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 year	Reported	Records	Providers
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.

Specialty	Reported	Records	Providers
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

Provider	Specialty	State	Reported by this company
ASHLEY M KARLI	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	PA	$30.42
ASHLEY M LEWIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$17.42
ASHLEY M MCGEE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	VA	$14.74
ASHLEY MARIE BERDAN	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	AZ	$285.32
ASHLEY MARIE BROGAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$53.62
ASHLEY MARIE GRAVELINE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	MA	$16.50
ASHLEY MARIE GRINDLAY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	GA	$29.10
ASHLEY MARIE ORTIZ-CLARO	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	FL	$18.61
ASHLEY MARIE PLUNKEY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	MI	$18.40
ASHLEY MARY FAITH	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	FL	$67.82
ASHLEY N EVANS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$1,169.87
ASHLEY N STANLEY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	VA	$15.07
ASHLEY NICOLE SHEPHERD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	AL	$62.55
ASHLEY POOLE	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	MD	$82.04
ASHLEY R DETTRA	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Gerontology	NJ	$45.32
ASHLEY R OHLER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	LA	$476.13
ASHLEY R SIMMONS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	KS	$21.24
ASHLEY STEWART	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	NC	$22.45
ASHLEY TITCHENAL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Primary Care	MO	$86.14
ASHLIE CHRISTINE NEVOLA	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	MO	$140.20
ASHLIN M THUMAN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NY	$182.59
ASHLY ALEXANDRA TUCKER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	TX	$33.36
ASHLYN PAIGE BREWSTER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	FL	$41.54
ASHOK A PATEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$42.72
ASHOK K KONDUR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	MI	$122.19
ASHOK KOTHARI	Dental Providers\|Dentist\|Orthodontics and Dentofacial Orthopedics	IL	$28.45
ASHOK L TALREJA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	VA	$53.16
ASHOK MITTAL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$22.76
ASHOKKUMAR J KOTHARI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$54.48
ASHOT MINASYAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$176.31
ASHRAF AL-DADAH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	IL	$280.74
ASHRAF N NASHED	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$28.75
ASHRITH GUHA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	TX	$516.43
ASHU PAUL	Allopathic & Osteopathic Physicians\|Pediatrics	TX	$86.60
ASHVARYA MANGLA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	IL	$131.20
ASHWANI GUPTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$415.18
ASHWANI KUMAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	VA	$28.97
ASHWANI MEHTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	KS	$44.37
ASHWIN BHIRUD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	IL	$17.63
ASHWIN C MURTHY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	CO	$257.46
ASHWIN K RAVICHANDRAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	IN	$183.41
ASHWINI KUMAR DAVULURI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$33.91
ASHWINI SHARMA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AL	$45.85
ASIF ALI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$171.39
ASIF JAFFERANI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	SC	$149.96
ASIF JAWAID	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$74.78
ASIF SEWANI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AZ	$225.22
ASIM A MOHAMMED	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	IN	$181.95
ASIM J CHOHAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	OK	$603.86
ASIM NISAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	IL	$167.44