Deanna Twyman
Family · Conway, MONPI 1164408399
Payments from drug & device makers
Across 102 payments — averaging $16.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$410
- GSK$234
- AbbVie$176
- Otsuka America Pharmaceutical, Inc.$171
- Merck$135
- Novo Nordisk$97
- plus $463 from 13 others
What the payments were for
- Food & beverage$1,67399%
- Education$141%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 19 | $410 |
| GSK | 19 | $234 |
| AbbVie | 10 | $176 |
| Otsuka America Pharmaceutical, Inc. | 10 | $171 |
| Merck | 9 | $135 |
| Novo Nordisk | 5 | $97 |
| Boehringer Ingelheim | 6 | $80 |
| Lilly USA, LLC | 5 | $79 |
| Johnson & Johnson | 4 | $51 |
| Exact Sciences | 3 | $49 |
| Pfizer | 3 | $45 |
| Verona Pharma, Inc. | 2 | $32 |
| Organogenesis Inc. | 1 | $27 |
| Aimmune Therapeutics, Inc. | 1 | $22 |
| Bayer | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Lundbeck LLC | 1 | $17 |
| Electromed, Inc. | 1 | $14 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- BREZTRI$117
How this compares
$1,687 in reported general payments places this provider in the 75th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 77 | $62,653 |
| JardianceEmpagliflozin | 32 | $45,932 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $44,666 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 40 | $38,332 |
| RexultiBrexpiprazole | 21 | $34,728 |
| FarxigaDapagliflozin Propanediol | 42 | $32,983 |
| LinzessLinaclotide | 13 | $18,394 |
| Breo ElliptaFluticasone/Vilanterol | 31 | $13,254 |
| Spiriva HandihalerTiotropium Bromide | 14 | $13,251 |
| XareltoRivaroxaban | 18 | $13,087 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 21 | $10,480 |
| OzempicSemaglutide | 11 | $9,498 |
| Xigduo XrDapaglifloz Propaned/Metformin | 13 | $8,048 |
| SymbicortBudesonide/Formoterol Fumarate | 24 | $7,839 |
| Tresiba Flextouch U-100Insulin Degludec | 16 | $7,691 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaBreztri Aerosphere, Farxiga, Symbicort | $410 | $79,153106 claims |
| PfizerEliquis, Abrysvo | $45 | $67,02396 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat, Combivent Respimat | $80 | $61,55564 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $234 | $57,92070 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $171 | $34,72821 claims |
| AbbVieLinzess | $176 | $18,39413 claims |
| Johnson & JohnsonXarelto | $51 | $13,08718 claims |
| Novo NordiskOzempic | $97 | $9,49811 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 3,812 family providers in Missouri.
Other family in Conway
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.