Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · PY2019–2025 Search official records Methodology

IMPULSE DYNAMICS (USA) INC.

11,510 providers listed $6,614,405.04 reported 38,170 records General Payments

General Payments reported — all loaded program years

$6,614,405.04

  • Category: General Payments
  • Program years: 2019, 2020, 2021, 2022, 2023, 2024, 2025
  • Record count: 38,170
  • Providers listed: 11,510

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.
  • Methodology & Data — sourcing, labeling, and limitations.

Coverage: program years 2019–2025, General Payments only. Each figure is labeled with its category and program year; categories are never combined.

By program year

Program yearReportedRecordsProviders
PY2019 $39,763.50 100 92
PY2020 $214,180.16 141 119
PY2021 $789,825.83 2,572 1,331
PY2022 $1,455,978.57 11,397 4,286
PY2023 $1,847,904.56 12,858 5,988
PY2024 $1,279,307.05 6,533 3,400
PY2025 $987,445.37 4,569 2,197

By recipient specialty (25 shown)

Sorted by reported total.

SpecialtyReportedRecordsProviders
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease $1,541,398.20 10,670 3,027
Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology $1,421,382.28 2,296 385
Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology $1,314,035.80 6,419 1,227
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner $568,607.63 2,130 769
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology $202,138.26 4,012 1,183
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family $167,088.10 3,247 1,177
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care $159,851.36 1,781 575
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant $126,115.69 1,887 744
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health $113,702.16 1,175 400
Allopathic & Osteopathic Physicians|Internal Medicine $105,607.45 955 536
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical $49,388.63 975 310
Allopathic & Osteopathic Physicians|Family Medicine $30,449.16 424 264
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology $17,083.01 350 117
Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology $9,574.92 20 13
Allopathic & Osteopathic Physicians|Nuclear Medicine|Nuclear Cardiology $8,351.22 161 25
Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist $7,714.31 60 15
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Primary Care $7,250.07 156 52
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Critical Care Medicine $7,064.15 34 12
Allopathic & Osteopathic Physicians|Hospitalist $6,543.66 113 68
Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology $6,182.83 22 17
Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery) $4,746.10 82 57
Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Adult Health $4,547.51 134 26
Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Cardiology $3,777.51 35 14
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Surgical $3,264.23 59 38
Allopathic & Osteopathic Physicians|Emergency Medicine $2,831.09 29 22

Providers listed (11,510)

Sorted by name. Sort by amount instead

ProviderSpecialtyStateReported by this company
ANDRE E GHANTOUS Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CT $378.42
ANDRE LUIZ BUCHELE DAVILA Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology MA $324.89
ANDREA BACHMAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care PA $90.20
ANDREA BYNUM CLEGG Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MI $240.82
ANDREA CROWE FUNAI Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health VA $62.42
ANDREA DOUGLAS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MI $154.13
ANDREA FAE TORDINI Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology FL $132.31
ANDREA G LAMB Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family CO $55.69
ANDREA H ROSSMAN Allopathic & Osteopathic Physicians|Urology IA $32.47
ANDREA IRENE RODRIGUEZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $57.18
ANDREA J RUDNICK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner ND $25.11
ANDREA L BEALE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner FL $115.55
ANDREA L WILLCOX Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant AZ $124.70
ANDREA LAPP Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MT $119.46
ANDREA LINDLEY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner NJ $15.63
ANDREA M BRYCE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner FL $279.28
ANDREA M ESTEVEZ Allopathic & Osteopathic Physicians|Internal Medicine FL $26.68
ANDREA M GINTER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family IN $126.22
ANDREA M RUSSO Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NJ $3,843.55
ANDREA MEEKINS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family SD $27.26
ANDREA N WALLACE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MS $1,226.77
ANDREA NATALE Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology TX $557.30
ANDREA REBECCA YAPEJIAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family RI $143.34
ANDREA RUIZ Allopathic & Osteopathic Physicians|Family Medicine|Adult Medicine NJ $29.75
ANDREA SABOCSIK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health PA $26.53
ANDREA STAHL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health AZ $42.21
ANDREA TACKETT Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CA $188.66
ANDREA THERESA KUENSTING Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Adult Health MO $162.04
ANDREA URADU Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology OH $14.99
ANDREAS C PAVLIDES Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NJ $737.09
ANDREAS CHRISTOPH MAUER Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology CA $128.86
ANDREAS KAMLOT Allopathic & Osteopathic Physicians|Surgery CA $172.43
ANDREI DAMIAN Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease AZ $37.68
ANDREI GASIC Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology NM $298.15
ANDREIA ARNOLD Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner AZ $20.06
ANDRES CARMONA RUBIO Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology OH $144.00
ANDRES F RUIZ Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $119.90
ANDRES FELIPE VASQUEZ DONADO Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $84.49
ANDRES MESA Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $144.96
ANDRES NUNEZ Allopathic & Osteopathic Physicians|Hospitalist FL $134.63
ANDRES SOBRADO Allopathic & Osteopathic Physicians|Internal Medicine FL $26.67
ANDREW A GUSTAFSON Allopathic & Osteopathic Physicians|Hospitalist IL $44.69
ANDREW A HINOJOS Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology OK $88.66
ANDREW AZADIAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $422.37
ANDREW B CIVITELLO Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology TX $181.12
ANDREW B HILLDRUP Allopathic & Osteopathic Physicians|Family Medicine VA $21.15
ANDREW B HUGHEY Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology MI $118.15
ANDREW B REISMAN Allopathic & Osteopathic Physicians|Family Medicine GA $207.61
ANDREW BROMLEY Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $143.79
ANDREW C PETERS Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease IL $95.18