Medicaid Provider Spending

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

CHARLES M CUMMINS, OD, PA

NPI: 1265890156 · ROCKAWAY, NJ 07866 · Eyewear Supplier · NPI assigned 02/05/2016

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
28,709
Total Claims
20,833
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINS, CHARLES (OWNER)
NPI Enumeration Date02/05/2016

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 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 1,203 $0.00
2019 1,599 $0.00
2020 2,241 $0.00
2021 3,972 $8K
2022 5,854 $13K
2023 8,234 $16K
2024 5,606 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 5,779 5,530 $14K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8,593 4,703 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 879 812 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,253 2,142 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,428 2,363 $7K
92015 Determination of refractive state 610 539 $981.20
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 127 84 $896.00
92310 287 273 $680.00
V2784 Lens, polycarbonate or equal, any index, per lens 3,277 1,675 $375.94
92250 701 648 $37.69
V2755 U-v lens, per lens 91 44 $0.00
S0500 Disposable contact lens, per lens 24 24 $0.00
V2799 Vision item or service, miscellaneous 14 12 $0.00
V2750 Anti-reflective coating, per lens 3,375 1,721 $0.00
V2797 Vision supply, accessory and/or service component of another hcpcs vision code 107 105 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 164 158 $0.00