Medicaid Provider Spending

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

CHARLES M CUMMINS OD PA

NPI: 1710068150 · NEPTUNE, NJ 07753 · 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

$87K
Total Medicaid Paid
56,244
Total Claims
41,337
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-10
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,230 $5K
2019 7,054 $1K
2020 4,766 $0.00
2021 10,822 $21K
2022 13,372 $39K
2023 12,000 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 12,452 11,841 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,202 6,902 $15K
92340 Fitting of spectacles, except for aphakia; monofocal 1,042 975 $15K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17,969 9,321 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,871 4,692 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 169 159 $6K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 3,402 1,832 $4K
92015 Determination of refractive state 850 769 $2K
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 330 189 $2K
92341 85 75 $1K
92310 290 269 $910.00
92342 40 36 $580.00
V2784 Lens, polycarbonate or equal, any index, per lens 2,924 1,369 $129.38
92250 555 498 $57.00
92201 524 419 $7.22
V2744 Tint, photochromatic, per lens 322 162 $0.00
V2755 U-v lens, per lens 110 53 $0.00
S0500 Disposable contact lens, per lens 284 284 $0.00
V2781 Progressive lens, per lens 89 52 $0.00
V2750 Anti-reflective coating, per lens 2,510 1,234 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 224 206 $0.00