Supplier
Charles M Cummins, Od, PA
Charles M Cummins, Od, PA was paid $57K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is V2020, Frames, purchases — 24% of everything it billed.
33Billing provider infoCHARLES M CUMMINS, OD, PA
ROCKAWAY, NJ 07866
ROCKAWAY, NJ 07866
33aNPI1265890156assigned 02/05/2016
33bProvider typeEyewear Supplier
28Total paid$57K
24GClaims28,709
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#26 of 70
Median peer was paid$25K
This provider vs. median2.3×
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 CUMMINS, CHARLES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,203 | $0.00 | |
| 2019 | 1,599 | $0.00 | |
| 2020 | 2,241 | $0.00 | |
| 2021 | 3,972 | $8K | |
| 2022 | 5,854 | $13K | |
| 2023 | 8,234 | $16K | |
| 2024incomplete | 5,606 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 24% | 5,779 | 5,530 | $14K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 23% | 8,593 | 4,703 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 879 | 812 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 2,253 | 2,142 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 2,428 | 2,363 | $7K |
| 92015 | Determination of refractive state | 1.7% | 610 | 539 | $981.20 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.6% | 127 | 84 | $896.00 |
| 92310 | 1.2% | 287 | 273 | $680.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,277 | 1,675 | $375.94 |
| 92250 | <1% | 701 | 648 | $37.69 | |
| V2755 | U-v lens, per lens | 0% | 91 | 44 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 24 | 24 | $0.00 |
4 more codes
| V2799 | Vision item or service, miscellaneous | 0% | 14 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 3,375 | $0.00 |
| V2797 | Vision supply, accessory and/or service component of another hcpcs vision code | 0% | 107 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 164 | $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 officialCUMMINS, CHARLES (OWNER)
| Provider | Location | 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.