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
DOUGLAS A WALDO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MT	$115.37
DOUGLAS C GOHN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$34.27
DOUGLAS D NETZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	NE	$63.06
DOUGLAS DARDEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	KS	$17.31
DOUGLAS HORSTMANSHOF	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MI	$175.07
DOUGLAS J HANES	Allopathic & Osteopathic Physicians\|Internal Medicine	NJ	$35.00
DOUGLAS J WUNDERLY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MI	$106.43
DOUGLAS L JARRETT	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	FL	$153.17
DOUGLAS L PACKER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	UT	$32,570.16
DOUGLAS L ROBERTS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$348.21
DOUGLAS LYLE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$29.21
DOUGLAS MARSHALL BRINKLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TN	$23.43
DOUGLAS MILAN MAREADY	Allopathic & Osteopathic Physicians\|Internal Medicine	AZ	$30.14
DOUGLAS R BREE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$225.68
DOUGLAS R SALMON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$496.31
DOUGLAS W TRIFFON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$28.73
DOYLE LYN SHELTON	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	NC	$154.78
DREAMY JAMES	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	NJ	$43.82
DREIVIS CABEZAS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	FL	$26.69
DREW J MARTIN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	VA	$19.18
DREW M THEUERKAUF	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Surgical	CO	$32.13
DREW MITCHELL	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NY	$28.23
DRU DETHLEFS	Allopathic & Osteopathic Physicians\|Internal Medicine	AZ	$137.58
DUANE A BRYAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$34.57
DUANE E BRIDGES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$355.36
DUANE F FOLLMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	IL	$153.25
DUANE LYNN HOSTETLER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	FL	$196.96
DUCCIO BALDARI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$213.96
DUNCAN O BURNS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	WA	$96.60
DUSAN A STANOJEVIC	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	KS	$33.35
DUSAN KNEZEVIC	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$16.42
DUSTIN C AGAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$204.03
DUSTIN J REITHMEIER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NJ	$35.83
DUSTIN M PINE	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	PA	$70.61
DWAYNE A SCHMIDT	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	OK	$138.85
DWAYNE NICHOLAS CAMPBELL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	IA	$223.72
DWAYNE W SIU	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NJ	$21.08
DYLAN MITCHELL HAGEL	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NJ	$156.82
DZUNG QUACH	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$352.71
E JOHN R SAMUEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$120.16
EARL J HOPE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	PA	$198.27
EARL L MANGIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$103.54
EBENEZER T ONI	Allopathic & Osteopathic Physicians\|Internal Medicine	PA	$383.60
EBERE ALEXANDER	Allopathic & Osteopathic Physicians\|Internal Medicine	NJ	$20.40
EBERE CHUKWU	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	TX	$62.30
EBERE UGWANYI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$56.43
EDDICE T COMPANION	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	FL	$207.47
EDDY MIZRAHI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$206.94
EDGAR ABOVICH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$287.93
EDGAR ALEMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$142.02