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
CARLOS A ROMAN Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology TX $52.40
CARLOS A RUEDA RIOS Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology WV $275.15
CARLOS B RODRIGUEZ Allopathic & Osteopathic Physicians|Anesthesiology AZ $23.93
CARLOS C MARINELLI Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $132.30
CARLOS CALLE-MULLER Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology GA $184.22
CARLOS E FONTE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NV $174.23
CARLOS F ZAPATA ANTIGONI Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology AZ $29.79
CARLOS J BAYRON Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology FL $21.19
CARLOS L SOLANO LORAN Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $24.05
CARLOS M ALVES Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology WA $121.61
CARLOS M CAZARES Allopathic & Osteopathic Physicians|General Practice AZ $158.88
CARLOS M ORREGO Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease AZ $309.78
CARLOS MACIAS Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology CA $40.79
CARLOS OMAR RODRIGUEZ Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease PR $121.90
CARLOS P GRULLON Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $94.98
CARLOS PEREZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Anesthetist, Certified Registered FL $180.00
CARLOS PORTER Allopathic & Osteopathic Physicians|Family Medicine TX $115.02
CARLOS RODRIGUEZ-FIERRO Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease LA $144.31
CARLOS RUBEN JESSURUN Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $110.94
CARLOS SANCHEZ Allopathic & Osteopathic Physicians|Emergency Medicine FL $51.15
CARLOS VARGAS Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology TX $50.09
CARLY A KINDBOM Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant PA $486.04
CARLY FABRIZIO Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology PA $571.34
CARLY KREMER Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant WV $22.67
CARLY R OSMOLINSKI Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant PA $18.37
CARMEL A ROHANI Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX $1,610.85
CARMEL S ASHUR Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease MI $337.10
CARMELINA DIMATTEO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner NY $22.12
CARMELO C OTERO Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX $25.45
CAROL ANNE ANGELILLO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner NJ $16.06
CAROL D PORTER Physician Assistants & Advanced Practice Nursing Providers|Nurse Anesthetist, Certified Registered IL $23.82
CAROL L THORNTON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $181.39
CAROLINE A MURPHY Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY $29.34
CAROLINE FEINMAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care VA $129.59
CAROLINE H SHAW Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant FL $180.00
CAROLINE L BLEVINS Allopathic & Osteopathic Physicians|Family Medicine VA $19.15
CAROLINE L BOYER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner VA $161.99
CAROLINE M DELUCIA Allopathic & Osteopathic Physicians|Internal Medicine NV $22.12
CAROLINE MARY SHEA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $134.83
CAROLINE NGUYENTHAM Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $126.50
CAROLINE SCHERER Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology PA $65.00
CAROLYN A GIVEON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner TX $238.94
CAROLYN A LIFRIERI Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NY $135.59
CAROLYN D PERRY Nursing Service Providers|Registered Nurse NJ $29.65
CAROLYN E COX Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX $43.16
CAROLYN F COONS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner NE $267.50
CAROLYN GONZALEZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care CA $155.20
CAROLYN J RUMPELTES Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical CA $186.15
CAROLYN PAYNE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner TX $35.62
CAROLYN S LACEY Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CA $291.43