IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Louisiana

In 2025 Q1–Q4, the provider or facility offer prevailed in 59.4% of 5,894 determined Federal IDR dispute line items for anesthesiology in Louisiana. The median prevailing offer was 8.39x the QPA (25th–75th percentile 1.00x–13.46x; n = 5,623). The median time to a decision was 84 business days (n = 5,894).

Determined line items

5,894

2025 Q1–Q4 · 0 split decisions excluded

Provider win rate

59.4%

n = 5,894 · 2025 Q1–Q4

Median payment vs QPA

8.39x

middle half 1.00x–13.46x · n = 5,623 · 2025 Q1–Q4

Median days to decision

84

business days, from dispute initiation · n = 5,894 · 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–Q45,89459.4%8.39x1.00x–13.46x5,62384
2024 Q1–Q41,52077.9%9.63x2.22x–12.48x1,43251.5
2023 Q1–Q47880.8%4.06x1.97x–8.49x7732
2023 Q1–2025 Q47,49263.4%8.86x1.00x–13.41x7,132not 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
00170 Anesthesia for other procedure on mouth52155.1%8.02x50379
01938 Anesthesia for injection, drainage or aspiration procedures on spine or spinal c47962.0%9.83x45583
64415 Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial ple43164.3%13.46x41096
01400 Anesthesia for other procedure or exam of knee joint using an endoscope38559.5%7.31x37180
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri38057.6%11.07x36279
00126 Anesthesia for incision of ear drum34358.6%9.84x32988
01630 Anesthesia for other procedure on top of arm bone and shoulder joint30264.6%7.18x29281
01937 Anesthesia for injection, drainage or aspiration procedures on spine or spinal c26863.1%9.93x25986
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones26068.1%12.60x24676
00160 Anesthesia for other procedure on nose and sinuses22955.9%7.95x21987
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)17462.6%13.20x16086
01830 Anesthesia for other procedure on forearm, wrist, or hand bones15453.9%5.65x14682
01940 Anesthesia for nerve destruction procedures on spine or spinal cord of lower bac11252.7%3.69x11170
00812 Anesthesia for exam of colon using an endoscope10771.0%3.67x10728
00142 Anesthesia for lens surgery7358.9%9.39x65100
01710 Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper6750.7%1.54x6684
01939 Anesthesia for nerve destruction procedures on spine or spinal cord of neck or u6056.7%9.25x6088
01160 Anesthesia for closed procedure on pubic bone or pelvic joint5352.8%6.15x5281
00120 Anesthesia for other procedure on external middle and inner ear4856.2%7.91x4877.5
64417 Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (4868.8%12.59x47121.5

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

Related: all specialties in Louisiana · Anesthesiology in all states

FAQ

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

In 2025 Q1–Q4, the provider or facility offer was selected in 59.4% of 5,894 determined dispute line items for anesthesiology in Louisiana. 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 Louisiana?

In 2025 Q1–Q4, the median prevailing offer was 8.39x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.00x to 13.46x (n = 5,623 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 Louisiana?

In 2025 Q1–Q4, the median was 84 business days (n = 5,894 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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