Federal IDR outcomes: Neurology in New Jersey
In 2025 Q1–Q4, the provider or facility offer prevailed in 84.5% of 3,406 determined Federal IDR dispute line items for neurology in New Jersey. The median prevailing offer was 43.92x the QPA (25th–75th percentile 16.15x–71.48x; n = 3,244). The median time to a decision was 36 business days (n = 3,406).
Determined line items
3,406
2025 Q1–Q4 · 6 split decisions excluded
Provider win rate
84.5%
n = 3,406 · 2025 Q1–Q4
Median days to decision
36
business days, from dispute initiation · n = 3,406 · 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 | 3,406 | 84.5% | 43.92x † | 16.15x–71.48x | 3,244 | 36 |
| 2024 Q1–Q4 | 2,063 | 83.1% | 24.53x † | 4.27x–55.32x | 2,015 | 60 |
| 2023 Q1–Q4 | 123 | 48.0% | 6.80x | 1.00x–18.40x | 121 | 95 |
| 2023 Q1–2025 Q4 | 5,592 | 83.2% | 36.49x † | 7.17x–65.88x | 5,380 | 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 |
|---|---|---|---|---|---|
| 95720 Measurement of brain wave activity with video (VEEG), 12-26 hours with review an | 529 | 90.7% | 52.47x † | 486 | 34 |
| 95941 Continuous remote monitoring of nervous system during operation, each hour | 333 | 81.1% | 14.77x | 320 | 62 |
| 95939 Placement of skin electrodes and measurement of central motor stimulation in arm | 323 | 80.2% | 52.64x † | 312 | 34 |
| 95938 Placement of skin electrodes and measurement of stimulated sites on arms and leg | 319 | 77.1% | 88.01x † | 307 | 40 |
| 95718 Measurement of brain wave activity with video (VEEG), 2-12 hours with review and | 233 | 93.1% | 60.39x † | 231 | 34 |
| 99232 Subsequent hospital care with moderate levelof medical decision making, if using | 226 | 88.1% | 53.26x † | 226 | 27 |
| 95861 Needle measurement of electrical activity in arm or leg muscles, 2 extremities | 153 | 70.6% | 33.12x † | 135 | 43 |
| 99233 Subsequent hospital care with moderate levelof medical decision making, if using | 119 | 91.6% | 37.38x † | 119 | 33 |
| 95937 Testing of nerve-muscle junction | 115 | 71.3% | 67.92x † | 110 | 36 |
| 99222 Initial hospital care with straightforward or low-level medical decision making, | 100 | 91.0% | 27.57x † | 100 | 29 |
| 99291 Critical care, first 30-74 minutes | 81 | 96.3% | 30.96x † | 75 | 35 |
| 99223 Initial hospital care with moderate level of medical decision making, if using t | 60 | 88.3% | 15.48x | 60 | 38 |
| 95886 Needle measurement of electrical activity in arm or leg muscles, complete study | 46 | 82.6% | 98.94x † | 46 | 26.5 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in New Jersey · Neurology in all states
FAQ
What is the Federal IDR provider win rate for neurology in New Jersey?
In 2025 Q1–Q4, the provider or facility offer was selected in 84.5% of 3,406 determined dispute line items for neurology in New Jersey. 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 neurology in New Jersey?
In 2025 Q1–Q4, the median prevailing offer was 43.92x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 16.15x to 71.48x (n = 3,244 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 neurology in New Jersey?
In 2025 Q1–Q4, the median was 36 business days (n = 3,406 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).