Federal IDR outcomes: Plastic and reconstructive surgery in Illinois
In 2025 Q1–Q4, the provider or facility offer prevailed in 95.2% of 62 determined Federal IDR dispute line items for plastic and reconstructive surgery in Illinois. The median prevailing offer was 8.68x the QPA (25th–75th percentile 5.58x–17.26x; n = 32). The median time to a decision was 29 business days (n = 62).
Determined line items
62
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
95.2%
n = 62 · 2025 Q1–Q4
Median payment vs QPA
8.68x
middle half 5.58x–17.26x · n = 32 · 2025 Q1–Q4
Median days to decision
29
business days, from dispute initiation · n = 62 · 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 | 62 | 95.2% | 8.68x | 5.58x–17.26x | 32 | 29 |
| 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 | 62 | 95.2% | 8.68x | 5.58x–17.26x | 32 | 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
No row has 30 or more determined line items in 2025 Q1–Q4.
Related: all specialties in Illinois · Plastic and reconstructive surgery in all states
FAQ
What is the Federal IDR provider win rate for plastic and reconstructive surgery in Illinois?
In 2025 Q1–Q4, the provider or facility offer was selected in 95.2% of 62 determined dispute line items for plastic and reconstructive surgery in Illinois. 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 Withdrawn, settled and ineligible disputes are not in the CMS data.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 plastic and reconstructive surgery in Illinois?
In 2025 Q1–Q4, the median prevailing offer was 8.68x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 5.58x to 17.26x (n = 32 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 plastic and reconstructive surgery in Illinois?
In 2025 Q1–Q4, the median was 29 business days (n = 62 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).