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
FREDERICK M COSTELLO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	ID	$280.19
FREDERICK SPENCER GASKIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AL	$22.46
FREDERICK WOOD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$215.55
FREDRIC H KLOPF	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AZ	$169.03
FREDRICK ALF CARLSTON	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	CA	$145.48
FRENY V MODY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$491.78
FRIEDA WROTSLAVSKY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	NY	$49.09
FUAD JAMAL HABASH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AZ	$86.18
FULGENCIO ANTUNA	Allopathic & Osteopathic Physicians\|Internal Medicine	NV	$150.00
FUNDADOR L ADAJAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NM	$40.52
GABBRIELLE KNABE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	AZ	$17.47
GABRIEL ANTONIO HERNANDEZ	Allopathic & Osteopathic Physicians\|Internal Medicine	MS	$270.68
GABRIEL BREUER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$27.82
GABRIEL E SOTO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	MO	$344.42
GABRIEL ESPINOZA	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	TX	$127.62
GABRIEL ODOZYNSKI DA SILVA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	MA	$140.27
GABRIEL R HOLLAND	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	AK	$188.39
GABRIEL REGINO	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	TX	$134.01
GABRIEL VICTOR	Allopathic & Osteopathic Physicians\|Internal Medicine	AZ	$4.55
GABRIELA ANDRIES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$117.57
GABRIELA MARIA BERRIOS-RIVERA	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$27.51
GABRIELA ORGERON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$82.59
GABRIELLA E SMITH	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	CT	$37.28
GABRIELLA LATTANZI GANNETT	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	AZ	$1,002.52
GABRIELLA LEOTIE HAY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	FL	$176.31
GABRIELLE LEIGH SUNDHOLM	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NC	$139.48
GABRIELLE PETRUS DAMASCO	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	PA	$179.86
GABRIELLE RUBIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	IL	$39.28
GAD SILBERMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$16.20
GAETANO J CAPONE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$32.75
GAGAN KAUR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AZ	$151.55
GAIL L DAVENPORT	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	FL	$45.72
GAIL M GUSTAFSON	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	PA	$167.28
GAIL TROMP	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	FL	$66.22
GALE SCAVIN	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NY	$290.74
GALEN ENGEL	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	MI	$265.42
GANESH S VENKATARAMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CO	$723.67
GANIYU OLUKAYODE OSHODI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	CA	$118.57
GANXIN YAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$143.34
GARETH TITUS	—	VA	$34.14
GARIALDY LEE	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	PA	$316.02
GARLAND GARY GREEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	LA	$26.01
GARLY RUSHLER SAINT CROIX	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$173.15
GARO GARIBIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$1,582.32
GARRETT H BROWN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$325.72
GARRETT LLOYD BOSTWICK	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NC	$22.44
GARY A RATH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CO	$18.35
GARY C BURKE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$178.75
GARY C CHAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	GA	$18.58
GARY E OPPENHEIM	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	WA	$62.30