Charles M Cummins, Od, PA

Charles M Cummins, Od, PA was paid $1K by Medicaid between Nov 2023 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 67% of everything it billed.

33Billing provider infoCHARLES M CUMMINS, OD, PA
BOUND BROOK, NJ 08805

33aNPI1306551544assigned 01/23/2023

33bProvider typeEyewear Supplier

28Total paid$1K

24GClaims1,713

24DCodes billed7

24AFirst – last monthNov 2023 – Nov 2024

Compared with peers

Next to other Eyewear Supplier providers in New Jersey

Rank by total paid#53 of 70

Median peer was paid$25K

This provider vs. median0.0×

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.

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
2023	216	$0.00
2024incomplete	1,497	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	67%	199	198	$722.80
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	23%	405	250	$252.00
V2020	Frames, purchases	7.5%	382	370	$80.00
92250		1.7%	213	211	$18.69
V2750	Anti-reflective coating, per lens	0%	197	107	$0.00
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	0%	13	13	$0.00
V2784	Lens, polycarbonate or equal, any index, per lens	0%	304	175	$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 officialSANCHEZ, ZAIRA (CREDENTIALING CONTACT)