IDR Data
CMS PUF data · 2023 Q1–2025 Q4

Federal IDR outcomes: Vascular surgery in Pennsylvania

In 2025 Q1–Q4, the provider or facility offer prevailed in 98.6% of 69 determined Federal IDR dispute line items for vascular surgery in Pennsylvania. The median time to a decision was 27 business days (n = 69).

Determined line items

69

2025 Q1–Q4 · 0 split decisions excluded

Provider win rate

98.6%

n = 69 · 2025 Q1–Q4

Median payment vs QPA

–

n = 23, below 30 · 2025 Q1–Q4

Median days to decision

27

business days, from dispute initiation · n = 69 · 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–Q46998.6%––2327
2024 Q1–Q45592.7%––1138
2023 Q1–Q4Fewer than 30 determined line items; not shown.
2023 Q1–2025 Q413396.2%38.47x †12.05x–176.36x40not 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

No row has 30 or more determined line items in 2025 Q1–Q4.

Related: all specialties in Pennsylvania · Vascular surgery in all states

FAQ

What is the Federal IDR provider win rate for vascular surgery in Pennsylvania?

In 2025 Q1–Q4, the provider or facility offer was selected in 98.6% of 69 determined dispute line items for vascular surgery in Pennsylvania. Split decisions are excluded from the denominator and default decisions are included. Withdrawn, settled and ineligible disputes are not in the CMS data.

How long do Federal IDR decisions take for vascular surgery in Pennsylvania?

In 2025 Q1–Q4, the median was 27 business days (n = 69 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).

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