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Federal IDR outcomes by specialty CMS publishes specialty as free text typed by the provider. We group those labels with published rules (see methodology ). Labels that match no rule, and blank or “N/R” labels, are counted in all-specialty figures but have no page.
Specialty group n determined Provider win rate Median payment-to-QPA Anesthesiology 504,370 84.2% 3.29x Cardiology 2,918 82.1% 9.03x Cardiothoracic and thoracic surgery 1,825 82.0% 31.79x Critical care 2,156 90.6% 5.54x Emergency medicine and emergency departments 4,069,619 85.3% 3.44x Gastroenterology 2,377 83.9% 23.81x General and other surgery 56,934 87.3% 8.25x Hospital medicine (hospitalists) 58,520 88.4% 2.69x Hospitals and facilities 733,657 85.2% 2.67x Infectious disease 1,429 79.9% 4.87x Internal and family medicine 27,964 85.2% 6.59x Intraoperative neuromonitoring 375,419 87.5% 18.62x Laboratory and pathology 7,643 81.4% 1.00x Neonatology 32,657 84.6% 3.06x Neurology 32,309 85.2% 27.82x Neurosurgery and spine surgery 42,011 87.9% 40.13x Obstetrics and gynecology 17,054 88.9% 23.07x Orthopedic surgery 36,021 87.4% 22.82x Pain medicine 25,618 84.1% 39.55x Physical medicine and rehabilitation 1,221 78.8% 45.69x Plastic and reconstructive surgery 55,381 88.9% 18.60x Podiatry 909 89.0% 36.66x Psychiatry 529 70.7% 1.55x Radiology 1,569,904 93.3% 4.98x Surgical assistant services 34,638 89.5% 30.76x Urology 1,759 90.1% 19.15x Vascular surgery 10,303 86.5% 43.06x
Period: 2023 Q1–2025 Q4.