IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Colorado

In 2025 Q1–Q4, the provider or facility offer prevailed in 78.6% of 3,009 determined Federal IDR dispute line items for anesthesiology in Colorado. The median prevailing offer was 2.56x the QPA (25th–75th percentile 1.97x–2.67x; n = 3,006). The median time to a decision was 24 business days (n = 3,009).

Determined line items

3,009

2025 Q1–Q4 · 4 split decisions excluded

Provider win rate

78.6%

n = 3,009 · 2025 Q1–Q4

Median payment vs QPA

2.56x

middle half 1.97x–2.67x · n = 3,006 · 2025 Q1–Q4

Median days to decision

24

business days, from dispute initiation · n = 3,009 · 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–Q43,00978.6%2.56x1.97x–2.67x3,00624
2024 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–2025 Q43,01078.5%2.56x1.97x–2.67x3,007not 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 endoscope54984.7%2.17x54927
01967 Anesthesia for labor during planned vaginal delivery25771.6%2.53x25724
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using22179.6%2.56x22126
00840 Anesthesia for other procedure on lower abdomen18177.9%2.61x18124
00811 Anesthesia for other procedure on large bowel using an endoscope14884.5%2.39x14825
01961 Anesthesia for cesarean delivery10880.6%2.60x10823
00790 Anesthesia for other procedure on upper abdomen9471.3%2.59x9426
00813 Anesthesia for procedure on small and large bowel using an endoscope8585.9%2.49x8523
00952 Anesthesia for exam of uterus using an endoscope6981.2%2.55x6825
01402 Anesthesia for procedure for total knee joint replacement6168.9%2.60x6023
01968 Anesthesia for cesarean delivery following labor5060.0%2.54x5022.5
00170 Anesthesia for other procedure on mouth4680.4%2.51x4624
01400 Anesthesia for other procedure or exam of knee joint using an endoscope4678.3%2.55x4626
00160 Anesthesia for other procedure on nose and sinuses4582.2%2.56x4524
00670 Anesthesia for extensive surgery on spine4178.0%2.61x4125
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones3982.1%2.60x3921
01630 Anesthesia for other procedure on top of arm bone and shoulder joint3884.2%2.58x3824
01214 Anesthesia for total hip replacement3783.8%2.59x3724
00630 Anesthesia for other procedure on lower spine3574.3%2.59x3522
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri3488.2%2.54x3422.5

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

Related: all specialties in Colorado · Anesthesiology in all states

FAQ

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

In 2025 Q1–Q4, the provider or facility offer was selected in 78.6% of 3,009 determined dispute line items for anesthesiology in Colorado. 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 Colorado?

In 2025 Q1–Q4, the median prevailing offer was 2.56x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.97x to 2.67x (n = 3,006 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 Colorado?

In 2025 Q1–Q4, the median was 24 business days (n = 3,009 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

How to Utilize IDR