Physician

Marc A Hodroff, M.D.

According to 2025 Medicare claims, Marc Hodroff, M.D. (NPI: 1174560221) practices urology in the Portland-South Portland, ME market, with the plurality of this provider's patient population coming from Cumberland, ME. This provider's primary affiliated billing organization is FORE RIVER UROLOGY LLC (NPI: 1003248436; TIN: 46-3192481) and primary practice location at 04106-3252. Hodroff is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290) and Community Care Partnership of Maine, LLC (ACO ID: A2831), participating under the MSSP model.

Hodroff's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 300 traditional Medicare patients, billed 11,495 HCPCS/CPT codes, and received $165,874 in Medicare payments. The top billing code was 81007 (Urinalysis for bacteria). Part D data shows 2,363 prescription claims across 579 beneficiaries totaling $416,175 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 45 claims. Open Payments data shows 7 records totaling $396. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $228,052 and ending at $165,874. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $131,084 to $416,175. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $1,085 to $179.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	654	3,737	$228,052
2016	681	3,657	$227,127
2017	658	5,738	$201,467
2018	666	9,042	$218,981
2019	616	11,671	$211,312
2020	484	17,565	$313,209
2021	449	17,227	$333,410
2022	388	6,506	$142,441
2023	301	6,664	$118,618
2024	300	11,495	$165,874

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	345	1,124	$131,084
2016	389	1,328	$151,881
2017	397	1,281	$135,305
2018	486	1,337	$180,932
2019	469	1,401	$200,346
2020	444	1,393	$178,514
2021	451	1,394	$174,220
2022	488	1,571	$248,617
2023	518	1,895	$374,803
2024	579	2,363	$416,175

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	11	138	$13,612
2016	N/R	200	$19,492
2017	N/R	111	$11,623
2018	N/R	82	$10,783
2019	N/R	67	$18,701
2020	N/R	73	$21,972
2021	N/R	65	$24,831
2022	N/R	49	$30,247
2023	N/R	63	$39,671
2024	N/R	45	$23,057

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
81007	Urinalysis for bacteria	236	418	$29
82010	Ketone bodies analysis, quantitative	236	419	$8
82043	Urine microalbumin (protein) level	236	416	$6
82570	Creatinine level to test for kidney function or muscle injury	236	419	$5
82247	Bilirubin level, total	236	418	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	165	11,008	$163,142
Gemtesa	Vibegron	172	10,328	$162,261
Solifenacin Succinate	Solifenacin Succinate	246	16,398	$15,945
Tolterodine Tartrate Er	Tolterodine Tartrate	165	11,051	$13,987
Mirabegron Er	Mirabegron	18	1,170	$13,043

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	45	$23,057

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$396	Axonics, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Marc A. Hodroff, M.D.?

Tedicare shows public-source Medicare data for Marc A. Hodroff, M.D. (NPI 1174560221), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Marc A. Hodroff, M.D. have ACO affiliation data?

Marc A. Hodroff, M.D. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290) and Community Care Partnership of Maine, LLC (MSSP, ACO ID A2831).

What billing organization is linked to Marc A. Hodroff, M.D.?

Marc A. Hodroff, M.D. is linked to FORE RIVER UROLOGY LLC (billing NPI 1003248436) in the available physician profile data.

Does Marc A. Hodroff, M.D. have Open Payments data?

Marc A. Hodroff, M.D. has 7 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.