Federal IDR outcomes: Anesthesiology in Kentucky
In 2025 Q1–Q4, the provider or facility offer prevailed in 80.0% of 3,409 determined Federal IDR dispute line items for anesthesiology in Kentucky. The median prevailing offer was 5.39x the QPA (25th–75th percentile 3.22x–9.20x; n = 3,368). The median time to a decision was 30 business days (n = 3,409).
Determined line items
3,409
2025 Q1–Q4 · 4 split decisions excluded
Provider win rate
80.0%
n = 3,409 · 2025 Q1–Q4
Median payment vs QPA
5.39x
middle half 3.22x–9.20x · n = 3,368 · 2025 Q1–Q4
Median days to decision
30
business days, from dispute initiation · n = 3,409 · 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 | 3,409 | 80.0% | 5.39x | 3.22x–9.20x | 3,368 | 30 |
| 2024 Q1–Q4 | 551 | 95.6% | 3.42x | 2.39x–4.92x | 527 | 21 |
| 2023 Q1–Q4 | 346 | 85.8% | 3.29x | 2.12x–6.84x | 337 | 59 |
| 2023 Q1–2025 Q4 | 4,306 | 82.4% | 4.75x | 2.74x–8.93x | 4,232 | 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 |
|---|---|---|---|---|---|
| 00812 Anesthesia for exam of colon using an endoscope | 593 | 78.8% | 5.02x | 589 | 29 |
| 00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using | 228 | 88.2% | 5.34x | 225 | 27 |
| 00840 Anesthesia for other procedure on lower abdomen | 183 | 83.6% | 5.92x | 182 | 33 |
| 00813 Anesthesia for procedure on small and large bowel using an endoscope | 156 | 80.1% | 4.97x | 154 | 30.5 |
| 00811 Anesthesia for other procedure on large bowel using an endoscope | 135 | 73.3% | 4.77x | 131 | 28 |
| 00400 Anesthesia for other procedure on skin of arms, legs, and front body | 131 | 90.1% | 7.52x | 129 | 31 |
| 00790 Anesthesia for other procedure on upper abdomen | 95 | 88.4% | 7.01x | 92 | 28 |
| 01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri | 94 | 75.5% | 4.56x | 94 | 33 |
| 01400 Anesthesia for other procedure or exam of knee joint using an endoscope | 86 | 81.4% | 4.35x | 84 | 36 |
| 00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and up | 83 | 83.1% | 6.98x | 83 | 44 |
| 01402 Anesthesia for procedure for total knee joint replacement | 77 | 80.5% | 7.35x | 77 | 30 |
| 01967 Anesthesia for labor during planned vaginal delivery | 66 | 62.1% | 3.00x | 65 | 31 |
| 01630 Anesthesia for other procedure on top of arm bone and shoulder joint | 63 | 92.1% | 7.43x | 62 | 30 |
| 00320 Anesthesia for other procedure on neck area (1 year or older) | 62 | 90.3% | 7.54x | 62 | 28 |
| 00670 Anesthesia for extensive surgery on spine | 60 | 90.0% | 7.65x | 60 | 28 |
| 01830 Anesthesia for other procedure on forearm, wrist, or hand bones | 54 | 70.4% | 5.59x | 54 | 27 |
| 00402 Anesthesia for reconstruction of breast | 52 | 86.5% | 7.51x | 52 | 31.5 |
| 01480 Anesthesia for other procedure on lower leg, ankle, and foot bones | 47 | 72.3% | 5.10x | 46 | 35 |
| 00902 Anesthesia for procedure on anus and rectum | 45 | 84.4% | 7.70x | 44 | 26 |
| 64415 Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial ple | 45 | 84.4% | 20.98x † | 45 | 29 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Kentucky · Anesthesiology in all states
FAQ
What is the Federal IDR provider win rate for anesthesiology in Kentucky?
In 2025 Q1–Q4, the provider or facility offer was selected in 80.0% of 3,409 determined dispute line items for anesthesiology in Kentucky. 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 Kentucky?
In 2025 Q1–Q4, the median prevailing offer was 5.39x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 3.22x to 9.20x (n = 3,368 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 Kentucky?
In 2025 Q1–Q4, the median was 30 business days (n = 3,409 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).