IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Florida

In 2025 Q1–Q4, the provider or facility offer prevailed in 82.6% of 80,734 determined Federal IDR dispute line items for anesthesiology in Florida. The median prevailing offer was 2.27x the QPA (25th–75th percentile 1.91x–2.88x; n = 54,078). The median time to a decision was 43 business days (n = 80,734).

Determined line items

80,734

2025 Q1–Q4 · 222 split decisions excluded

Provider win rate

82.6%

n = 80,734 · 2025 Q1–Q4

Median payment vs QPA

2.27x

middle half 1.91x–2.88x · n = 54,078 · 2025 Q1–Q4

Median days to decision

43

business days, from dispute initiation · n = 80,734 · 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–Q480,73482.6%2.27x1.91x–2.88x54,07843
2024 Q1–Q428,65080.7%2.11x1.80x–2.53x19,11779
2023 Q1–Q42,57485.5%2.28x2.08x–2.48x1,12352
2023 Q1–2025 Q4111,95882.1%2.23x1.85x–2.78x74,318not 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 endoscope10,80775.4%2.45x7,74955
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using5,59680.3%2.33x3,70949
00813 Anesthesia for procedure on small and large bowel using an endoscope4,98476.1%2.30x3,65952
00840 Anesthesia for other procedure on lower abdomen4,65286.5%2.23x2,72047
01967 Anesthesia for labor during planned vaginal delivery3,49384.8%2.22x1,67644
00790 Anesthesia for other procedure on upper abdomen3,18483.5%2.24x1,96543
00811 Anesthesia for other procedure on large bowel using an endoscope2,84581.8%2.40x2,02950
01961 Anesthesia for cesarean delivery2,39788.8%2.20x1,42944
01400 Anesthesia for other procedure or exam of knee joint using an endoscope1,78286.6%2.30x1,22545
00400 Anesthesia for other procedure on skin of arms, legs, and front body1,61981.2%2.28x99141
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones1,48182.3%2.26x94045
00952 Anesthesia for exam of uterus using an endoscope1,37083.6%2.22x87244
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri1,29685.6%2.48x83742
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone includin1,27685.7%2.26x92641
00902 Anesthesia for procedure on anus and rectum1,26286.7%2.27x87046
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and up1,20382.8%2.26x78143
01922 Anesthesia for X-ray or radiation therapy1,17783.8%2.24x79439
01630 Anesthesia for other procedure on top of arm bone and shoulder joint1,13183.1%2.23x82643
00142 Anesthesia for lens surgery1,11878.9%2.52x77140
00160 Anesthesia for other procedure on nose and sinuses1,05479.7%2.21x68243

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

Related: all specialties in Florida · Anesthesiology in all states

FAQ

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

In 2025 Q1–Q4, the provider or facility offer was selected in 82.6% of 80,734 determined dispute line items for anesthesiology in Florida. 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 Florida?

In 2025 Q1–Q4, the median prevailing offer was 2.27x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.91x to 2.88x (n = 54,078 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 Florida?

In 2025 Q1–Q4, the median was 43 business days (n = 80,734 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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