Impulse Dynamics (USA) INC.

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$6.6Mgeneral payments (2019-2025)
$0.00research payments (2019-2025)
11,540clinicians paid

General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.

General payments by year

2019 $40K
2020 $214K
2021 $790K
2022 $1.5M
2023 $1.8M
2024 $1.3M
2025 $987K

General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.

Products most associated with its payments

Specialties it works with most

Cardiovascular Disease $1.5M
Advanced Heart Failure and Transplant Cardiology $1.4M
Clinical Cardiac Electrophysiology $1.3M
Nurse Practitioner $567K
Interventional Cardiology $201K
Family $165K

Clinicians with the largest reported totals

Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Daniel Burkhoff Saddlebrook, NJ $608,242.43
Javed Butler Jackson, MS Advanced Heart Failure and Transplant Cardiology $594,374.55
Nancy Bonnet Morristown, NJ Nurse Practitioner $406,881.38
Rami Kahwash Columbus, OH Advanced Heart Failure and Transplant Cardiology $320,001.74
Niraj Varma Maywood, IL Cardiovascular Disease $274,222.21
Gregg Stone New York, NY Cardiovascular Disease $187,782.51
Andrew Kaplan Mesa, AZ Cardiovascular Disease $116,624.00
Benjamin D Souza Cherry Hill, NJ Clinical Cardiac Electrophysiology $86,925.53
Ashish Gupta Phoenix, AZ Cardiovascular Disease $84,013.87
Peter Carson Washington, DC $68,460.35

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.