IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Neonatology in Arizona

In 2025 Q1–Q4, the provider or facility offer prevailed in 96.3% of 54 determined Federal IDR dispute line items for neonatology in Arizona. The median prevailing offer was 2.93x the QPA (25th–75th percentile 2.60x–4.47x; n = 54). The median time to a decision was 166 business days (n = 54).

Determined line items

54

2025 Q1–Q4 · 0 split decisions excluded

Provider win rate

96.3%

n = 54 · 2025 Q1–Q4

Median payment vs QPA

2.93x

middle half 2.60x–4.47x · n = 54 · 2025 Q1–Q4

Median days to decision

166

business days, from dispute initiation · n = 54 · 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–Q45496.3%2.93x2.60x–4.47x54166
2024 Q1–Q414193.6%5.13x2.71x–5.64x13634
2023 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–2025 Q419594.4%4.59x2.71x–5.64x190not 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

No row has 30 or more determined line items in 2025 Q1–Q4.

Related: all specialties in Arizona · Neonatology in all states

FAQ

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

In 2025 Q1–Q4, the provider or facility offer was selected in 96.3% of 54 determined dispute line items for neonatology 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 Withdrawn, settled and ineligible disputes are not in the CMS data.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 neonatology in Arizona?

In 2025 Q1–Q4, the median prevailing offer was 2.93x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 2.60x to 4.47x (n = 54 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 neonatology in Arizona?

In 2025 Q1–Q4, the median was 166 business days (n = 54 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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