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Neurosurgery & Pain IDR: win rates and median awards
What Neurosurgery & Pain providers win in No Surprises Act arbitration, from 43,132 published disputes.
What do Neurosurgery & Pain providers win at federal IDR? In the CMS federal IDR public use files, providers in Neurosurgery & Pain won 85.9 percent of decided federal IDR disputes under the No Surprises Act, across 43,132 published disputes. The median award was 36.1x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 32 days. Estimate your own case with the free IDR calculator.
Neurosurgery & Pain 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 Neurosurgery & Pain billing code, 64447, with a median qualifying payment amount of $88 in the files. A Neurosurgery & Pain dispute with a qualifying payment amount of $88 resolves at the specialty median of 36.1x, an estimated award of $3,177. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Neurosurgery & Pain billing codes at federal IDR
The most disputed Neurosurgery & Pain 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 |
|---|---|---|---|---|
| 64447 | 3,519 | 84.9% | $88 | $2,200 |
| 64415 | 3,505 | 83.5% | $98 | $1,925 |
| 63047 | 2,699 | 84.1% | $292 | $44,950 |
| 64483 | 2,531 | 86.5% | $236 | $12,000 |
| 64484 | 2,037 | 85.3% | $115 | $10,000 |
| 63048 | 2,019 | 84.6% | $143 | $18,000 |
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 Neurosurgery & Pain federal IDR disputes do providers win?
Providers won 85.9 percent of decided federal IDR disputes in Neurosurgery & Pain, across 43,132 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 64447?
Code 64447, the most disputed Neurosurgery & Pain code in the files, shows a median decided award of $2,200 against a median qualifying payment amount of $88, with an 84.9 percent provider win rate across 3,519 line items.
How long does a Neurosurgery & Pain IDR case take?
The median Neurosurgery & Pain dispute took 32 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
Neurodiagnostics & IONM 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.