Supplier
Charles M Cummins Od PA
Charles M Cummins Od PA was paid $87K by Medicaid between Jan 2018 and Oct 2023, across 21 billing codes. Its largest line is V2020, Frames, purchases — 21% of everything it billed.
33Billing provider infoCHARLES M CUMMINS OD PA
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
33aNPI1710068150assigned 10/18/2006
33bProvider typeEyewear Supplier
28Total paid$87K
24GClaims56,244
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Eyewear Supplier providers in New Jersey
Rank by total paid#19 of 70
Median peer was paid$25K
This provider vs. median3.5×
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 | 8,230 | $5K | |
| 2019 | 7,054 | $1K | |
| 2020 | 4,766 | $0.00 | |
| 2021 | 10,822 | $21K | |
| 2022 | 13,372 | $39K | |
| 2023 | 12,000 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 21% | 12,452 | 11,841 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 7,202 | 6,902 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,042 | 975 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15% | 17,969 | 9,321 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 4,871 | 4,692 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 169 | 159 | $6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 4.1% | 3,402 | 1,832 | $4K |
| 92015 | Determination of refractive state | 2.2% | 850 | 769 | $2K |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 1.7% | 330 | 189 | $2K |
| 92341 | 1.3% | 85 | 75 | $1K | |
| 92310 | 1.1% | 290 | 269 | $910.00 | |
| 92342 | <1% | 40 | 36 | $580.00 |
9 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,924 | $129.38 |
| 92250 | <1% | 555 | $57.00 | |
| 92201 | <1% | 524 | $7.22 | |
| V2744 | Tint, photochromatic, per lens | 0% | 322 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 110 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 284 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 89 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 2,510 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 224 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.