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
EDGAR M CESPEDES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$260.51
EDGARDO DE GUZMAN GALERA	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	CA	$173.57
EDGARDO R REYES AYALA	Allopathic & Osteopathic Physicians\|Internal Medicine	FL	$225.71
EDILBERTO BENITEZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$131.38
EDINRIN OBASARE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NY	$113.49
EDIZ TASAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MS	$142.34
EDMOND M CRONIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$124.45
EDMOND OBENG-GYIMAH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$179.57
EDMUND BERMUDEZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$18.61
EDMUND O FIKSINSKI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	NE	$16.69
EDMUND T KARAM	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NJ	$21.97
EDMUNDO JORDAN MOREY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PR	$121.91
EDO Y BIRATI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	PA	$3,000.00
EDOUARD R DAHER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MI	$92.69
EDUARD KOMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$347.78
EDUARDO A PEREZ	Allopathic & Osteopathic Physicians\|Surgery\|Pediatric Surgery	FL	$104.34
EDUARDO C SABATES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$157.91
EDUARDO D FLORES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$136.06
EDUARDO HERNANDEZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$386.09
EDUARDO L GRUNVALD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Obesity Medicine	CA	$182.33
EDUARDO VALLADARES	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	FL	$14.95
EDWARD B MCMILLAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$17.60
EDWARD C SANTOIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$214.09
EDWARD CARL BERGEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	LA	$24.55
EDWARD CHARLES GILDEH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	OH	$19.36
EDWARD CLAUDE CLERMONT	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	GA	$559.92
EDWARD COHEN	Allopathic & Osteopathic Physicians\|Urology	CA	$45.38
EDWARD D MARTIROSIAN	Allopathic & Osteopathic Physicians\|Internal Medicine	VA	$114.45
EDWARD EVANS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AZ	$836.04
EDWARD G BAPTISTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$357.84
EDWARD J HURLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MO	$228.65
EDWARD J LAZAGA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Nephrology	TX	$36.13
EDWARD J QUINN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$14.06
EDWARD J ZAJAC	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	IA	$115.31
EDWARD JOSEPH TADAJWESKI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$62.84
EDWARD K RHEE	Allopathic & Osteopathic Physicians\|Pediatrics\|Pediatric Cardiology	AZ	$824.33
EDWARD KOJO-EYIAH KOOMSON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	GA	$127.01
EDWARD L RACHOFSKY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$123.36
EDWARD M CULLUM	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AL	$45.94
EDWARD M LEE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$22.33
EDWARD M STARR	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NY	$21.56
EDWARD MARTIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	OK	$15.92
EDWARD N SHEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	HI	$279.06
EDWARD ORUCI	—	NY	$41.31
EDWARD POWERS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	IA	$332.04
EDWARD POYTHRESS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Geriatric Medicine	TX	$26.91
EDWARD R BERMUDEZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$68.67
EDWARD R CHAFIZADEH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$843.99
EDWARD R HARBACK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$26.25
EDWARD RIULI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	MD	$16.38