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
BRUCE EDWARD BRADLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	KY	$19.89
BRUCE F FERRARO	Allopathic & Osteopathic Physicians\|Internal Medicine	PA	$237.61
BRUCE J ITELD	—	LA	$36.60
BRUCE J KRIEGEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MA	$21.17
BRUCE KLUGHERZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$101.47
BRUCE LARRY WILKOFF	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	OH	$2,411.13
BRUCE M DECTER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$26.57
BRUCE R GREENSPAHN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	IL	$81.24
BRUCE S BOWERS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$264.37
BRUCE S LACHTERMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$337.74
BRUCE S TENNER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$27.53
BRUCE WARREN USHER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$18.97
BRYAN EDWARD SAIA	Allopathic & Osteopathic Physicians\|Nuclear Medicine\|Nuclear Cardiology	NJ	$315.00
BRYAN HENRY FRAIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	SC	$569.32
BRYAN J BARANOWSKI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	OH	$149.11
BRYAN J REYNOLDS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	CO	$132.00
BRYAN K JAMES	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	FL	$149.96
BRYAN MICHAEL MAHAN	Allopathic & Osteopathic Physicians\|Thoracic Surgery (Cardiothoracic Vascular Surgery)	CO	$132.00
BRYAN P CARTER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	FL	$41.04
BRYAN T PIEDAD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	GA	$347.59
BRYAN WAYNE HAGER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NC	$46.69
BRYANT NGUYEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$68.69
BRYTNEY SNOW COBIA	Allopathic & Osteopathic Physicians\|Internal Medicine	AL	$28.92
BRYTNI ALYSSA MOORE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$179.55
BUFFIE M HENDRIX	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	KS	$32.14
BUNNI L CADWALLADER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	PA	$60.35
BURHAN MOHAMEDALI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	CA	$889.35
BURKE H DICKENS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	NC	$21.88
BYRON COLLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AL	$299.36
BYRON D JONES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AL	$39.59
BYRON GERARD FUSELIER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NY	$24.95
BYRON K ELLIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$606.72
BYRON KWOCK LEE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$937.88
BYUNG RYANG PARK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$658.05
CAITLIN E CHABUT	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	OH	$27.04
CAITLIN E HERBENER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	PA	$178.81
CAITLIN E MATHISON	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	MI	$46.02
CAITLIN FARRELL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	IL	$182.86
CAITLIN FRANCES SPARKS	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	AL	$26.06
CAITLIN I BOOZE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NH	$91.21
CAITLIN LEE CROWELL	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	OH	$14.28
CAITLIN M FAUPEL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NJ	$33.76
CAITLIN SOMMER BOYAK	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	MI	$154.13
CAITLIN STEFANIE DRESCHER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	SC	$17.83
CALEB M ELMORE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	AL	$20.48
CALEB NORTON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MO	$29.70
CALENE RAMSAY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NJ	$234.25
CALI CLARK	Allopathic & Osteopathic Physicians\|Internal Medicine	MO	$31.92
CALLIE ELIZABETH FORD	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	WA	$16.67
CALLIE LELA KING	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NE	$86.17