Federal IDR outcomes by state
State means the place of service reported by CMS (“Location of Service”), not where the provider is based.
| State | n determined | Provider win rate | Median payment-to-QPA |
|---|---|---|---|
| Alabama | 69,162 | 86.2% | 4.41x |
| Alaska | 2,059 | 80.7% | 2.94x |
| Arizona | 656,087 | 82.2% | 4.14x |
| Arkansas | 121,058 | 87.3% | 4.41x |
| California | 253,345 | 88.2% | 2.60x |
| Colorado | 33,551 | 77.7% | 3.03x |
| Connecticut | 18,600 | 80.8% | 3.32x |
| Delaware | 6,914 | 75.5% | 3.63x |
| District of Columbia | 1,067 | 84.7% | 4.60x |
| Florida | 644,464 | 87.2% | 2.60x |
| Georgia | 268,259 | 84.2% | 2.97x |
| Hawaii | 789 | 79.3% | 6.62x |
| Idaho | 9,981 | 81.7% | 6.60x |
| Illinois | 56,777 | 86.8% | 4.34x |
| Indiana | 184,712 | 86.6% | 3.63x |
| Iowa | 8,694 | 78.0% | 2.91x |
| Kansas | 42,990 | 90.7% | 3.34x |
| Kentucky | 43,510 | 86.6% | 3.35x |
| Louisiana | 101,877 | 76.2% | 3.89x |
| Maine | 3,237 | 83.3% | 2.85x |
| Maryland | 31,835 | 79.2% | 3.30x |
| Massachusetts | 11,098 | 71.6% | 2.39x |
| Michigan | 55,526 | 92.4% | 3.69x |
| Minnesota | 2,262 | 85.5% | 6.41x |
| Mississippi | 99,947 | 85.1% | 3.06x |
| Missouri | 116,617 | 87.0% | 4.21x |
| Montana | 974 | 87.4% | 9.91x |
| Nebraska | 2,489 | 79.3% | 3.75x |
| Nevada | 128,977 | 90.9% | 2.98x |
| New Hampshire | 4,475 | 86.5% | 3.15x |
| New Jersey | 246,991 | 84.7% | 10.46x |
| New Mexico | 67,514 | 93.3% | 5.07x |
| New York | 260,707 | 85.3% | 4.89x |
| North Carolina | 85,166 | 82.7% | 2.48x |
| North Dakota | 163 | 76.7% | 2.37x |
| Ohio | 120,636 | 85.5% | 2.54x |
| Oklahoma | 146,415 | 91.4% | 4.77x |
| Oregon | 9,014 | 56.9% | 1.82x |
| Pennsylvania | 62,145 | 89.4% | 4.54x |
| Rhode Island | 11,054 | 80.5% | 3.48x |
| South Carolina | 69,069 | 83.6% | 2.93x |
| South Dakota | 2,268 | 65.9% | 4.18x |
| Tennessee | 422,107 | 83.0% | 2.89x |
| Texas | 3,461,198 | 85.2% | 4.93x |
| Utah | 5,157 | 80.0% | 3.04x |
| Vermont | 53 | 83.0% | 1.81x |
| Virginia | 135,800 | 84.8% | 3.09x |
| Washington | 17,291 | 88.7% | 2.57x |
| West Virginia | 8,415 | 87.3% | 3.85x |
| Wisconsin | 27,311 | 82.1% | 3.33x |
| Wyoming | 514 | 72.6% | 1.97x |
Period: 2023 Q1–2025 Q4. Pages exist only where n ≥ 30 determined line items. No page (fewer than 30 determined line items, or none): Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, Northern Mariana Islands.
