Charles M Cummins Od PA
Charles M Cummins Od PA was paid $64K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
CLIFTON, NJ 07011
Next to other Eyewear Supplier providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,180 | $0.00 | |
| 2019 | 3,633 | $0.00 | |
| 2020 | 3,138 | $0.00 | |
| 2021 | 4,803 | $11K | |
| 2022 | 6,341 | $17K | |
| 2023 | 9,382 | $20K | |
| 2024incomplete | 5,690 | $15K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 3,911 | 3,774 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 3,522 | 3,438 | $14K |
| V2020 | Frames, purchases | 18% | 8,609 | 8,246 | $12K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 12,084 | 6,809 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 666 | 626 | $9K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.3% | 470 | 314 | $1K |
| 92015 | Determination of refractive state | 2.0% | 387 | 362 | $1K |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 12 | 12 | $326.00 |
| 92310 | <1% | 227 | 212 | $285.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,674 | 2,058 | $171.00 |
| 92250 | <1% | 906 | 870 | $170.69 | |
| S0500 | Disposable contact lens, per lens | 0% | 248 | 246 | $0.00 |
7 more codes
| V2755 | U-v lens, per lens | 0% | 324 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 61 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 35 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 766 | $0.00 |
| 92201 | 0% | 85 | $0.00 | |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 160 | $0.00 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 0% | 20 | $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.
Who's on the registration
| 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 | 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.