Federal IDR outcomes: Obstetrics and gynecology in Georgia
In 2025 Q1–Q4, the provider or facility offer prevailed in 94.9% of 702 determined Federal IDR dispute line items for obstetrics and gynecology in Georgia. The median prevailing offer was 35.29x the QPA (25th–75th percentile 11.49x–71.18x; n = 677). The median time to a decision was 30 business days (n = 702).
Determined line items
702
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
94.9%
n = 702 · 2025 Q1–Q4
Median days to decision
30
business days, from dispute initiation · n = 702 · 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 | 702 | 94.9% | 35.29x † | 11.49x–71.18x | 677 | 30 |
| 2024 Q1–Q4 | 212 | 95.3% | 13.24x | 5.32x–27.12x | 201 | 54 |
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 914 | 95.0% | 28.90x † | 6.84x–63.82x | 878 | 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 |
|---|---|---|---|---|---|
| 58662 Destruction or removal of ovary or growth of pelvis using an endoscope | 146 | 93.8% | 32.74x † | 146 | 30 |
| 52260 Dilation of bladder using an endoscope under general or spinal anesthesia | 98 | 93.9% | 64.93x † | 98 | 31 |
| 58999 Other procedure on female genital system (nonobstetrical) | 44 | 90.9% | 3.18x | 41 | 30 |
| 58555 Diagnostic exam of uterus using an endoscope | 41 | 95.1% | 152.98x † | 41 | 30 |
| 44979 Other procedure on appendix using an endoscope | 39 | 94.9% | 11.04x | 37 | 31 |
| 45499 Other procedure on rectum using an endoscope | 38 | 94.7% | 4.46x | 32 | 28.5 |
| 58571 Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250 | 34 | 94.1% | 16.57x | 34 | 32 |
| 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope | 31 | 96.8% | 51.87x † | 30 | 30 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Georgia · Obstetrics and gynecology in all states
FAQ
What is the Federal IDR provider win rate for obstetrics and gynecology in Georgia?
In 2025 Q1–Q4, the provider or facility offer was selected in 94.9% of 702 determined dispute line items for obstetrics and gynecology in Georgia. 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 obstetrics and gynecology in Georgia?
In 2025 Q1–Q4, the median prevailing offer was 35.29x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 11.49x to 71.18x (n = 677 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 obstetrics and gynecology in Georgia?
In 2025 Q1–Q4, the median was 30 business days (n = 702 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).