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
ELISE S SPLIT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner AL $32.12
ELIZABETH A GARRITY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family AK $188.39
ELIZABETH A KOVACS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family CA $481.55
ELIZABETH A LEE Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant OK $17.50
ELIZABETH A O'CONNOR Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner MT $84.63
ELIZABETH ANN AVERY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MA $16.50
ELIZABETH ANN MELCHER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family VA $30.25
ELIZABETH ANNE BIRD Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family VA $39.46
ELIZABETH ANNE GAMBILL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care MO $176.88
ELIZABETH ANNE LIDIARD Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NC $23.34
ELIZABETH B LANGLOIS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family LA $78.55
ELIZABETH BELLE WHEELER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family GA $122.01
ELIZABETH C COLEMAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care MS $22.40
ELIZABETH C LEE Allopathic & Osteopathic Physicians|Internal Medicine|Advanced Heart Failure and Transplant Cardiology NY $149.97
ELIZABETH CHUA Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology AL $26.05
ELIZABETH DELCAMBRE WADDELL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $36.20
ELIZABETH DURAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner TX $150.00
ELIZABETH E ANDERSON Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NE $47.94
ELIZABETH E MOHANTY Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant FL $143.41
ELIZABETH E URRUTIA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health OH $428.05
ELIZABETH ELLEN PETERS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner SC $20.42
ELIZABETH G WHITE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner OH $35.70
ELIZABETH GONZALEZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FL $127.83
ELIZABETH H ILLING Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family GA $267.22
ELIZABETH IRENE DAVIS Allopathic & Osteopathic Physicians|Internal Medicine TX $131.04
ELIZABETH JEAN JACKSON Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist|Adult Health TX $186.29
ELIZABETH JOY CARTER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care CO $685.40
ELIZABETH KATHERINE HOYT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care PA $67.34
ELIZABETH KELLY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NH $2.75
ELIZABETH L PELOQUIN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MA $16.49
ELIZABETH LAYNE EMIG Nursing Service Providers|Registered Nurse WA $972.93
ELIZABETH M ELLIOTT Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical PA $145.14
ELIZABETH M FOWLER Allopathic & Osteopathic Physicians|Internal Medicine PA $26.06
ELIZABETH M LAMB Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner VA $70.44
ELIZABETH MARGARET GROSSNICKLE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $212.89
ELIZABETH MOONEY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $174.21
ELIZABETH OLIVER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family WV $166.61
ELIZABETH P GOTSIOS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family VA $103.95
ELIZABETH R HINDERS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner IA $743.11
ELIZABETH S MARTIN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $596.27
ELIZABETH SARAH SCOTT Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY $28.23
ELIZABETH THOMAS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TX $45.67
ELIZABETH TOWERY DAVIDSON Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care TN $1,000.00
ELIZABETH VAZQUEZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FL $21.79
ELIZABETH W ARNOLD Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health CO $268.71
ELIZABETH WIRTH Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner IL $118.84
ELIZABETH WRIGHT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX $1,788.07
ELLEN ASHLEY BUCK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NY $22.38
ELLEN BARBOUR PRICE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner NC $307.60
ELLEN C PETERSON Physician Assistants & Advanced Practice Nursing Providers|Clinical Nurse Specialist TX $55.29