IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Anesthesiology in Oklahoma

In 2025 Q1–Q4, the provider or facility offer prevailed in 91.0% of 5,184 determined Federal IDR dispute line items for anesthesiology in Oklahoma. The median prevailing offer was 10.92x the QPA (25th–75th percentile 6.19x–20.72x; n = 4,151). The median time to a decision was 31 business days (n = 5,184).

Determined line items

5,184

2025 Q1–Q4 · 5 split decisions excluded

Provider win rate

91.0%

n = 5,184 · 2025 Q1–Q4

Median payment vs QPA

10.92x

middle half 6.19x–20.72x · n = 4,151 · 2025 Q1–Q4

Median days to decision

31

business days, from dispute initiation · n = 5,184 · 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

PeriodLine itemsWin %Median ×QPA25th–75thRatio nMedian days
2025 Q1–Q45,18491.0%10.92x6.19x–20.72x4,15131
2024 Q1–Q43,78994.6%7.28x5.76x–14.33x2,72935
2023 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–2025 Q48,97392.5%8.93x5.84x–18.02x6,880not 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 codeLine itemsWin %Median ×QPARatio nMedian days
01400 Anesthesia for other procedure or exam of knee joint using an endoscope49491.9%10.14x38933
64415 Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial ple38891.5%22.93x †32833
01630 Anesthesia for other procedure on top of arm bone and shoulder joint38489.3%11.23x29430
01480 Anesthesia for other procedure on lower leg, ankle, and foot bones29991.6%11.96x24131
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wri29093.8%10.18x22432
00813 Anesthesia for procedure on small and large bowel using an endoscope26491.7%7.67x23331
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)26191.6%23.96x †19733
01830 Anesthesia for other procedure on forearm, wrist, or hand bones20591.2%12.39x15333
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using20093.0%7.28x17131
01402 Anesthesia for procedure for total knee joint replacement19991.5%11.61x14532
00812 Anesthesia for exam of colon using an endoscope15692.3%8.49x13727
00811 Anesthesia for other procedure on large bowel using an endoscope13992.8%7.43x11630
01470 Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower 13492.5%12.39x10632
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (scia11190.1%23.63x †9530
00170 Anesthesia for other procedure on mouth9083.3%7.96x6430.5
01214 Anesthesia for total hip replacement9092.2%8.02x7329.5
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and up7582.7%9.26x5633
01710 Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper6991.3%11.27x4932
00840 Anesthesia for other procedure on lower abdomen6895.6%8.19x5330.5
00790 Anesthesia for other procedure on upper abdomen5494.4%10.01x4931

2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.

Related: all specialties in Oklahoma · Anesthesiology in all states

FAQ

What is the Federal IDR provider win rate for anesthesiology in Oklahoma?

In 2025 Q1–Q4, the provider or facility offer was selected in 91.0% of 5,184 determined dispute line items for anesthesiology in Oklahoma. 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 Oklahoma?

In 2025 Q1–Q4, the median prevailing offer was 10.92x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 6.19x to 20.72x (n = 4,151 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 Oklahoma?

In 2025 Q1–Q4, the median was 31 business days (n = 5,184 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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