Federal IDR outcomes: Radiology in Texas
In 2025 Q1–Q4, the provider or facility offer prevailed in 95.1% of 515,706 determined Federal IDR dispute line items for radiology in Texas. The median prevailing offer was 5.02x the QPA (25th–75th percentile 3.10x–8.34x; n = 514,740). The median time to a decision was 52 business days (n = 515,706).
Determined line items
515,706
2025 Q1–Q4 · 636 split decisions excluded
Provider win rate
95.1%
n = 515,706 · 2025 Q1–Q4
Median payment vs QPA
5.02x
middle half 3.10x–8.34x · n = 514,740 · 2025 Q1–Q4
Median days to decision
52
business days, from dispute initiation · n = 515,706 · 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 | 515,706 | 95.1% | 5.02x | 3.10x–8.34x | 514,740 | 52 |
| 2024 Q1–Q4 | 374,942 | 93.4% | 6.68x | 4.51x–8.75x | 374,493 | 80 |
| 2023 Q1–Q4 | 42,492 | 91.4% | 7.13x | 4.83x–8.78x | 41,499 | 66 |
| 2023 Q1–2025 Q4 | 933,140 | 94.3% | 5.70x | 3.97x–8.53x | 930,732 | 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 | 56,287 | 96.2% | 2.85x | 56,231 | 66 |
| 77063 Screening 3D breast mammography | 52,678 | 96.9% | 2.49x | 52,619 | 70 |
| 71045 X-ray of chest, 1 view | 40,033 | 93.1% | 10.37x | 39,968 | 115 |
| 74177 CT scan of abdomen and pelvis with contrast | 33,051 | 95.1% | 7.30x | 32,957 | 45 |
| 70450 CT scan head or brain without contrast | 24,975 | 95.0% | 5.24x | 24,909 | 50 |
| 71046 X-ray of chest, 2 views | 21,648 | 94.5% | 8.72x | 21,618 | 60 |
| 74176 CT scan of abdomen and pelvis without contrast | 13,925 | 95.3% | 7.38x | 13,887 | 47 |
| 76705 Limited ultrasound scan of abdomen | 10,933 | 96.1% | 5.15x | 10,925 | 42 |
| 71275 CT scan of blood vessels of chest with contrast | 10,651 | 94.4% | 7.25x | 10,601 | 48 |
| 74018 X-ray of abdomen, 1 view | 8,546 | 94.6% | 7.55x | 8,527 | 57 |
| 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 7,054 | 95.5% | 4.92x | 7,044 | 48 |
| 76641 Complete ultrasound scan of 1 breast | 6,921 | 95.1% | 6.99x | 6,906 | 48 |
| 72125 CT scan of upper spine without contrast | 6,842 | 94.2% | 5.03x | 6,830 | 44 |
| 76642 Limited ultrasound scan of 1 breast | 6,002 | 93.7% | 6.92x | 5,983 | 48.5 |
| 70553 MRI scan of brain before and after contrast | 5,757 | 94.9% | 4.22x | 5,738 | 46 |
| 77066 Diagnostic mammography of both breasts | 5,613 | 96.5% | 3.09x | 5,603 | 69 |
| 70498 CT scan of blood vessels of neck with contrast | 5,460 | 94.7% | 5.74x | 5,437 | 50 |
| 71260 CT scan of chest with contrast | 5,424 | 94.1% | 5.09x | 5,405 | 48 |
| 70496 CT scan of blood vessels of head with contrast | 5,398 | 94.6% | 4.86x | 5,376 | 50 |
| 77065 Diagnostic mammography of 1 breast | 5,147 | 96.7% | 3.15x | 5,146 | 74 |
2025 Q1–Q4 · rows with n ≥ 30 determined line items · sorted by n.
Related: all specialties in Texas · Radiology in all states
FAQ
What is the Federal IDR provider win rate for radiology in Texas?
In 2025 Q1–Q4, the provider or facility offer was selected in 95.1% of 515,706 determined dispute line items for radiology in Texas. 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 Texas?
In 2025 Q1–Q4, the median prevailing offer was 5.02x the qualifying payment amount (QPA), with a 25th to 75th percentile range of 3.10x to 8.34x (n = 514,740 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 Texas?
In 2025 Q1–Q4, the median was 52 business days (n = 515,706 line items), using the CMS field Length of Time to Make Determination (from dispute initiation).