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
CHRISTOPHER F BARNETT	Allopathic & Osteopathic Physicians\|Internal Medicine\|Critical Care Medicine	CA	$150.00
CHRISTOPHER FALGOUT	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$147.76
CHRISTOPHER FEI YONG LIU	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NY	$281.04
CHRISTOPHER G CHOW	Allopathic & Osteopathic Physicians\|Internal Medicine	CA	$90.51
CHRISTOPHER G MACKEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$781.05
CHRISTOPHER H LAVERGNE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$225.50
CHRISTOPHER H SWAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$111.71
CHRISTOPHER HAMILTON SMITH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	SC	$67.37
CHRISTOPHER HEATH FINE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CO	$27.78
CHRISTOPHER ISAIAH JONES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$123.39
CHRISTOPHER J BENSON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	IA	$22.87
CHRISTOPHER J BUSKEN	Allopathic & Osteopathic Physicians\|Surgery\|Vascular Surgery	TX	$28.31
CHRISTOPHER J HIGGINS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	OK	$13.12
CHRISTOPHER J SUHAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$28.73
CHRISTOPHER JEFFREY FRANK	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NC	$21.88
CHRISTOPHER JOHN RAGONA	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	NY	$108.88
CHRISTOPHER JOSEPH BRADLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	MI	$30.87
CHRISTOPHER K WONG	Allopathic & Osteopathic Physicians\|Internal Medicine	NJ	$23.50
CHRISTOPHER KENT DYKE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CO	$27.78
CHRISTOPHER KOLIBASH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	WV	$417.79
CHRISTOPHER L BALDI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$179.87
CHRISTOPHER LLOYD SNYDER	Allopathic & Osteopathic Physicians\|Family Medicine	NE	$30.64
CHRISTOPHER LOUIS SPIZZIERI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$12.77
CHRISTOPHER LOUIS SPIZZIERI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$12.77
CHRISTOPHER M BELL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	MS	$4,163.11
CHRISTOPHER M HINSON	Allopathic & Osteopathic Physicians\|Internal Medicine	MS	$82.48
CHRISTOPHER M LOWERY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CO	$563.93
CHRISTOPHER M MORGAN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	AL	$20.49
CHRISTOPHER M OCONNOR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	VA	$180.54
CHRISTOPHER M SCHULZE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$2,154.22
CHRISTOPHER NENION CONLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NC	$21.83
CHRISTOPHER O AUSTIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$40.13
CHRISTOPHER P INGELMO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	TN	$71.08
CHRISTOPHER PAUL PORTERFIELD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CO	$10,673.70
CHRISTOPHER PAUL RUISI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$41.41
CHRISTOPHER R COLE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CO	$222.25
CHRISTOPHER R JONES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	PA	$43.05
CHRISTOPHER REGGIO	Allopathic & Osteopathic Physicians\|Internal Medicine	PA	$273.08
CHRISTOPHER ROBERT ANGUS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$26.14
CHRISTOPHER ROBERT ANGUS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$26.14
CHRISTOPHER ROBERT BRODA	Allopathic & Osteopathic Physicians\|Pediatrics\|Pediatric Cardiology	TX	$149.55
CHRISTOPHER S HILER	Allopathic & Osteopathic Physicians\|Family Medicine	AZ	$32.58
CHRISTOPHER S KING	Allopathic & Osteopathic Physicians\|Internal Medicine	AZ	$143.67
CHRISTOPHER S NICHOLSON	Allopathic & Osteopathic Physicians\|Nuclear Medicine\|Nuclear Cardiology	VA	$111.88
CHRISTOPHER S STEES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CO	$1,321.85
CHRISTOPHER S THOMAS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	VA	$70.81
CHRISTOPHER SAMANIEGO	Podiatric Medicine & Surgery Service Providers\|Podiatrist\|Foot & Ankle Surgery	NJ	$23.80
CHRISTOPHER SCOTT LICHTENWALTER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$175.17
CHRISTOPHER SERRONE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	AZ	$15.50
CHRISTOPHER T SPARROW	Allopathic & Osteopathic Physicians\|Hospitalist	MO	$125.54