IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Arizona

In 2025 Q1–Q4, the provider or facility offer prevailed in 80.8% of 57,846 determined Federal IDR dispute line items for anesthesiology in Arizona. The median prevailing offer was 14.47x the QPA (25th–75th percentile 3.00x–32.18x; n = 52,493). The median time to a decision was 29 business days (n = 57,846).

Determined line items

57,846

2025 Q1–Q4 · 56 split decisions excluded

Provider win rate

80.8%

n = 57,846 · 2025 Q1–Q4

Median payment vs QPA

14.47x

middle half 3.00x–32.18x · n = 52,493 · 2025 Q1–Q4

Median days to decision

29

business days, from dispute initiation · n = 57,846 · 2025 Q1–Q4

Dollar amounts are not shown for specialty groups: the CMS QPA and Offers file, the only source of dollar figures, has no specialty field. See methodology.

By period

PeriodLine itemsWin %Median ×QPA25th–75thRatio nMedian days
2025 Q1–Q457,84680.8%14.47x3.00x–32.18x52,49329
2024 Q1–Q419,70283.1%9.80x1.93x–20.42x16,44357
2023 Q1–Q42,36368.6%3.37x1.00x–7.51x1,78188
2023 Q1–2025 Q479,91181.0%12.47x2.50x–29.39x70,717not pooled

Line items = determined dispute line items (n). Win rate excludes split decisions and includes default decisions. Ratio n = line items reporting a payment-to-QPA ratio. Days are business days as reported by CMS (2023–2024: from IDR entity assignment; 2025: from initiation) and are never pooled.

Most disputed CPT codes

CPT codeLine itemsWin %Median ×QPARatio nMedian days
00812 Anesthesia for exam of colon using an endoscope10,29478.5%17.29x9,93630
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using4,68781.8%16.95x4,33830
00813 Anesthesia for procedure on small and large bowel using an endoscope4,11979.4%16.18x3,92930
00811 Anesthesia for other procedure on large bowel using an endoscope3,57375.1%16.46x3,38631
01992 Anesthesia for nerve block and injection procedure, prone position2,81282.9%29.35x †2,78127
00840 Anesthesia for other procedure on lower abdomen1,96283.6%5.95x1,57129
01967 Anesthesia for labor during planned vaginal delivery1,72482.3%2.13x1,03939
00170 Anesthesia for other procedure on mouth1,34377.7%11.69x1,30023
00790 Anesthesia for other procedure on upper abdomen1,15285.3%7.05x86034
00160 Anesthesia for other procedure on nose and sinuses1,15077.3%10.54x1,07224
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1,10088.0%74.79x †1,08627
01402 Anesthesia for procedure for total knee joint replacement1,09184.3%16.76x98928
01400 Anesthesia for other procedure or exam of knee joint using an endoscope1,04081.7%14.29x96526
00400 Anesthesia for other procedure on skin of arms, legs, and front body92887.6%8.11x71433
01940 Anesthesia for nerve destruction procedures on spine or spinal cord of lower bac90786.2%24.05x †90128
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones89677.8%9.88x84827
00902 Anesthesia for procedure on anus and rectum87380.1%14.70x83525
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri65080.6%17.85x60124
01961 Anesthesia for cesarean delivery65085.1%1.96x39234
01214 Anesthesia for total hip replacement59984.8%16.10x56629

2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.

Related: all specialties in Arizona · Anesthesiology in all states

FAQ

What is the Federal IDR provider win rate for anesthesiology in Arizona?

In 2025 Q1–Q4, the provider or facility offer was selected in 80.8% of 57,846 determined dispute line items for anesthesiology in Arizona. Split decisions are excluded from the denominator and default decisions are included. Withdrawn, settled and ineligible disputes are not in the CMS data.

How do Federal IDR payments compare with the QPA for anesthesiology in Arizona?

In 2025 Q1–Q4, the median prevailing offer was 14.47x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 3.00x to 32.18x (n = 52,493 line items). This uses the CMS field Prevailing Party Offer as % of QPA, where 1.00x equals the QPA.

How long do Federal IDR decisions take for anesthesiology in Arizona?

In 2025 Q1–Q4, the median was 29 business days (n = 57,846 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

How to Utilize IDR