Federal IDR outcomes: Cardiothoracic and thoracic surgery in Florida
In 2025 Q1–Q4, the provider or facility offer prevailed in 94.1% of 135 determined Federal IDR dispute line items for cardiothoracic and thoracic surgery in Florida. The median prevailing offer was 85.20x the QPA (25th–75th percentile 29.52x–128.19x; n = 135). The median time to a decision was 36 business days (n = 135).
Determined line items
135
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
94.1%
n = 135 · 2025 Q1–Q4
Median days to decision
36
business days, from dispute initiation · n = 135 · 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
| Period | Line items | Win % | Median ×QPA | 25th–75th | Ratio n | Median days |
|---|---|---|---|---|---|---|
| 2025 Q1–Q4 | 135 | 94.1% | 85.20x † | 29.52x–128.19x | 135 | 36 |
| 2024 Q1–Q4 | 36 | 97.2% | 60.58x † | 32.40x–81.23x | 36 | 39.5 |
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 171 | 94.7% | 75.58x † | 29.52x–118.46x | 171 | not 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 code | Line items | Win % | Median ×QPA | Ratio n | Median days |
|---|---|---|---|---|---|
| 22558 Fusion of lower spine bone through abdomen with partial removal of disc | 60 | 98.3% | 80.88x † | 60 | 30 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Florida · Cardiothoracic and thoracic surgery in all states
FAQ
What is the Federal IDR provider win rate for cardiothoracic and thoracic surgery in Florida?
In 2025 Q1–Q4, the provider or facility offer was selected in 94.1% of 135 determined dispute line items for cardiothoracic and thoracic surgery 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 Withdrawn, settled and ineligible disputes are not in the CMS data.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 cardiothoracic and thoracic surgery in Florida?
In 2025 Q1–Q4, the median prevailing offer was 85.20x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 29.52x to 128.19x (n = 135 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 cardiothoracic and thoracic surgery in Florida?
In 2025 Q1–Q4, the median was 36 business days (n = 135 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).