Federal IDR outcomes: Surgical assistant services in Georgia
In 2025 Q1–Q4, the provider or facility offer prevailed in 80.8% of 412 determined Federal IDR dispute line items for surgical assistant services in Georgia. The median prevailing offer was 1.00x the QPA (25th–75th percentile 0.93x–1.00x; n = 412). The median time to a decision was 35.5 business days (n = 412).
Determined line items
412
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
80.8%
n = 412 · 2025 Q1–Q4
Median payment vs QPA
1.00x
middle half 0.93x–1.00x · n = 412 · 2025 Q1–Q4
Median days to decision
35.5
business days, from dispute initiation · n = 412 · 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 | 412 | 80.8% | 1.00x | 0.93x–1.00x | 412 | 35.5 |
| 2024 Q1–Q4 | 240 | 86.7% | 1.00x | 1.00x–1.00x | 240 | 48.5 |
| 2023 Q1–Q4 | 60 | 90.0% | 1.00x | 0.99x–1.00x | 60 | 57 |
| 2023 Q1–2025 Q4 | 712 | 83.6% | 1.00x | 0.96x–1.00x | 712 | 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 |
|---|---|---|---|---|---|
| 27447 Replacement of knee joint, both sides of knee | 41 | 80.5% | 1.00x | 41 | 40 |
| 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | 38 | 78.9% | 1.00x | 38 | 34 |
| 27130 Replacement of thigh bone and hip joint with prosthesis | 35 | 68.6% | 1.00x | 35 | 50 |
| 29827 Repair of shoulder rotator cuff using an endoscope | 30 | 93.3% | 1.00x | 30 | 38.5 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Georgia · Surgical assistant services in all states
FAQ
What is the Federal IDR provider win rate for surgical assistant services in Georgia?
In 2025 Q1–Q4, the provider or facility offer was selected in 80.8% of 412 determined dispute line items for surgical assistant services 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 Withdrawn, settled and ineligible disputes are not in the CMS data.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 surgical assistant services in Georgia?
In 2025 Q1–Q4, the median prevailing offer was 1.00x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 0.93x to 1.00x (n = 412 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 surgical assistant services in Georgia?
In 2025 Q1–Q4, the median was 35.5 business days (n = 412 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).