Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › West Windsor Township › NPI 1700125309
Supplier

Charles M. Cummins, Od, PA

Charles M. Cummins, Od, PA was paid $25K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is V2020, Frames, purchases — 25% of everything it billed.

33Billing provider infoCHARLES M. CUMMINS, OD, PA
WEST WINDSOR TOWNSHIP, NJ 08540
33aNPI1700125309assigned 02/04/2013
33bProvider typeEyewear Supplier
28Total paid$25K
24GClaims25,013
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Eyewear Supplier providers in New Jersey

Rank by total paid#36 of 70
Median peer was paid$25K
This provider vs. median1.0×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
20182,235$0.00
20192,444$0.00
20202,504$0.00
20213,156$4K
20223,574$8K
20236,079$7K
2024incomplete5,021$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 25% 5,672 5,386 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 22% 8,427 4,503 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 2,765 2,627 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 419 391 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 2,637 2,561 $4K
92015 Determination of refractive state 3.1% 324 289 $770.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.4% 93 53 $338.00
92310 <1% 72 69 $150.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 2,442 1,222 $113.80
92250 <1% 931 872 $113.69
V2750 Anti-reflective coating, per lens 0% 1,044 534 $0.00
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 0% 46 24 $0.00
2 more codes
S0500 Disposable contact lens, per lens 0% 39 $0.00
V2755 U-v lens, per lens 0% 102 $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)
Same official

Other billing entities under CUMMINS, CHARLES

Full network →
ProviderLocationPaid
Charles M Cummins Od PAClark, NJ$785K
Charles M Cummins Od PABloomfield, NJ$197K
Charles M Cummins Od PAMorristown, NJ$192K
Charles M. Cummins, Od, PABayonne, NJ$157K
Charles M Cummins Od PAWoodbridge, NJ$147K
Charles M. Cummins, Od, PAToms River, NJ$125K
Charles M Cummins Od PALakewood, NJ$109K
Charles M Cummins Od PASuccassunna, NJ$100K
Charles M Cummins Od PAEdison, NJ$100K
Charles M Cummins Od PANeptune, NJ$87K
Charles M. Cummins, Od, PACherry Hill, NJ$74K
Charles M Cummins Od PAUnion, NJ$74K
Charles M Cummins Od PAClifton, NJ$64K
Charles M. Cummins, Od, PADeptford, NJ$58K
Charles M Cummins, Od, PARockaway, NJ$57K
Charles M Cummins Od PATotowa, NJ$57K
Charles M. Cummins Od PAEwing, NJ$56K
Charles M Cummins Od PAParamus, NJ$36K
Charles M. Cummins, Od, PAMays Landing, NJ$33K
Charles M Cummins, Od, PAMillville, NJ$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.