Medicaid Provider Spending

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

CHARLES M CUMMINS OD PA

NPI: 1861573255 · SUCCASSUNNA, NJ 07876 · 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

$100K
Total Medicaid Paid
29,379
Total Claims
23,003
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
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 EDISON NJ $100K
CHARLES M CUMMINS OD PA NEPTUNE NJ $87K
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 1,851 $0.00
2019 2,185 $0.00
2020 3,061 $0.00
2021 4,167 $15K
2022 5,241 $32K
2023 6,652 $31K
2024 6,222 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,780 3,614 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,522 2,467 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 1,068 980 $15K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8,538 4,832 $15K
V2020 Frames, purchases 6,134 5,861 $9K
92015 Determination of refractive state 1,034 988 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 348 241 $3K
92310 279 273 $1K
92341 35 28 $500.00
92250 1,350 1,291 $303.07
V2784 Lens, polycarbonate or equal, any index, per lens 2,358 1,274 $95.00
S0500 Disposable contact lens, per lens 156 156 $0.00
V2755 U-v lens, per lens 389 193 $0.00
V2799 Vision item or service, miscellaneous 12 12 $0.00
S0581 Nonstandard lens (list this code in addition to the basic code for the lens) 24 12 $0.00
V2750 Anti-reflective coating, per lens 1,186 632 $0.00
V2797 Vision supply, accessory and/or service component of another hcpcs vision code 48 45 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 78 76 $0.00
92201 16 16 $0.00
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 24 12 $0.00