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
HOLLY NICHOLE SMITH	Allopathic & Osteopathic Physicians\|Family Medicine	IN	$37.21
HOLLY RENEE LAVENDER	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	OK	$7.61
HOLLY ZIRNHELD	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	KY	$51.24
HOLLYANNE BLY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Family	NY	$25.93
HOLLYN G SINGLETARY	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner	FL	$114.73
HOMAYOUN R AHMADIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TN	$215.31
HOMAYOUN S AMIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	GA	$15.82
HONG JEONG	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	FL	$272.68
HOOMAN MADYOON	—	CA	$151.05
HOOTAN RAHIMIZADEH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$54.51
HOPE R SELLARS	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Adult Health	TN	$529.13
HORMOZ KIANFAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	NJ	$78.29
HOSSEIN ALIMADADIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$84.27
HOUMAN KHAKPOUR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$42.34
HOWARD A BAKER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$174.03
HOWARD B REINFELD	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$30.49
HOWARD BARNET KRAMER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$79.87
HOWARD D NOVECK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	NJ	$264.64
HOWARD EISEN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Advanced Heart Failure and Transplant Cardiology	PA	$614.22
HOWARD I FRUMIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	CA	$219.51
HOWARD LEE BRAZIL	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AL	$41.23
HOWARD LOUIS HARONIAN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NC	$485.41
HOWARD M WEINBERG	Allopathic & Osteopathic Physicians\|Nuclear Medicine\|Nuclear Cardiology	NJ	$574.33
HOWARD MIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	CA	$94.39
HOWARD N TARKIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	NY	$23.23
HOWARD S RUBIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$24.21
HOWARD STITES LEWIS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	WA	$66.36
HOWARD T TEE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$508.39
HRISHIKESH S IYENGAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	OR	$58.25
HRUSHIK AMIN	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$15.21
HSIN-YI STEPHANIE CHEUNG	Physician Assistants & Advanced Practice Nursing Providers\|Nurse Practitioner\|Acute Care	TX	$185.00
HUANCHUN NANA LAI	Allopathic & Osteopathic Physicians\|Internal Medicine	MI	$26.84
HUE-TEH SHIH	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	TX	$253.94
HUGH LIPSHUTZ	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	PA	$30.64
HUGH T MCELDERRY	Allopathic & Osteopathic Physicians\|Internal Medicine\|Clinical Cardiac Electrophysiology	AL	$25.99
HUGO FAZZ	Allopathic & Osteopathic Physicians\|Family Medicine	AZ	$17.52
HUGO G BLAKE	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	TX	$136.06
HUGO MANCO	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NY	$196.29
HUGO RIFFEL-DALINGER	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$142.04
HUI SHENG HUANG	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	FL	$116.80
HUIJIAN J WANG	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$376.85
HULBERT DO	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	CA	$251.28
HUMA A BAIG	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant\|Medical	KS	$169.99
HUMAYUN JAMIDAR	Allopathic & Osteopathic Physicians\|Internal Medicine\|Cardiovascular Disease	FL	$38.88
HUMBERTO J JIMENEZ	Allopathic & Osteopathic Physicians\|Family Medicine	FL	$155.35
HUNTER DANIELS	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TN	$82.48
HUNTER LYNN SHAHBAZ	Physician Assistants & Advanced Practice Nursing Providers\|Physician Assistant	NJ	$131.88
HURSH S NAIK	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	AZ	$132.06
HUSENG VEFALI	Allopathic & Osteopathic Physicians\|Internal Medicine\|Interventional Cardiology	TX	$521.94
HUSSAIN M MANJI	Allopathic & Osteopathic Physicians\|Internal Medicine	NJ	$29.75