CHARLES CUMMINGS, DO
Family Medicine Physician · FALL RIVER, MA
Individual Active NPI 1407811615
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 275 | 3,986 | $485,665 | $157,024 | $124,982 |
| 2023 | 320 | 3,866 | $470,833 | $158,134 | $126,311 |
| 2022 | 287 | 4,093 | $524,082 | $179,344 | $140,533 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 484 | $128 | $87 |
| 36415 | Insertion of needle into vein for collection of blood sample | 458 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 246 | $10 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 236 | $90 | $61 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 233 | $8 | $8 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 222 | $16 | $12 |
| 83036 | Hemoglobin a1c level | 197 | $9 | $9 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 152 | $13 | $13 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 139 | $130 | $130 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 133 | $16 | $16 |
| G0444 | Annual depression screening, 5 to 15 minutes | 124 | $19 | $19 |
| 81002 | Urinalysis, manual test | 117 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 72651 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Family Medicine Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.