Medicaid Provider Spending

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

CHARLES M CUMMINS, OD, PA

NPI: 1770231201 · JERSEY CITY, NJ 07310 · Eyewear Supplier · NPI assigned 03/14/2022

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

Authorized official MCDONALD, DOLSIE controls 20+ related entities in our dataset. Read more

$13K
Total Medicaid Paid
4,765
Total Claims
3,591
Beneficiaries
8
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCDONALD, DOLSIE (MANAGER)
NPI Enumeration Date03/14/2022

Related Entities

Other providers sharing the same authorized official: MCDONALD, DOLSIE

ProviderCityStateTotal Paid
SOWASH OPTOMETRY GROUP PC LAKEWOOD CO $3.84M
EMPIRE VISION CENTER INC TROY NY $1.42M
EMPIRE VISION CENTER INC COLONIE NY $1.32M
TN DOCTORS OF OPTOMETRY, PLLC MURFREESBORO TN $669K
EMPIRE VISION CENTER INC NORWICH NY $626K
EMPIRE VISION CENTER INC TONAWANDA NY $511K
TN DOCTORS OF OPTOMETRY, PLLC CLARKSVILLE TN $493K
TN DOCTORS OF OPTOMETRY, PLLC KNOXVILLE TN $479K
TN DOCTORS OF OPTOMETRY, PLLC SMYRNA TN $472K
TN DOCTORS OF OPTOMETRY, PLLC MADISON TN $441K
TN DOCTORS OF OPTOMETRY, PLLC ANTIOCH TN $360K
TN DOCTORS OF OPTOMETRY, PLLC MEMPHIS TN $328K
TN DOCTORS OF OPTOMETRY, PLLC KINGSPORT TN $280K
EMPIRE VISION CENTER, INC KEW GARDENS NY $266K
TN DOCTORS OF OPTOMETRY, PLLC NASHVILLE TN $245K
TN DOCTORS OF OPTOMETRY, PLLC KNOXVILLE TN $243K
TN DOCTORS OF OPTOMETRY, PLLC JOHNSON CITY TN $233K
TN DOCTORS OF OPTOMETRY, PLLC HENDERSONVILLE TN $224K
TN DOCTORS OF OPTOMETRY, PLLC COOKEVILLE TN $220K
TN DOCTORS OF OPTOMETRY, PLLC MT JULIET TN $205K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 183 $0.00
2023 2,410 $5K
2024 2,172 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 978 860 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,325 765 $2K
V2020 Frames, purchases 998 919 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 55 52 $780.00
92015 Determination of refractive state 163 93 $330.00
92250 651 577 $265.38
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $111.20
V2784 Lens, polycarbonate or equal, any index, per lens 583 313 $0.00