $111K |
| Visionworks INC | Aurora, IL | $111K |
| Visionworks, INC | Bloomingdale, IL | $110K |
| Visionworks, INC. | Baltimore, MD | $97K |
| Visionworks INC | Niles, IL | $93K |
| Visionworks, INC. | Hanover, MD | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.