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
DENNIS E HANNEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$132.49
DENNIS J WALKER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$88.24
DENNIS KATECHIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$15.79
DENNIS L BARNETT	Allopathic & Osteopathic Physicians\|Internal Medicine	OR	$47.20
DENNIS M CASSIDY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$45.73
DENNIS M SPILLER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$19.33
DENNIS M UNKS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$118.58
DENNIS N GLASCOCK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	MO	$99.02
DENNY JOSEPH	Allopathic & Osteopathic Physicians\|Hospitalist	TX	$19.22
DENZIL LOUIS MORAES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	LA	$24.69
DEREK A MEAD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	KS	$18.62
DEREK J LUNEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$50.93
DEREK W SANTIAGO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$26.10
DERRICK LEMUEL RODRIGUEZ	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NJ	$150.32
DERRICK ROTH FANSLER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CO	$156.50
DESIREE LITTLE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	AZ	$197.36
DESTINY N VOELPEL	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	WA	$102.67
DETLEF WENCKER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	TX	$44.89
DETTY JAMES	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NY	$142.53
DEVANG A GANDHI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$56.05
DEVANG S PARIKH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$539.68
DEVENDER N AKULA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NJ	$813.79
DEVI NAIR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AR	$2,500.00
DEVIKA KIR	—	CT	$143.79
DEVIN ALEXANDER HADDAD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	SC	$203.09
DEVIN DHIREN MEHTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	IL	$32.12
DEVIN R ROBINSON	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	TX	$18.00
DEVON M ANTHONY	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	FL	$61.11
DEVON R SINGH	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	PA	$89.28
DEWITT LEACHMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$268.60
DHAIRYASHEEL GHOSALKAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$171.72
DHANUNJAYA REDDY LAKKIREDDY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	KS	$837.76
DHARMENDRA N BHAKTA	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	AZ	$21.37
DHARMESH S PATEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MS	$195.54
DHAVAL R PAREKH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$1,271.45
DHAVAL S DESAI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$18.82
DHEERAJ K BOBBA	Allopathic & Osteopathic Physicians\|Hospitalist	AZ	$36.31
DHIRAJ WARMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$13.89
DHRUV CHAWLA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	GA	$27.92
DIANA ALFONSINA RODRIGUEZ ALCANTARA	Allopathic & Osteopathic Physicians\|Internal Medicine	PA	$32.10
DIANA CAROLINA MIRANDA RUIZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$237.32
DIANA ELWELL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	CT	$135.59
DIANA I IAZICHYAN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	CA	$202.15
DIANA L CHADDOCK	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NY	$18.49
DIANA L ONEIL	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NH	$161.33
DIANA MARIA FRANCO-GALLEGOS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NY	$183.89
DIANA N KEILING	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	CO	$46.94
DIANE E GROGAN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	MA	$182.86
DIANE E MACYS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	MA	$122.15
DIANE E WEIBELER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	CO	$226.31