Charles M Cummins, Od, PA
Charles M Cummins, Od, PA was paid $15K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 31% of everything it billed.
POMPTON PLAINS, NJ 07444
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 | 1,585 | $0.00 | |
| 2019 | 1,876 | $0.00 | |
| 2020 | 2,134 | $0.00 | |
| 2021 | 2,704 | $2K | |
| 2022 | 2,871 | $3K | |
| 2023 | 4,438 | $4K | |
| 2024incomplete | 2,842 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 31% | 6,144 | 3,451 | $4K |
| V2020 | Frames, purchases | 30% | 4,327 | 4,200 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 2,635 | 2,522 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 133 | 127 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 1,500 | 1,456 | $328.60 |
| 92250 | 1.3% | 1,000 | 911 | $189.07 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,649 | 886 | $114.00 |
| 92015 | Determination of refractive state | <1% | 108 | 80 | $74.80 |
| V2750 | Anti-reflective coating, per lens | 0% | 318 | 163 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 80 | 74 | $0.00 |
| 92310 | 0% | 129 | 126 | $0.00 | |
| V2755 | U-v lens, per lens | 0% | 313 | 156 | $0.00 |
2 more codes
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.