Supplier
Charles M Cummins Od PA
Charles M Cummins Od PA was paid $147K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 18% of everything it billed.
33Billing provider infoCHARLES M CUMMINS OD PA
WOODBRIDGE, NJ 07095
WOODBRIDGE, NJ 07095
33aNPI1548342900assigned 10/19/2006
33bProvider typeEyewear Supplier
28Total paid$147K
24GClaims101,166
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#12 of 70
Median peer was paid$25K
This provider vs. median6.0×
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.
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 | 7,411 | $9K | |
| 2019 | 8,767 | $5K | |
| 2020 | 6,760 | $517.23 | |
| 2021 | 13,159 | $17K | |
| 2022 | 17,142 | $32K | |
| 2023 | 23,299 | $38K | |
| 2024incomplete | 24,628 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 1,826 | 1,656 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 8,418 | 8,166 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 26,559 | 14,391 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 7,793 | 7,533 | $21K |
| V2020 | Frames, purchases | 13% | 18,274 | 17,584 | $20K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.1% | 242 | 242 | $10K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 4.5% | 3,614 | 2,141 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 141 | 140 | $4K |
| 92015 | Determination of refractive state | 2.2% | 979 | 859 | $3K |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 1.3% | 1,935 | 1,063 | $2K |
| 92341 | 1.2% | 119 | 108 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 9,190 | 4,832 | $2K |
12 more codes
| 92250 | <1% | 6,158 | $1K | |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 26 | $1K |
| 92310 | <1% | 652 | $510.00 | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 53 | $26.60 |
| V2781 | Progressive lens, per lens | 0% | 686 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 635 | $0.00 |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | 0% | 272 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 1,601 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 4,043 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 836 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 6,638 | $0.00 |
| V2797 | Vision supply, accessory and/or service component of another hcpcs vision code | 0% | 476 | $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 | 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 | 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.