Impulse Dynamics (USA) Inc.

1. Strong Memorial Hospital Teaching hospital · NY $201,917 2 payments
2. Daniel Burkhoff Saddlebrook, NJ $110,000 11 payments
3. Nancy Bonnet Nurse Practitioner · Morristown, NJ $91,762 36 payments
4. Javed Butler Advanced Heart Failure and Transplant Cardiology · Jackson, MS $60,979 6 payments
5. Niraj Varma Cardiovascular Disease · Maywood, IL $60,836 30 payments
6. Rami Kahwash Advanced Heart Failure and Transplant Cardiology · Columbus, OH $45,948 37 payments
7. Gregg Stone Cardiovascular Disease · New York, NY $40,000 2 payments
8. Hospital Of The Univ Of Penna Teaching hospital · PA $25,000 1 payment
9. Peter Carson Washington, DC $16,650 4 payments
10. Marat Fudim Cardiovascular Disease · Durham, NC $13,454 18 payments

1. Strong Memorial Hospital Teaching hospital · NY $132,589 1 payment
2. Hospital Of The Univ Of Penna Teaching hospital · PA $115,283 18 payments
3. Allegheny Singer Research Institute $93,140 36 payments
4. The Pennsylvania State University $71,688 28 payments
5. Phoenix Heart PLLC $71,605 2 payments
6. Rutgers The State University of NJ $69,482 13 payments
7. Massachusetts General Hospital Teaching hospital · MA $65,776 20 payments
8. Oconee Memorial Hospital Teaching hospital · SC $64,156 14 payments
9. Seattle Institute For Biomedical And Clinical Research $62,762 2 payments
10. Cardiovascular Associates of Mesa PC $59,418 40 payments

1. Optimizer Cardiovascular Device $887,717 50% · 2,191 recipients
2. Optimizer Cardiovascular Device $887,439 50% · 2,190 recipients

Each share is of this company’s general payments naming a product in 2025. A payment can name up to five products, so these amounts overlap.

1. Cardiovascular Disease Internal Medicine $234,990 27% · 532 practitioners
2. Advanced Heart Failure and Transplant Cardiology Internal Medicine $176,322 21% · 129 practitioners
3. Clinical Cardiac Electrophysiology Internal Medicine $164,621 19% · 344 practitioners
4. Nurse Practitioner $125,510 15% · 155 practitioners
5. Nurse Practitioner, Family Nurse Practitioner $30,961 4% · 226 practitioners

The top 5 of 46 specialties; each share is of this company’s general payments to practitioners with a specialty in 2025. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

1. New York $339,635 28% · 138 recipients
2. New Jersey $119,742 10% · 248 recipients
3. Ohio $105,885 9% · 41 recipients
4. Pennsylvania $77,314 6% · 259 recipients
5. California $70,401 6% · 125 recipients

The top 5 of 49 states; each share is of this company’s general payments in 2025 where a state was reported.

The top 25 states, free in the app

1. Consulting Fee $2,707,418 649 payments
2. Food and Beverage $1,896,464 35,890 payments
3. Honoraria $1,616,063 749 payments
4. Travel and Lodging $366,860 863 payments
5. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $229,517 21 payments
6. Space rental or facility fees (teaching hospital only) $163,081 33 payments
7. Grant $25,000 1 payment