Federal IDR outcomes: Radiology in Georgia
In 2025 Q1–Q4, the provider or facility offer prevailed in 78.9% of 7,376 determined Federal IDR dispute line items for radiology in Georgia. The median prevailing offer was 2.81x the QPA (25th–75th percentile 1.90x–3.25x; n = 7,371). The median time to a decision was 50 business days (n = 7,376).
Determined line items
7,376
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
78.9%
n = 7,376 · 2025 Q1–Q4
Median payment vs QPA
2.81x
middle half 1.90x–3.25x · n = 7,371 · 2025 Q1–Q4
Median days to decision
50
business days, from dispute initiation · n = 7,376 · 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 | 7,376 | 78.9% | 2.81x | 1.90x–3.25x | 7,371 | 50 |
| 2024 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 7,395 | 78.9% | 2.81x | 1.90x–3.25x | 7,376 | 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 |
|---|---|---|---|---|---|
| 71045 X-ray of chest, 1 view | 1,330 | 75.5% | 3.50x | 1,330 | 43 |
| 74177 CT scan of abdomen and pelvis with contrast | 694 | 87.2% | 3.11x | 694 | 58 |
| 70450 CT scan head or brain without contrast | 530 | 72.6% | 2.80x | 530 | 44 |
| 77067 Screening mammography | 483 | 81.0% | 3.25x | 483 | 52 |
| 71046 X-ray of chest, 2 views | 325 | 76.0% | 3.52x | 325 | 43 |
| 74176 CT scan of abdomen and pelvis without contrast | 256 | 88.3% | 3.33x | 256 | 58 |
| 77063 Screening 3D breast mammography | 213 | 66.2% | 1.90x | 213 | 52 |
| 72125 CT scan of upper spine without contrast | 202 | 81.7% | 2.81x | 202 | 61 |
| 71275 CT scan of blood vessels of chest with contrast | 197 | 73.6% | 3.00x | 197 | 43 |
| 72100 X-ray of lower and sacral spine, 2-3 views | 189 | 85.2% | 2.81x | 189 | 50 |
| 71260 CT scan of chest with contrast | 129 | 70.5% | 2.86x | 129 | 43 |
| 73630 X-ray of foot, minimum of 3 views | 126 | 82.5% | 2.87x | 126 | 51 |
| 73030 X-ray of shoulder, minimum of 2 views | 113 | 84.1% | 2.65x | 113 | 51 |
| 73610 X-ray of ankle, minimum of 3 views | 93 | 82.8% | 2.87x | 93 | 51 |
| 73130 X-ray of hand, minimum of 3 views | 87 | 83.9% | 2.80x | 87 | 51 |
| 70496 CT scan of blood vessels of head with contrast | 84 | 71.4% | 2.55x | 79 | 50 |
| 74018 X-ray of abdomen, 1 view | 84 | 76.2% | 3.51x | 84 | 58 |
| 70498 CT scan of blood vessels of neck with contrast | 79 | 77.2% | 2.55x | 79 | 44 |
| 72148 MRI scan of lower spinal canal without contrast | 78 | 67.9% | 2.95x | 78 | 60 |
| 73562 X-ray of knee, 3 views | 72 | 84.7% | 3.05x | 72 | 51 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Georgia · Radiology in all states
FAQ
What is the Federal IDR provider win rate for radiology in Georgia?
In 2025 Q1–Q4, the provider or facility offer was selected in 78.9% of 7,376 determined dispute line items for radiology 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 radiology in Georgia?
In 2025 Q1–Q4, the median prevailing offer was 2.81x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.90x to 3.25x (n = 7,371 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 radiology in Georgia?
In 2025 Q1–Q4, the median was 50 business days (n = 7,376 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).