How these pages were selected
Every benchmark page uses two gates: meaningful CMS data volume and a buyer-facing IDR angle. That keeps the site away from thin programmatic pages and gives each page enough data to answer a real reimbursement question.
- Every page is built from dispute-level CMS Federal IDR records, not scraped summaries.
- Service-code, state, and specialty pages need at least 500 CMS disputes to enter the sitemap; payer pages need at least 5,000.
- Lower-sample pages can exist for users, but they stay out of the sitemap and carry noindex until the record is deep enough.
State benchmarks
Payer outcome pages
Specialty benchmarks
Service-code benchmarks
Want this for your own claim mix?
IDR Explorer can benchmark a provider group against payer, state, specialty, and service-code outcomes in the public IDR files. The fastest next step is a free NSA audit.
FAQ
What is included in the federal IDR benchmark hub?
728 service-code pages, 48 state pages, 24 payer pages, and 22 specialty pages, all built from CMS Federal IDR public use files covering 3.39 million disputes through 2025Q4.
Are all generated pages indexable?
No. Pages with low CMS sample size are held from the sitemap and marked noindex,follow until they have enough data or supporting content.
How should providers use these benchmarks?
Use them to compare claim mix, payer behavior, win rates, award multiples, and whether an IDR workflow deserves review.
How often is the data updated?
The pages are rebuilt from each quarterly CMS public use file release and currently cover disputes through 2025Q4.
Related benchmarks
Sources and method
Providers won 85.8% of 3.39 million federal IDR disputes through 2025Q4, with a median provider-won award of 4.7x the qualifying payment amount, per CMS public use files.
- CMS: Federal IDR reports and public use files
- CMS: Federal IDR operations final rule fact sheet
- CMS: Federal IDR timeline for claims
Data source: CMS Federal IDR public use files, coverage through 2025Q4; data build 2026-09-24. Counts are CMS dispute counts unless a table says line items. Win rates on this page exclude payer no-show defaults unless labeled otherwise. Award multiples are medians versus the qualifying payment amount (QPA). Dollar figures, where shown, come from CMS QPA-and-offer fields or are anchored estimates, not payment records. This page is informational, not legal or reimbursement advice.