Medicaid Provider Spending

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

CHARLES M CUMMINS OD PA

NPI: 1265513659 · TOTOWA, NJ 07512 · Eyewear Supplier · NPI assigned 10/18/2006

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

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

$57K
Total Medicaid Paid
43,972
Total Claims
33,206
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINS, CHARLES (OWNER)
NPI Enumeration Date10/18/2006

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 UNION 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 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 3,591 $0.00
2019 4,194 $0.00
2020 4,033 $18.70
2021 6,218 $5K
2022 7,866 $17K
2023 10,559 $23K
2024 7,511 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,118 4,861 $18K
V2020 Frames, purchases 9,246 8,810 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,547 3,437 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13,087 7,351 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 697 630 $8K
92310 427 394 $2K
92015 Determination of refractive state 268 245 $783.20
92250 2,434 2,215 $702.69
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 450 287 $538.00
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 323 190 $442.00
V2784 Lens, polycarbonate or equal, any index, per lens 4,327 2,415 $343.00
V2520 Contact lens, hydrophilic, spherical, per lens 28 28 $200.00
V2750 Anti-reflective coating, per lens 1,867 965 $0.00
V2797 Vision supply, accessory and/or service component of another hcpcs vision code 13 12 $0.00
S0500 Disposable contact lens, per lens 576 574 $0.00
V2755 U-v lens, per lens 1,351 648 $0.00
V2744 Tint, photochromatic, per lens 43 24 $0.00
V2781 Progressive lens, per lens 138 90 $0.00
V2799 Vision item or service, miscellaneous 32 30 $0.00