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
ANNA C LANDRY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health LA $29.50
ANNA C REID Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical NY $157.15
ANNA ELIZABETH GARRABRANT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NY $25.25
ANNA ESTER GARINO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care NY $171.83
ANNA HERTSBERG Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease IL $277.13
ANNA K EVATT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology AL $13.32
ANNA MAGRI Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MI $92.69
ANNA MARIE HARKINS Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $94.87
ANNA MARIE HESSE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CT $46.92
ANNA MARIE LINCHECK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family IL $80.16
ANNA NAPIER Physician Assistants & Advanced Practice Nursing Providers|Advanced Practice Midwife TN $147.04
ANNA PAGE SIGLER Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX $294.61
ANNA PEPIN OTT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family SC $197.72
ANNA R SMITH Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner WA $13.74
ANNA REID TINDLE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner AL $23.64
ANNA S ROBAK Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY $62.15
ANNA V MUSSONE Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant FL $349.84
ANNA VALINA TOTH Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $134.81
ANNA ZALDIVAR Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical NY $32.75
ANNALISA M COCHRAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner IA $45.07
ANNALISE PIETRO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FL $48.53
ANNE E ALLBEE Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant AZ $15.88
ANNE E LOVE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family IN $16.73
ANNE E TAGUE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner IL $141.87
ANNE ELIZABETH DUDE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family OK $584.14
ANNE ELIZABETH MEINSEN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NY $85.93
ANNE ELIZABETH STEPHAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MI $136.48
ANNE F MITRUKA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner PA $89.27
ANNE H DOUGHERTY Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $88.09
ANNE JEHLE GOLDBERG Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health NY $47.59
ANNE L FIORESI Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health NY $38.10
ANNE LARAINE WAUGAMAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $27.78
ANNE M GABRIEL Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY $41.15
ANNE MARIE MACKINNON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MN $19.38
ANNE MEREDITH KROMAN Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology SC $194.37
ANNE NICOLE KOETHE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TN $34.72
ANNE-SOPHIE LACHARITE-ROBERGE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CA $453.26
ANNEMARIE GABRIELLA ZIEGLER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner PA $5,031.83
ANNETTE MITCHELL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care PA $23.33
ANNIE PETER Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NJ $1,257.78
ANNIE T VARUGHESE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $54.90
ANNIE YI-HWA HUANG Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical CA $128.86
ANNY EUSEBIO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NJ $24.39
ANOOP M SHAH Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology VA $142.64
ANSEL PHILIP AMARAL Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology NY $635.13
ANSELMA INTINI Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease OH $35.47
ANSLEIGH R SETZER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care GA $46.31
ANTHONY A ALBRACHT Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology KS $19.37
ANTHONY A LOSARDO Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NJ $56.74
ANTHONY AIZER Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology NY $133.34