Dollar amounts by state
| State (region) | Line items with $ | Total awarded | Median award | Median QPA | Award ×QPA |
|---|---|---|---|---|---|
| Texas | 1,915,634 | $5.04B | $489 | $110 | 6.70x |
| Arizona | 406,460 | $825.2M | $504 | $134 | 7.30x |
| Florida | 300,060 | $270.4M | $518 | $214 | 2.55x |
| New York | 287,913 | $2.77B | $956 | $201 | 12.46x |
| Pennsylvania | 286,004 | $2.80B | $1,158 | $189 | 12.57x |
| New Jersey | 279,932 | $2.81B | $1,220 | $192 | 12.44x |
| Tennessee | 274,664 | $303.3M | $584 | $168 | 2.98x |
| Arkansas | 263,639 | $324.6M | $516 | $137 | 3.43x |
| Indiana | 182,942 | $219.9M | $556 | $163 | 3.92x |
| Mississippi | 171,423 | $160.0M | $365 | $130 | 2.77x |
| Georgia | 161,207 | $196.0M | $630 | $251 | 3.25x |
| California | 131,494 | $507.1M | $567 | $184 | 4.65x |
| Illinois | 113,627 | $205.2M | $625 | $163 | 7.24x |
| Oklahoma | 101,562 | $161.4M | $616 | $167 | 5.35x |
| Virginia | 97,575 | $105.6M | $750 | $203 | 2.88x |
| Ohio | 90,719 | $169.6M | $617 | $222 | 6.68x |
| Missouri | 82,812 | $179.9M | $648 | $163 | 6.05x |
| Wisconsin | 80,204 | $100.2M | $584 | $166 | 2.45x |
| Louisiana | 77,296 | $85.0M | $685 | $175 | 1.84x |
| Nevada | 71,818 | $61.5M | $569 | $174 | 3.46x |
| North Carolina | 62,938 | $50.9M | $614 | $252 | 2.57x |
| South Carolina | 62,090 | $82.1M | $608 | $212 | 4.54x |
| Kentucky | 56,862 | $120.5M | $639 | $197 | 7.35x |
| Maryland | 56,206 | $96.5M | $713 | $203 | 2.65x |
| Alabama | 44,829 | $32.6M | $600 | $133 | 0.34x |
| New Mexico | 43,552 | $68.3M | $799 | $167 | 4.93x |
| West Virginia | 36,593 | $49.8M | $706 | $235 | 2.16x |
| Kansas | 34,478 | $46.7M | $509 | $159 | 2.26x |
| District of Columbia | 29,203 | $42.7M | $713 | $236 | 2.02x |
| Colorado | 20,934 | $53.6M | $1,066 | $238 | 3.79x |
| Delaware | 19,909 | $48.3M | $1,150 | $174 | 3.54x |
| Washington | 17,184 | $16.4M | $573 | $247 | 0.70x |
| Michigan | 15,912 | $18.4M | $621 | $194 | 3.92x |
| Massachusetts | 12,675 | $11.3M | $578 | $230 | 2.95x |
| Connecticut | 9,759 | $62.6M | $740 | $236 | 12.41x |
| New Hampshire | 7,944 | $7.9M | $566 | $228 | 2.95x |
| Idaho | 5,844 | $10.6M | $1,197 | $199 | 5.80x |
| Iowa | 5,407 | $6.1M | $699 | $252 | 3.72x |
| Oregon | 4,957 | $4.1M | $134 | $78 | 3.03x |
| Rhode Island | 4,555 | $3.3M | $569 | $200 | 3.18x |
| Maine | 2,379 | $1.4M | $505 | $189 | 2.44x |
| South Dakota | 1,844 | $1.5M | $783 | $210 | 3.12x |
| Utah | 1,344 | $2.0M | $1,049 | $259 | 3.81x |
| Nebraska | 1,081 | $972,180 | $783 | $221 | 3.12x |
| Minnesota | 489 | $904,881 | $1,570 | $165 | 7.63x |
| Hawaii | 369 | $649,136 | $2,091 | $242 | 6.03x |
| Alaska | 174 | $715,628 | $1,035 | $299 | 3.42x |
| Montana | 41 | $35,734 | $737 | $179 | 3.70x |
2024 Q3–2025 Q4 · CMS QPA and Offers file · rows with n ≥ 30 line items with dollar amounts · sorted by n · Award ×QPA = total awarded ÷ total QPA.