IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Idaho

In 2025 Q1–Q4, the provider or facility offer prevailed in 88.3% of 716 determined Federal IDR dispute line items for anesthesiology in Idaho. The median prevailing offer was 3.85x the QPA (25th–75th percentile 3.31x–4.66x; n = 715). The median time to a decision was 27 business days (n = 716).

Determined line items

716

2025 Q1–Q4 · 0 split decisions excluded

Provider win rate

88.3%

n = 716 · 2025 Q1–Q4

Median payment vs QPA

3.85x

middle half 3.31x–4.66x · n = 715 · 2025 Q1–Q4

Median days to decision

27

business days, from dispute initiation · n = 716 · 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–Q471688.3%3.85x3.31x–4.66x71527
2024 Q1–Q45294.2%1.56x1.56x–2.19x5223.5
2023 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–2025 Q476888.7%3.79x3.20x–4.52x767not 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 endoscope10390.3%3.95x10327
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using6088.3%4.00x6027
01967 Anesthesia for labor during planned vaginal delivery4582.2%3.78x4526
00170 Anesthesia for other procedure on mouth3894.7%3.81x3833
00813 Anesthesia for procedure on small and large bowel using an endoscope3884.2%3.85x3825.5
00790 Anesthesia for other procedure on upper abdomen3688.9%3.74x3628

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

Related: all specialties in Idaho · Anesthesiology in all states

FAQ

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

In 2025 Q1–Q4, the provider or facility offer was selected in 88.3% of 716 determined dispute line items for anesthesiology in Idaho. 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 Withdrawn, settled and ineligible disputes are not in the CMS data.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 Idaho?

In 2025 Q1–Q4, the median prevailing offer was 3.85x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 3.31x to 4.66x (n = 715 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 Idaho?

In 2025 Q1–Q4, the median was 27 business days (n = 716 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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