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
DEBORAH L EKERY Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $55.30
DEBORAH L GRIFFIN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $188.18
DEBORAH L HUDDLESTON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner FL $19.89
DEBORAH LYNN PORA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health PA $65.32
DEBORAH RUHLMAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Gerontology WV $24.56
DEBORAH TERRONE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care NJ $199.93
DEBORAH W SUNDLOF Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease PA $124.38
DEBRA A CHALMERS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health NY $38.10
DEBRA A FERGUSON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $27.55
DEBRA DEFRANCO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family OH $34.53
DEBRA J LAURENT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner WA $102.66
DEBRA L FITZSIMMONS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care NJ $33.18
DEBRA L JENKINS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner VA $22.67
DEDRIC J CLARKE Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology LA $137.91
DEEANNE SEEGER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family PA $498.43
DEEMA MAJED AL-GHANDOUR Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NC $40.36
DEENA GANDHI Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry TX $86.60
DEEP ATUL SHAH Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology IL $4.96
DEEPA B IYER Allopathic & Osteopathic Physicians|Internal Medicine NJ $27.05
DEEPAK ASTI Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology TX $33.18
DEEPAK D BANERJEE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease VA $17.14
DEEPAK HOODA Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology WV $142.48
DEEPAK P VIVEK Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology FL $69.21
DEEPAK PASI Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology NC $61.93
DEEPAK R TALREJA Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology VA $206.85
DEEPALI NIVAS TUKAYE Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TX $67.41
DEEPIKA RUKMINI POTARAZU Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease TN $168.55
DEEPTHI R MOSALI Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology KY $171.26
DEEPTHY VARGHESE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family GA $12.78
DEIDRA L VARNER Allopathic & Osteopathic Physicians|Internal Medicine MD $22.86
DEIDRE SFERLAZZA Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Adult Health FL $365.75
DEIRDRE HARRINGTON Allopathic & Osteopathic Physicians|Internal Medicine NY $28.23
DELANO R SMALL Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology MI $153.07
DELCINE A SOOD Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NJ $32.14
DELIA J DOBRESCU Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology NJ $171.03
DELIA T GONGORA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FL $18.98
DEMETRIOS G MARAGOS Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology MO $29.10
DEMIR BAYKAL Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease GA $764.21
DEMOSTHENES N ISKOS Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology MN $18.00
DENA L WILSON Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease AZ $142.23
DENES KORPAS Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology NE $799.24
DENICE M HODGSON ZINGMAN Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology IA $383.57
DENISE DIETZ Allopathic & Osteopathic Physicians|Internal Medicine VA $63.99
DENISE J BENNETT Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist OK $14.49
DENISE R VEGA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner TX $46.97
DENISE RIGNEY PEREZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family CA $25.54
DENISE THOMAS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health AZ $190.58
DENITA BLANDING DANIELS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family AL $26.57
DENNA LOUISE DIETRICH Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care OH $49.30
DENNIS B CHUGH Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease NY $105.46