Federal IDR outcomes: Anesthesiology in North Carolina
In 2025 Q1–Q4, the provider or facility offer prevailed in 90.0% of 11,028 determined Federal IDR dispute line items for anesthesiology in North Carolina. The median prevailing offer was 1.96x the QPA (25th–75th percentile 1.55x–3.34x; n = 9,686). The median time to a decision was 34 business days (n = 11,028).
Determined line items
11,028
2025 Q1–Q4 · 12 split decisions excluded
Provider win rate
90.0%
n = 11,028 · 2025 Q1–Q4
Median payment vs QPA
1.96x
middle half 1.55x–3.34x · n = 9,686 · 2025 Q1–Q4
Median days to decision
34
business days, from dispute initiation · n = 11,028 · 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 | 11,028 | 90.0% | 1.96x | 1.55x–3.34x | 9,686 | 34 |
| 2024 Q1–Q4 | 11,975 | 91.1% | 1.71x | 1.55x–1.89x | 10,137 | 84 |
| 2023 Q1–Q4 | 2,760 | 93.6% | 1.83x | 1.68x–1.92x | 2,025 | 62 |
| 2023 Q1–2025 Q4 | 25,763 | 90.9% | 1.76x | 1.55x–2.55x | 21,848 | 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 | 1,218 | 89.7% | 2.23x | 1,180 | 26 |
| 00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using | 559 | 87.7% | 2.16x | 527 | 31 |
| 00840 Anesthesia for other procedure on lower abdomen | 476 | 88.4% | 1.61x | 426 | 45 |
| 01400 Anesthesia for other procedure or exam of knee joint using an endoscope | 438 | 89.0% | 1.74x | 398 | 59 |
| 00142 Anesthesia for lens surgery | 378 | 95.0% | 2.05x | 336 | 35 |
| 00811 Anesthesia for other procedure on large bowel using an endoscope | 374 | 89.8% | 2.21x | 325 | 31 |
| 00813 Anesthesia for procedure on small and large bowel using an endoscope | 357 | 89.4% | 2.29x | 327 | 28 |
| 01630 Anesthesia for other procedure on top of arm bone and shoulder joint | 346 | 87.6% | 1.67x | 310 | 44.5 |
| 01402 Anesthesia for procedure for total knee joint replacement | 288 | 90.6% | 1.65x | 243 | 39 |
| 64415 Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial ple | 288 | 93.4% | 3.49x | 264 | 42 |
| 00790 Anesthesia for other procedure on upper abdomen | 278 | 92.4% | 1.69x | 227 | 42 |
| 01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri | 276 | 92.4% | 1.78x | 242 | 50 |
| 64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 261 | 91.6% | 3.70x | 236 | 39 |
| 01480 Anesthesia for other procedure on lower leg, ankle, and foot bones | 236 | 94.1% | 1.69x | 194 | 41 |
| 00170 Anesthesia for other procedure on mouth | 233 | 95.3% | 1.76x | 181 | 31 |
| 64488 Injection of local anesthetic for abdominal wall pain control on both sides usin | 230 | 93.5% | 3.58x | 206 | 45.5 |
| 01961 Anesthesia for cesarean delivery | 210 | 90.5% | 1.61x | 193 | 56.5 |
| 00400 Anesthesia for other procedure on skin of arms, legs, and front body | 174 | 87.9% | 1.86x | 142 | 43.5 |
| 01830 Anesthesia for other procedure on forearm, wrist, or hand bones | 166 | 86.1% | 1.88x | 133 | 33 |
| 00160 Anesthesia for other procedure on nose and sinuses | 150 | 92.7% | 1.74x | 136 | 29.5 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in North Carolina · Anesthesiology in all states
FAQ
What is the Federal IDR provider win rate for anesthesiology in North Carolina?
In 2025 Q1–Q4, the provider or facility offer was selected in 90.0% of 11,028 determined dispute line items for anesthesiology in North Carolina. 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 North Carolina?
In 2025 Q1–Q4, the median prevailing offer was 1.96x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.55x to 3.34x (n = 9,686 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 North Carolina?
In 2025 Q1–Q4, the median was 34 business days (n = 11,028 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).