Supplier
Charles M Cummins Od PA
Charles M Cummins Od PA was paid $109K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoCHARLES M CUMMINS OD PA
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1346207644assigned 04/28/2006
33bProvider typeEyewear Supplier
28Total paid$109K
24GClaims74,571
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#15 of 70
Median peer was paid$25K
This provider vs. median4.4×
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 | 6,145 | $520.00 | |
| 2019 | 7,397 | $0.00 | |
| 2020 | 5,659 | $0.00 | |
| 2021 | 10,550 | $13K | |
| 2022 | 12,942 | $31K | |
| 2023 | 18,042 | $39K | |
| 2024incomplete | 13,836 | $25K |
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 | 28% | 7,241 | 6,926 | $31K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 6,972 | 6,774 | $20K |
| V2020 | Frames, purchases | 15% | 12,460 | 11,886 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 1,090 | 981 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 19,461 | 10,184 | $15K |
| 92015 | Determination of refractive state | 3.6% | 1,322 | 1,090 | $4K |
| 92310 | 3.0% | 938 | 874 | $3K | |
| 92250 | 1.9% | 3,886 | 3,575 | $2K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.7% | 1,234 | 701 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $520.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 7,186 | 3,624 | $438.00 |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 12 | 12 | $96.00 |
10 more codes
| V2750 | Anti-reflective coating, per lens | 0% | 6,820 | $0.00 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 0% | 107 | $0.00 |
| V2797 | Vision supply, accessory and/or service component of another hcpcs vision code | 0% | 68 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 15 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 4,353 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 794 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 277 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 254 | $0.00 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 56 | $0.00 |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 0% | 12 | $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 | 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 | 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.