Charles M Cummins, Od, PA
Charles M Cummins, Od, PA was paid $13K by Medicaid between Oct 2022 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.
JERSEY CITY, NJ 07310
Next to other Eyewear Supplier providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 183 | $0.00 | |
| 2023 | 2,410 | $5K | |
| 2024incomplete | 2,172 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 60% | 978 | 860 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19% | 1,325 | 765 | $2K |
| V2020 | Frames, purchases | 9.3% | 998 | 919 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.1% | 55 | 52 | $780.00 |
| 92015 | Determination of refractive state | 2.6% | 163 | 93 | $330.00 |
| 92250 | 2.1% | 651 | 577 | $265.38 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | 12 | $111.20 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 583 | 313 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.