Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHARLES M CUMMINS, OD, PA

NPI: 1649351099 · POMPTON PLAINS, NJ 07444 · Eyewear Supplier · NPI assigned 10/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUMMINS, CHARLES controls 20+ related entities in our dataset. Read more

$15K
Total Medicaid Paid
18,450
Total Claims
14,254
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCUMMINS, CHARLES (OWNER)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: CUMMINS, CHARLES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,842 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6,144 3,451 $4K
V2020 Frames, purchases 4,327 4,200 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,635 2,522 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 133 127 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,500 1,456 $328.60
92250 1,000 911 $189.07
V2784 Lens, polycarbonate or equal, any index, per lens 1,649 886 $114.00
92015 Determination of refractive state 108 80 $74.80
V2750 Anti-reflective coating, per lens 318 163 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 80 74 $0.00
92310 129 126 $0.00
V2755 U-v lens, per lens 313 156 $0.00
S0500 Disposable contact lens, per lens 73 73 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 41 29 $0.00