Federal IDR outcomes: Radiology in Oregon
In 2025 Q1–Q4, the provider or facility offer prevailed in 58.1% of 3,159 determined Federal IDR dispute line items for radiology in Oregon. The median prevailing offer was 2.10x the QPA (25th–75th percentile 1.00x–3.42x; n = 3,159). The median time to a decision was 41 business days (n = 3,159).
Determined line items
3,159
2025 Q1–Q4 · 0 split decisions excluded
Provider win rate
58.1%
n = 3,159 · 2025 Q1–Q4
Median payment vs QPA
2.10x
middle half 1.00x–3.42x · n = 3,159 · 2025 Q1–Q4
Median days to decision
41
business days, from dispute initiation · n = 3,159 · 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 | 3,159 | 58.1% | 2.10x | 1.00x–3.42x | 3,159 | 41 |
| 2024 Q1–Q4 | 167 | 37.7% | 1.20x | 0.70x–1.27x | 167 | 38 |
| 2023 Q1–Q4 | Fewer than 30 determined line items; not shown. | |||||
| 2023 Q1–2025 Q4 | 3,326 | 57.0% | 1.93x | 1.00x–3.32x | 3,326 | 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 | 331 | 65.6% | 2.10x | 331 | 38 |
| 77067 Screening mammography | 255 | 25.9% | 1.00x | 255 | 81 |
| 71046 X-ray of chest, 2 views | 197 | 69.5% | 2.18x | 197 | 43 |
| 70450 CT scan head or brain without contrast | 192 | 65.1% | 2.15x | 192 | 38 |
| 74177 CT scan of abdomen and pelvis with contrast | 141 | 78.7% | 2.30x | 141 | 24 |
| 77063 Screening 3D breast mammography | 128 | 9.4% | 1.00x | 128 | 135 |
| 76642 Limited ultrasound scan of 1 breast | 107 | 43.0% | 1.00x | 107 | 45 |
| 76641 Complete ultrasound scan of 1 breast | 106 | 64.2% | 3.57x | 106 | 41 |
| 74018 X-ray of abdomen, 1 view | 97 | 74.2% | 2.65x | 97 | 41 |
| 73630 X-ray of foot, minimum of 3 views | 67 | 44.8% | 1.20x | 67 | 58 |
| 73030 X-ray of shoulder, minimum of 2 views | 66 | 45.5% | 1.20x | 66 | 58 |
| 72125 CT scan of upper spine without contrast | 60 | 51.7% | 1.99x | 60 | 36 |
| 73610 X-ray of ankle, minimum of 3 views | 55 | 47.3% | 1.20x | 55 | 40 |
| 73562 X-ray of knee, 3 views | 52 | 38.5% | 1.20x | 52 | 31 |
| 71260 CT scan of chest with contrast | 50 | 88.0% | 2.11x | 50 | 43 |
| 73130 X-ray of hand, minimum of 3 views | 47 | 40.4% | 1.20x | 47 | 40 |
| 70553 MRI scan of brain before and after contrast | 43 | 46.5% | 1.03x | 43 | 95 |
| 72100 X-ray of lower and sacral spine, 2-3 views | 43 | 86.0% | 3.33x | 43 | 50 |
| 70496 CT scan of blood vessels of head with contrast | 40 | 62.5% | 1.83x | 40 | 28 |
| 70498 CT scan of blood vessels of neck with contrast | 40 | 62.5% | 2.19x | 40 | 34 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Oregon · Radiology in all states
FAQ
What is the Federal IDR provider win rate for radiology in Oregon?
In 2025 Q1–Q4, the provider or facility offer was selected in 58.1% of 3,159 determined dispute line items for radiology in Oregon. 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 Oregon?
In 2025 Q1–Q4, the median prevailing offer was 2.10x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 1.00x to 3.42x (n = 3,159 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 Oregon?
In 2025 Q1–Q4, the median was 41 business days (n = 3,159 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).