Vlada · Research · 2026-08-10 · comparative
Texas appears in 869,943 published IDR disputes.
Where do published Federal IDR disputes concentrate?
| State | Value |
|---|---|
| ALAlabama | 16,268 |
| AKAlaska | 1,582 |
| AZArizona | 160,511 |
| ARArkansas | 34,507 |
| CACalifornia | 69,665 |
| COColorado | 14,653 |
| CTConnecticut | 7,061 |
| DEDelaware | 2,529 |
| DCDistrict of Columbia | 497 |
| FLFlorida | 143,284 |
| GAGeorgia | 71,620 |
| HIHawaii | 577 |
| IDIdaho | 4,640 |
| ILIllinois | 20,366 |
| INIndiana | 70,413 |
| IAIowa | 2,363 |
| KSKansas | 11,922 |
| KYKentucky | 14,885 |
| LALouisiana | 49,366 |
| MEMaine | 1,516 |
| MDMaryland | 7,486 |
| MAMassachusetts | 3,678 |
| MIMichigan | 13,055 |
| MNMinnesota | 1,013 |
| MSMississippi | 14,848 |
| MOMissouri | 38,988 |
| MTMontana | 453 |
| NENebraska | 602 |
| NVNevada | 35,739 |
| NHNew Hampshire | 891 |
| NJNew Jersey | 105,243 |
| NMNew Mexico | 23,211 |
| NYNew York | 79,676 |
| NCNorth Carolina | 21,185 |
| NDNorth Dakota | 28 |
| OHOhio | 48,178 |
| OKOklahoma | 49,638 |
| OROregon | 1,821 |
| PAPennsylvania | 16,489 |
| RIRhode Island | 2,268 |
| SCSouth Carolina | 19,327 |
| SDSouth Dakota | 1,557 |
| TNTennessee | 72,486 |
| TXTexas | 869,943 |
| UTUtah | 1,988 |
| VTVermont | 21 |
| VAVirginia | 37,825 |
| WAWashington | 6,673 |
| WVWest Virginia | 3,879 |
| WIWisconsin | 9,598 |
| WYWyoming | 175 |
Distinct dispute numbers by service-location state · count · 2025 · detailed emergency and non-emergency determination records · 50 states plus DC · CMS Federal IDR Public Use Files, detailed determination records, 2025 Q1 to Q4 · query b9f3f2ad-dae4-409b-94a2-32a3e0ed6f96 · 51 rows
The posted figure

Read with
- A published batch can contain services in more than one state. One dispute can therefore appear in multiple state counts, so the state values cannot be added into a national total.
- These are disputes represented in detailed determination records, not the complete universe of initiated disputes.
- State is the published service location. It is not the provider headquarters, payer headquarters or patient residence.
- The map includes the 50 states and District of Columbia. Published territory rows are omitted.
- The counts describe the 2025 public file and do not establish why disputes concentrate in a state.
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