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
GARY FLOYD MILECHMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$430.67
GARY GROSSMAN	Allopathic & Osteopathic Physicians\|Internal Medicine	NV	$23.67
GARY H FRIEDMAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$38.10
GARY K HUNSINGER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	MI	$118.36
GARY L CONRAD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$48.00
GARY M IDELCHIK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	WY	$106.96
GARY MILTON RANDALL	Allopathic & Osteopathic Physicians\|Family Medicine	AZ	$20.88
GARY P FAZIO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$47.58
GARY R SCHUSTER	Allopathic & Osteopathic Physicians\|Internal Medicine	WA	$19.53
GARY ROSS FARRIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AL	$26.68
GARY S LEDLEY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$15.94
GARY SIJIA HUANG	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$330.73
GARY THOMAS SNIFFEN	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	MI	$17.77
GARY VIGILANTE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$64.17
GARY WAYNE HINSON	Allopathic & Osteopathic Physicians\|Radiology\|Diagnostic Radiology	KS	$42.07
GAURANG NANDKISHOR VAIDYA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	GA	$15.25
GAURAV A UPADHYAY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	IL	$233.53
GAURAV AGGARWALA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$546.27
GAURAV SHARMA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$28.48
GAUTAM KEDIA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$28.07
GAUTAM R PATANKAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$22.59
GAUTHAM KALAHASTY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	VA	$213.79
GAVIN G GIST	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	MS	$345.27
GAVIN JOSHUA HARPER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	PA	$179.86
GAYLE J DEBOLT RICHINS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	WA	$62.31
GEETHA F PINTO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	SC	$21.89
GENE CHANG	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	PA	$27.69
GENE H KIM	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	IL	$27.76
GENE IUCCI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$1,048.56
GENEVIEVE EVELYN DALY	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	PA	$34.96
GENEVIEVE L EVERETT	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$15.47
GENICA F GELSON	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	NV	$336.77
GENNADY GESKIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$371.67
GEOFFREY F LEWIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NC	$18.56
GEOFFREY JAO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	AZ	$104.51
GEOFFREY ZARRELLA	Allopathic & Osteopathic Physicians\|Nuclear Medicine\|Nuclear Cardiology	NJ	$354.07
GEORG J COUTURIER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$41.04
GEORGE A GAMOURAS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$27.34
GEORGE A NASSER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$264.55
GEORGE A YOUNIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$238.29
GEORGE A YOUSSEF	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	OH	$47.27
GEORGE ALAN YESENOSKY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$32,169.58
GEORGE B LEBER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$15.79
GEORGE BATSIDES	Allopathic & Osteopathic Physicians\|Thoracic Surgery (Cardiothoracic Vascular Surgery)	NJ	$112.45
GEORGE C PARIDES	Allopathic & Osteopathic Physicians\|Internal Medicine\|Pulmonary Disease	AZ	$13.62
GEORGE C SHAW	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	PA	$33,586.69
GEORGE CRAIG SHAPIRO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$22.13
GEORGE DODDS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$19.32
GEORGE E BLANCO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$22.52
GEORGE EDWARD MANOUKIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	TX	$4,647.64