Impulse Dynamics (USA) Inc.: payments to doctors
Reported under the Physician Payments Sunshine Act for Open Payments program years 2019–2025. Figures group every CMS reporting entity belonging to this corporate parent.
- Total reported
- $15.6M
- Providers paid
- 11,524
- Transactions
- 41,769
- Average per transaction
- $374
The average per transaction — $374 — is the number worth reading. A large total spread across hundreds of thousands of transactions is a company buying a great many modest meals at educational presentations. A large total across few transactions means consulting, speaking or royalty arrangements with a small number of physicians. The totals alone do not distinguish them.
Where the money went
| State | Total reported | Share |
|---|---|---|
| Pennsylvania | $2,032,862 | 13.0% |
| New Jersey | $1,905,148 | 12.2% |
| Arizona | $1,786,685 | 11.4% |
| Texas | $1,548,623 | 9.9% |
| Ohio | $958,749 | 6.1% |
| California | $923,656 | 5.9% |
| Florida | $860,821 | 5.5% |
| Mississippi | $616,133 | 3.9% |
| Illinois | $525,029 | 3.4% |
| Michigan | $437,092 | 2.8% |
| New York | $434,404 | 2.8% |
| Missouri | $291,897 | 1.9% |
| South Carolina | $288,310 | 1.8% |
| Kentucky | $258,321 | 1.7% |
| Massachusetts | $232,394 | 1.5% |
| North Carolina | $224,318 | 1.4% |
| Virginia | $208,243 | 1.3% |
| Washington | $203,106 | 1.3% |
| Kansas | $181,374 | 1.2% |
| Minnesota | $166,135 | 1.1% |
| Indiana | $164,274 | 1.1% |
| Wisconsin | $158,506 | 1.0% |
| Georgia | $144,790 | 0.9% |
| Nebraska | $120,919 | 0.8% |
| Oregon | $118,500 | 0.8% |
| Oklahoma | $109,826 | 0.7% |
| Colorado | $94,006 | 0.6% |
| Iowa | $91,089 | 0.6% |
| Tennessee | $81,978 | 0.5% |
| District of Columbia | $71,546 | 0.5% |
| Connecticut | $64,986 | 0.4% |
| Alabama | $50,554 | 0.3% |
| Louisiana | $49,516 | 0.3% |
| Utah | $40,594 | 0.3% |
| West Virginia | $32,738 | 0.2% |
| New Hampshire | $31,941 | 0.2% |
| Maryland | $31,165 | 0.2% |
| Montana | $24,888 | 0.2% |
| Nevada | $13,676 | 0.1% |
| Arkansas | $13,451 | 0.1% |
| Idaho | $6,515 | 0.0% |
| Puerto Rico | $4,276 | 0.0% |
| South Dakota | $3,573 | 0.0% |
| Hawaii | $3,226 | 0.0% |
| Delaware | $2,470 | 0.0% |
| Wyoming | $2,418 | 0.0% |
| Alaska | $1,777 | 0.0% |
| New Mexico | $1,432 | 0.0% |
| Rhode Island | $1,299 | 0.0% |
| North Dakota | $1,100 | 0.0% |
| Maine | $420 | 0.0% |
| Vermont | $119 | 0.0% |