Federal IDR outcomes: Radiology in Ohio
In 2025 Q1–Q4, the provider or facility offer prevailed in 90.7% of 2,790 determined Federal IDR dispute line items for radiology in Ohio. The median prevailing offer was 2.89x the QPA (25th–75th percentile 2.62x–3.68x; n = 2,789). The median time to a decision was 44 business days (n = 2,790).
Determined line items
2,790
2025 Q1–Q4 · 24 split decisions excluded
Provider win rate
90.7%
n = 2,790 · 2025 Q1–Q4
Median payment vs QPA
2.89x
middle half 2.62x–3.68x · n = 2,789 · 2025 Q1–Q4
Median days to decision
44
business days, from dispute initiation · n = 2,790 · 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 | 2,790 | 90.7% | 2.89x | 2.62x–3.68x | 2,789 | 44 |
| 2024 Q1–Q4 | 717 | 87.2% | 2.95x | 2.52x–4.23x | 717 | 42 |
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 3,507 | 90.0% | 2.89x | 2.62x–3.76x | 3,506 | 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 |
|---|---|---|---|---|---|
| 77067 Screening mammography | 504 | 93.3% | 2.75x | 504 | 48 |
| 77063 Screening 3D breast mammography | 488 | 95.3% | 2.62x | 488 | 49 |
| 74177 CT scan of abdomen and pelvis with contrast | 355 | 94.6% | 2.95x | 354 | 33 |
| 71045 X-ray of chest, 1 view | 168 | 85.1% | 4.72x | 168 | 81 |
| 74176 CT scan of abdomen and pelvis without contrast | 120 | 87.5% | 2.95x | 120 | 29 |
| 71046 X-ray of chest, 2 views | 99 | 79.8% | 4.76x | 99 | 81 |
| 71271 Low dose CT scan of chest for lung cancer screening | 86 | 90.7% | 3.46x | 86 | 37 |
| 77066 Diagnostic mammography of both breasts | 75 | 93.3% | 2.73x | 75 | 29 |
| 76642 Limited ultrasound scan of 1 breast | 55 | 96.4% | 4.64x | 55 | 30 |
| 72125 CT scan of upper spine without contrast | 45 | 95.6% | 2.63x | 45 | 26 |
| 74018 X-ray of abdomen, 1 view | 45 | 91.1% | 2.80x | 45 | 63 |
| 77065 Diagnostic mammography of 1 breast | 45 | 93.3% | 2.76x | 45 | 41 |
| 70450 CT scan head or brain without contrast | 41 | 82.9% | 2.97x | 41 | 153 |
| 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT | 37 | 94.6% | 4.26x | 37 | 26 |
| 77062 3D breast mammography of both breasts | 34 | 91.2% | 1.63x | 34 | 66.5 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Ohio · Radiology in all states
FAQ
What is the Federal IDR provider win rate for radiology in Ohio?
In 2025 Q1–Q4, the provider or facility offer was selected in 90.7% of 2,790 determined dispute line items for radiology in Ohio. 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 Ohio?
In 2025 Q1–Q4, the median prevailing offer was 2.89x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 2.62x to 3.68x (n = 2,789 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 Ohio?
In 2025 Q1–Q4, the median was 44 business days (n = 2,790 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).