Federal IDR outcomes: Radiology in New York
In 2025 Q1–Q4, the provider or facility offer prevailed in 91.1% of 61,363 determined Federal IDR dispute line items for radiology in New York. The median prevailing offer was 5.27x the QPA (25th–75th percentile 3.44x–6.53x; n = 61,301). The median time to a decision was 78 business days (n = 61,363).
Determined line items
61,363
2025 Q1–Q4 · 8 split decisions excluded
Provider win rate
91.1%
n = 61,363 · 2025 Q1–Q4
Median payment vs QPA
5.27x
middle half 3.44x–6.53x · n = 61,301 · 2025 Q1–Q4
Median days to decision
78
business days, from dispute initiation · n = 61,363 · 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 | 61,363 | 91.1% | 5.27x | 3.44x–6.53x | 61,301 | 78 |
| 2024 Q1–Q4 | 25,097 | 86.1% | 5.28x | 2.65x–6.17x | 25,077 | 140 |
| 2023 Q1–Q4 | 4,672 | 72.3% | 4.93x | 1.00x–6.05x | 4,424 | 78 |
| 2023 Q1–2025 Q4 | 91,132 | 88.7% | 5.26x | 3.44x–6.45x | 90,802 | 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 |
|---|---|---|---|---|---|
| 71045 X-ray of chest, 1 view | 8,780 | 92.1% | 9.06x | 8,775 | 96 |
| 74177 CT scan of abdomen and pelvis with contrast | 4,231 | 90.9% | 5.35x | 4,227 | 54 |
| 71046 X-ray of chest, 2 views | 3,837 | 91.3% | 8.93x | 3,829 | 79 |
| 70450 CT scan head or brain without contrast | 3,513 | 92.4% | 4.73x | 3,511 | 67 |
| 76641 Complete ultrasound scan of 1 breast | 3,412 | 87.1% | 5.65x | 3,409 | 87 |
| 77067 Screening mammography | 3,165 | 87.7% | 3.45x | 3,158 | 102 |
| 77063 Screening 3D breast mammography | 2,823 | 91.4% | 2.39x | 2,816 | 84 |
| 74176 CT scan of abdomen and pelvis without contrast | 1,695 | 88.5% | 5.37x | 1,694 | 74 |
| 71275 CT scan of blood vessels of chest with contrast | 1,615 | 92.2% | 5.79x | 1,615 | 58 |
| 71250 CT scan of chest without contrast | 832 | 91.3% | 4.68x | 831 | 61 |
| 76705 Limited ultrasound scan of abdomen | 806 | 89.5% | 6.45x | 806 | 59.5 |
| 70498 CT scan of blood vessels of neck with contrast | 780 | 92.7% | 5.38x | 777 | 61.5 |
| 70496 CT scan of blood vessels of head with contrast | 769 | 93.2% | 4.67x | 767 | 64 |
| 76642 Limited ultrasound scan of 1 breast | 759 | 89.3% | 5.44x | 758 | 87 |
| 70551 MRI scan of brain without contrast | 752 | 90.0% | 4.58x | 751 | 104.5 |
| 72125 CT scan of upper spine without contrast | 697 | 87.9% | 4.69x | 697 | 63 |
| 73630 X-ray of foot, minimum of 3 views | 665 | 94.0% | 6.22x | 665 | 81 |
| 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 661 | 95.3% | 5.71x | 661 | 84 |
| 76700 Complete ultrasound scan of abdomen | 562 | 91.3% | 5.93x | 562 | 101 |
| 74018 X-ray of abdomen, 1 view | 552 | 90.6% | 9.46x | 552 | 133 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in New York · Radiology in all states
FAQ
What is the Federal IDR provider win rate for radiology in New York?
In 2025 Q1–Q4, the provider or facility offer was selected in 91.1% of 61,363 determined dispute line items for radiology in New York. 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 radiology in New York?
In 2025 Q1–Q4, the median prevailing offer was 5.27x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 3.44x to 6.53x (n = 61,301 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 radiology in New York?
In 2025 Q1–Q4, the median was 78 business days (n = 61,363 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).