IDR Data
CMS PUF data · 2023 Q1–2025 Q4

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 groupn determinedProvider win rateMedian payment-to-QPA
Anesthesiology504,37084.2%3.29x
Cardiology2,91882.1%9.03x
Cardiothoracic and thoracic surgery1,82582.0%31.79x
Critical care2,15690.6%5.54x
Emergency medicine and emergency departments4,069,61985.3%3.44x
Gastroenterology2,37783.9%23.81x
General and other surgery56,93487.3%8.25x
Hospital medicine (hospitalists)58,52088.4%2.69x
Hospitals and facilities733,65785.2%2.67x
Infectious disease1,42979.9%4.87x
Internal and family medicine27,96485.2%6.59x
Intraoperative neuromonitoring375,41987.5%18.62x
Laboratory and pathology7,64381.4%1.00x
Neonatology32,65784.6%3.06x
Neurology32,30985.2%27.82x
Neurosurgery and spine surgery42,01187.9%40.13x
Obstetrics and gynecology17,05488.9%23.07x
Orthopedic surgery36,02187.4%22.82x
Pain medicine25,61884.1%39.55x
Physical medicine and rehabilitation1,22178.8%45.69x
Plastic and reconstructive surgery55,38188.9%18.60x
Podiatry90989.0%36.66x
Psychiatry52970.7%1.55x
Radiology1,569,90493.3%4.98x
Surgical assistant services34,63889.5%30.76x
Urology1,75990.1%19.15x
Vascular surgery10,30386.5%43.06x

Period: 2023 Q1–2025 Q4.