Twombly, Joanna

Twombly, Joanna was paid $24K by Medicaid between Jun 2018 and May 2020, across 4 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 44% of everything it billed.

33Billing provider infoTWOMBLY, JOANNA
BOLIVAR, MO 65613

33aNPI1780857284assigned 04/07/2008

33bProvider typeObstetrics & Gynecology Physician

28Total paid$24K

24GClaims463

24DCodes billed4

24AFirst – last monthJun 2018 – May 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Missouri

Rank by total paid#154 of 358

Median peer was paid$16K

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	154	$14K
2019	254	$8K
2020	55	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	44%	14	14	$10K
59025	Fetal non-stress test	39%	367	331	$9K
99238	Hospital discharge day management, 30 minutes or less	15%	67	61	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.4%	15	15	$572.31

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.