Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Charles M Cummins Od PA

Charles M Cummins Od PA was paid $36K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.

33Billing provider infoCHARLES M CUMMINS OD PA
PARAMUS, NJ 07652
33aNPI1932280385assigned 10/18/2006
33bProvider typeEyewear Supplier
28Total paid$36K
24GClaims26,776
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Eyewear Supplier providers in New Jersey

Rank by total paid#31 of 70
Median peer was paid$25K
This provider vs. median1.5×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
20182,271$0.00
20192,731$0.00
20202,522$0.00
20212,949$6K
20225,205$11K
20236,691$12K
2024incomplete4,407$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29% 3,019 2,932 $10K
V2020 Frames, purchases 21% 6,142 5,737 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18% 8,185 4,670 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 14% 477 376 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 2,180 2,134 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 3.5% 439 277 $1K
92310 1.0% 184 178 $360.00
92250 <1% 2,111 1,956 $246.69
V2520 Contact lens, hydrophilic, spherical, per lens <1% 13 12 $200.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 2,394 1,326 $114.00
92015 Determination of refractive state <1% 122 96 $39.60
V2755 U-v lens, per lens 0% 334 166 $0.00
3 more codes
S0500 Disposable contact lens, per lens 0% 55 $0.00
V2750 Anti-reflective coating, per lens 0% 1,099 $0.00
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 0% 22 $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)
Same official

Other billing entities under CUMMINS, CHARLES

Full network →
ProviderLocationPaid
Charles M Cummins Od PAClark, NJ$785K
Charles M Cummins Od PABloomfield, NJ$197K
Charles M Cummins Od PAMorristown, NJ$192K
Charles M. Cummins, Od, PABayonne, NJ$157K
Charles M Cummins Od PAWoodbridge, NJ$147K
Charles M. Cummins, Od, PAToms River, NJ$125K
Charles M Cummins Od PALakewood, NJ$109K
Charles M Cummins Od PASuccassunna, NJ$100K
Charles M Cummins Od PAEdison, NJ$100K
Charles M Cummins Od PANeptune, NJ$87K
Charles M. Cummins, Od, PACherry Hill, NJ$74K
Charles M Cummins Od PAUnion, NJ$74K
Charles M Cummins Od PAClifton, NJ$64K
Charles M. Cummins, Od, PADeptford, NJ$58K
Charles M Cummins, Od, PARockaway, NJ$57K
Charles M Cummins Od PATotowa, NJ$57K
Charles M. Cummins Od PAEwing, NJ$56K
Charles M. Cummins, Od, PAMays Landing, NJ$33K
Charles M. Cummins, Od, PAWest Windsor Township, NJ$25K
Charles M Cummins, Od, PAMillville, NJ$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.