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
HENRY M MELTSER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$84.70
HENRY N WARD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CT	$144.89
HENRY VAN GIESON	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	CA	$32.28
HENRY YEE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$36.79
HERBERT A KING	Allopathic & Osteopathic Physicians\|Family Medicine	VA	$21.82
HERBERT SILVERSTEIN	Allopathic & Osteopathic Physicians\|Otolaryngology\|Otology & Neurotology	FL	$142.87
HERCULES PANAYIOTOU	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AL	$13.67
HERMAN D LU	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$284.43
HERMAN D MOVSOWITZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$81.64
HERMAN EDWARD COLLIER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$26.47
HERMAN EVERETTE SPIVEY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	TX	$313.48
HERNAN L MEDINA	—	AZ	$158.88
HERSY CONTRERAS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NY	$24.96
HETAL R BHAKTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$223.18
HETAL RATHOD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	TX	$24.96
HIAM RASMY COLLAR	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	FL	$15.38
HIEU T HUYNH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	VA	$172.17
HILARY OAKES	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	WY	$744.95
HILARY SHAPIRO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	CA	$150.00
HILLARY HOWE TASSIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$84.99
HILLARY L BEHN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	IA	$16.79
HILTON A ALEMAR HERNANDEZ	Allopathic & Osteopathic Physicians\|Internal Medicine	FL	$48.27
HIMA NMI MIKKILINENI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$396.18
HIMAL R SHAH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AZ	$72.60
HIMANSHU HARSHADRAY SHUKLA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$293.36
HIMANSHU M PATEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	GA	$133.69
HIMANSHU MD AGARWAL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	NE	$28.63
HINA ASLAM	Allopathic & Osteopathic Physicians\|Anesthesiology	TX	$35.16
HINA F SIDDIQUI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	TX	$827.99
HINGSON M CHUN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	HI	$157.01
HIRAD YARMOHAMMADI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	NY	$753.09
HIRAK J SEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$203.11
HIRAK M SHAH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	KS	$15,365.39
HIRAL AMIN	Allopathic & Osteopathic Physicians\|Internal Medicine	NJ	$26.27
HIREN RAJENDRAKUMAR PATEL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	FL	$38.32
HIRSCH S MEHTA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	CA	$29.65
HITESH RAHEJA	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NJ	$123.34
HIVA VAKIL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	AZ	$445.60
HODO N MOHAMUD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	WA	$62.31
HOLLEY IVEY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	GA	$18.42
HOLLIE GAIL CRUTCHFIELD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	AL	$13.06
HOLLY B BUNCH	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	TN	$124.73
HOLLY CHRISTINE ROBIN	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	MO	$350.45
HOLLY E GOSSETT	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	GA	$24.48
HOLLY FIDELIS PORTER	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Gerontology	NV	$137.21
HOLLY GURESKI	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$185.00
HOLLY M GONZALES	Allopathic & Osteopathic Physicians\|Internal Medicine	NC	$19.36
HOLLY MARIE HARRISON	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	FL	$41.01
HOLLY MARK SPENCER	—	OK	$44.54
HOLLY N HANSON	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	WI	$25.04