Federal IDR outcomes: Urology in New Jersey
In 2025 Q1–Q4, the provider or facility offer prevailed in 90.2% of 786 determined Federal IDR dispute line items for urology in New Jersey. The median prevailing offer was 16.09x the QPA (25th–75th percentile 8.44x–26.19x; n = 733). The median time to a decision was 32 business days (n = 786).
Determined line items
786
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
90.2%
n = 786 · 2025 Q1–Q4
Median payment vs QPA
16.09x
middle half 8.44x–26.19x · n = 733 · 2025 Q1–Q4
Median days to decision
32
business days, from dispute initiation · n = 786 · 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 | 786 | 90.2% | 16.09x | 8.44x–26.19x | 733 | 32 |
| 2024 Q1–Q4 | 406 | 92.9% | 15.52x | 8.34x–23.44x | 348 | 27 |
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 1,205 | 91.1% | 15.72x | 8.35x–25.07x | 1,094 | 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 |
|---|---|---|---|---|---|
| 52344 Repair of stricture of ureter using an endoscope | 176 | 89.8% | 14.44x | 160 | 32.5 |
| 52356 Crushing of stone of ureter with insertion of stent using an endoscope | 135 | 92.6% | 21.67x † | 133 | 29 |
| 52330 Manipulation of stone in ureter using an endoscope | 116 | 91.4% | 11.87x | 102 | 31.5 |
| 52352 Removal or manipulation of stone in ureter or kidney using an endoscope | 114 | 88.6% | 29.20x † | 98 | 37 |
| 50590 Shock wave crushing of kidney stones | 57 | 91.2% | 8.84x | 57 | 34 |
| 52332 Insertion of stent in ureter using an endoscope | 43 | 95.3% | 48.68x † | 42 | 35 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in New Jersey · Urology in all states
FAQ
What is the Federal IDR provider win rate for urology in New Jersey?
In 2025 Q1–Q4, the provider or facility offer was selected in 90.2% of 786 determined dispute line items for urology 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 urology in New Jersey?
In 2025 Q1–Q4, the median prevailing offer was 16.09x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 8.44x to 26.19x (n = 733 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 urology in New Jersey?
In 2025 Q1–Q4, the median was 32 business days (n = 786 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).