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
CRISTINA HELENA VERGARA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Primary Care GA $15.71
CRISTINA JOSEPH Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner FL $155.20
CRISTINA M HODGKISS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $55.29
CRISTINA PECCI Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease AZ $291.35
CRISTINE Y CHIN Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant VA $19.17
CRYSTA JOANN SILAS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family AZ $50.00
CRYSTAL A BUJOLD Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $541.97
CRYSTAL A PRESTON LLOYD Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner GA $15.12
CRYSTAL ARACELY TINDALL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $211.51
CRYSTAL BOKORNEY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner TX $170.13
CRYSTAL D COPE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $21.42
CRYSTAL ELIZABETH BROWN Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease WA $57.32
CRYSTAL KLEWEIN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner CA $95.15
CRYSTAL L BROWN Allopathic & Osteopathic Physicians|Family Medicine GA $169.12
CRYSTAL LOVEDAY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MI $24.46
CRYSTAL MARIE CULBERT Allopathic & Osteopathic Physicians|Internal Medicine CO $24.40
CRYSTAL N AZU Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease MO $215.38
CRYSTAL PAWULA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology FL $18.61
CRYSTAL YANGHUA LU Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $31.44
CURTIS A HAMBURG Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $195.41
CURTIS J WEAVER Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease FL $151.47
CURTIS J WOZNIAK Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery) CA $42.37
CURTIS L HOOGENDOORN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family IA $29.16
CYNTHIA APODACA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $91.11
CYNTHIA COMO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner CO $167.83
CYNTHIA E BENDER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family IL $117.01
CYNTHIA G CRAWFORD GREEN Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease MD $513.56
CYNTHIA G JORDAN Allopathic & Osteopathic Physicians|Family Medicine AZ $16.15
CYNTHIA GUTIERREZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $24.25
CYNTHIA HOPE WINKLER Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY $36.90
CYNTHIA J BITHER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner DC $554.60
CYNTHIA J DEVINE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology AZ $17.92
CYNTHIA JO THOMASSON Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant PA $31.44
CYNTHIA LICK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TN $20.76
CYNTHIA M BRUNNER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MO $258.98
CYNTHIA M HERNANDEZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $141.45
CYNTHIA ROSE WOOLLEY Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Surgical NY $28.23
CYRIL B TAWA TX $42.63
CYRIL NATHANIEL Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology PA $183.58
CYRIL RUWENDE Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology MI $155.20
CYRIL VARUGHESE Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology TX $143.95
CYRUS A HADADI Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease VA $37.59
CYRUS F BUHARI Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology CA $532.06
CYRUS ISAAC KOCHERLA Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology SC $763.86
CYRUS K MODY Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology CA $354.58
CYRUS MANCHERJE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease CA $180.95
D ANGELA KAMINSKI Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care OH $17.66
DACIA ELISE CHISM Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner OK $116.71
DAEJOON ANH Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology NV $909.82
DAGOBERTO BALDERAS Allopathic & Osteopathic Physicians|Family Medicine TX $70.46