Joshua Ellwitz, MD
Orthopaedic Surgery of the Spine · Kalamazoo, MINPI 1063615854
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.0%), royalties or licence payments and consulting fees — rather than concentrated in one kind of arrangement. Globus Medical accounts for 76.2% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $45,123 and has fallen 57.6% since, to $19,111 in 2025.
Across 427 payments — averaging $352.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$115K
- Medtronic$15K
- Bioventus LLC$11K
- Stryker$5K
- Si-bone, Inc.$2K
- Abbott$1K
- plus $1K from 9 others
What the payments were for
- Royalty or licence$34,55623%
- Consulting fees$25,90017%
- Speaking & faculty fees$58,71339%
- Travel & lodging$18,78912%
- Food & beverage$12,2768%
- Education$1340%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Globus Medical | 132 | $114,523 |
| Medtronic(2 entities) | 122 | $15,245 |
| Bioventus LLC | 6 | $11,248 |
| Stryker | 45 | $5,347 |
| Si-bone, Inc. | 52 | $1,544 |
| Abbott | 59 | $1,228 |
| Alphatec Spine, Inc | 2 | $537 |
| VB Spine LLC | 1 | $194 |
| Carlsmed, Inc. | 1 | $150 |
| Ortho Systems | 1 | $134 |
| Seaspine Orthopedics Corporation | 1 | $117 |
| Sanara Medtech Inc. | 2 | $40 |
| Davol Inc. | 1 | $30 |
| Johnson & Johnson | 1 | $17 |
| Providence Medical Technology, Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ELSA$19,922
- ELSA ATP$18,236
- CREO$17,600
- OsteoAMP$11,166
- RISE-L$10,961
- CREO 5.5$9,881
- Sable$9,323
- CREO 5.5/6.0 Non Threaded$8,774
- CD HORIZON$7,809
- CORBEL$5,600
- LATERAL ACCESS SPINAL SYSTEM$1,500
- UNID_PASS$1,414
- ExcelsiusGPS Robotic Navigation System$1,315
- CASCADIA INTERBODY SYSTEM$1,000
- ZEVO ANTERIOR CERVICAL PLATE SYSTEM$995
- CASCADIA$923
- MAZOR X SYSTEM$878
- TRITANIUM$678
- Quartex$662
- Other - Miscellaneous$537
How this compares
$150,368 in reported general payments places this provider in the 85th percentile of 37 orthopaedic surgery of the spine providers in Michigan.
See all orthopaedic surgery of the spine providers in Michigan →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Naloxone Hcl | 22 | $1,409 |
| Gabapentin | 47 | $619 |
| Methocarbamol | 53 | $526 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 42 | $431 |
| Oxycodone Hcl | 17 | $124 |
| Meloxicam | 23 | $58 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Kalamazoo
- Michael KastenKalamazoo$261K
- Peter BonoSouthfield$786K
- Joseph BrownGrand Rapids$565K
- Nilesh PatelDearborn$449K
- John LamacchiaRochester$179K
- Michael KapsokavathisBirmingham$120K
- Michael DonahueAuburn Hills$96K
- Matthew KarekGrand Rapids$90K
- Jeffrey WingateWarren$57K
- Rasheed AbiolaLivonia$43K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.