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Neurodiagnostics & IONM IDR: win rates and median awards
What Neurodiagnostics & IONM providers win in No Surprises Act arbitration, from 165,409 published disputes.
What do Neurodiagnostics & IONM providers win at federal IDR? In the CMS federal IDR public use files, providers in Neurodiagnostics & IONM won 84.7 percent of decided federal IDR disputes under the No Surprises Act, across 165,409 published disputes. The median award was 34.0x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 31 days. Estimate your own case with the free IDR calculator.
Neurodiagnostics & IONM line items in the CMS federal IDR public use files, 2023 through 2025. Method on the methodology page.
A worked example
Take the most disputed Neurodiagnostics & IONM billing code, 95938, with a median qualifying payment amount of $58 in the files. A Neurodiagnostics & IONM dispute with a qualifying payment amount of $58 resolves at the specialty median of 34.0x, an estimated award of $1,972. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Neurodiagnostics & IONM billing codes at federal IDR
The most disputed Neurodiagnostics & IONM codes in the public use files, at the line-item grain. Median award is the median decided award in dollars for that code. Win rates are within decided line items for the code.
| Code | Line items | Win rate | Median QPA | Median award |
|---|---|---|---|---|
| 95938 | 55,067 | 84.6% | $58 | $2,800 |
| 95941 | 36,657 | 85.3% | $371 | $5,325 |
| 95939 | 30,795 | 83.9% | $150 | $2,861 |
| 95861 | 21,758 | 85.2% | $103 | $3,000 |
| 95955 | 17,514 | 86.6% | $60 | $5,100 |
| 95937 | 16,493 | 86.7% | $72 | $6,225 |
Source: CMS federal IDR public use files, 2023 through 2025. "n/a" means CMS did not publish a usable dollar figure for that code.
Common questions
What percentage of Neurodiagnostics & IONM federal IDR disputes do providers win?
Providers won 84.7 percent of decided federal IDR disputes in Neurodiagnostics & IONM, across 165,409 disputes in the CMS federal IDR public use files. Decided disputes exclude default decisions, where one side never submitted an offer.
What is the median IDR award for code 95938?
Code 95938, the most disputed Neurodiagnostics & IONM code in the files, shows a median decided award of $2,800 against a median qualifying payment amount of $58, with an 84.6 percent provider win rate across 55,067 line items.
How long does a Neurodiagnostics & IONM IDR case take?
The median Neurodiagnostics & IONM dispute took 31 days from filing to decision. The No Surprises Act process is written only: after the payer's initial payment there are 30 business days to start open negotiation, 30 to negotiate, then 4 to initiate arbitration. There is no hearing.
Related pages
Neurosurgery & Pain IDR, Orthopedic Surgery IDR, and Anesthesiology IDR have their own pages, and the IDR calculator covers all 22 specialties. For filing help, Lido IDR files federal IDR for a flat fee per arbitration. To browse every published dispute, see idrexplorer.com.