01 / NAICS Market Profile
NAICS 621492 Kidney Dialysis Centers Federal Contracts
North American Industry Classification System code 621492
Federal contract activity classified under Kidney Dialysis Centers across FY 2020–FY 2026. Net obligations include both new obligations and subsequent deobligations.
02 / Market Size
How large is the NAICS 621492 federal market?
03 / Spending Trend
NAICS 621492 contract spending by fiscal year
Annual obligations, activity, and participation across the same FY 2020–FY 2026 profile window.
Latest closed fiscal year$536.51M
FY 2026| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2020 | $726.96M | 151 | 43 | 6 | — |
| FY 2021 | $639.14M | 155 | 29 | 3 | −12.1% |
| FY 2022 | $654.74M | 131 | 30 | 3 | +2.4% |
| FY 2023 | $692.34M | 93 | 27 | 4 | +5.7% |
| FY 2024 | $6.61M | 90 | 22 | 4 | −99.0% |
| FY 2025 | $1.34B | 158 | 26 | 4 | +20,248.7% |
| FY 2026 | $536.51M | 96 | 24 | 3 | −60.1% |
04 / Top Federal Customers
Which federal agencies buy most in this industry?
Ranked by net obligations during FY 2020–FY 2026.
| Federal customer | Code | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|
| VETERANS AFFAIRS, DEPARTMENT OF | 3600 | $4.58B | 487 | 44 | 99.5% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $22.84M | 340 | 8 | 0.5% |
| DEPT OF THE AIR FORCE | 5700 | $2.29M | 38 | 5 | 0.0% |
| INDIAN HEALTH SERVICE | 7527 | $2.1K | 4 | 2 | 0.0% |
| CENTERS FOR MEDICARE AND MEDICAID SERVICES | 7530 | $0 | 1 | 1 | 0.0% |
| OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | 7505 | -$39.5K | 2 | 2 | 0.0% |
| DEPT OF THE ARMY | 2100 | -$50.9K | 2 | 2 | 0.0% |
05 / Contracting Offices
Which contracting offices buy in NAICS 621492?
Ranked by net obligations during FY 2020–FY 2026.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G) | 36C10G | VETERANS AFFAIRS, DEPARTMENT OF | $4.55B | 158 | 16 | 98.8% |
| FMC DEVENS | 15B205 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $18.19M | 147 | 1 | 0.4% |
| 261-NETWORK CONTRACT OFFICE 21 (36C261) | 36C261 | VETERANS AFFAIRS, DEPARTMENT OF | $8.89M | 59 | 5 | 0.2% |
| NETWORK CONTRACT OFFICE 19 (36C259) | 36C259 | VETERANS AFFAIRS, DEPARTMENT OF | $4.97M | 25 | 2 | 0.1% |
| 255-NETWORK CONTRACT OFFICE 15 (36C255) | 36C255 | VETERANS AFFAIRS, DEPARTMENT OF | $3.03M | 36 | 3 | 0.1% |
| FMC BUTNER | 15B106 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $2.94M | 64 | 1 | 0.1% |
| 256-NETWORK CONTRACT OFFICE 16 (36C256) | 36C256 | VETERANS AFFAIRS, DEPARTMENT OF | $2.80M | 59 | 5 | 0.1% |
| 249-NETWORK CONTRACT OFFICE 9 (36C249) | 36C249 | VETERANS AFFAIRS, DEPARTMENT OF | $2.35M | 15 | 1 | 0.1% |
| NETWORK CONTRACT OFFICE 23 (36C263) | 36C263 | VETERANS AFFAIRS, DEPARTMENT OF | $1.69M | 36 | 5 | 0.0% |
| 252-NETWORK CONTRACT OFFICE 12 (36C252) | 36C252 | VETERANS AFFAIRS, DEPARTMENT OF | $1.54M | 16 | 4 | 0.0% |
06 / Top Vendors
Which contractors lead the NAICS 621492 market?
| Vendor | Obligations | Actions | Customers | Market share | Latest activity |
|---|---|---|---|---|---|
| FRESENIUS MEDICAL CARE HOLDINGS INC | $2.12B | 19 | 1 | 46.1% | May 13, 2026 |
| DAVITA INC. | $1.85B | 102 | 2 | 40.3% | May 29, 2026 |
| DIALYSIS CLINIC, INC. | $189.96M | 47 | 2 | 4.1% | May 13, 2026 |
| AMERICAN RENAL ASSOCIATES LLC | $171.50M | 18 | 1 | 3.7% | May 13, 2026 |
| US RENAL CARE INC | $143.84M | 17 | 1 | 3.1% | May 13, 2026 |
| DIALYSIS NEWCO, INC. | $45.80M | 18 | 2 | 1.0% | Dec 17, 2025 |
| CHARDONNAY DIALYSIS, LLC | $21.13M | 211 | 1 | 0.5% | Sep 8, 2026 |
| RSA - GUAM LLC | $10.39M | 16 | 1 | 0.2% | Dec 17, 2025 |
| ATLANTIS HEALTHCARE GROUP (PUERTO RICO), INC. | $7.61M | 15 | 1 | 0.2% | Dec 17, 2025 |
| SATELLITE HEALTHCARE, INC. | $5.90M | 1 | 1 | 0.1% | Sep 30, 2020 |
07 / Product and Service Mix
What products and services are purchased under NAICS 621492?
| PSC | Description | Obligations | Actions | Vendors | Share |
|---|---|---|---|---|---|
| Q999 | MEDICAL- OTHER | $4.56B | 344 | 33 | 99.2% |
| Q201 | MEDICAL- GENERAL HEALTH CARE | $23.70M | 301 | 11 | 0.5% |
| Q401 | MEDICAL- NURSING | $4.96M | 62 | 9 | 0.1% |
| Q509 | MEDICAL- INTERNAL MEDICINE | $4.15M | 79 | 8 | 0.1% |
| Q508 | MEDICAL- HEMATOLOGY | $3.45M | 50 | 8 | 0.1% |
| Q702 | TECHNICAL MEDICAL SUPPORT | $1.38M | 23 | 2 | 0.0% |
| J065 | MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES | $326.4K | 6 | 1 | 0.0% |
| 6630 | CHEMICAL ANALYSIS INSTRUMENTS | $11.8K | 2 | 1 | 0.0% |
| Q525 | MEDICAL- UROLOGY | $3.5K | 1 | 1 | 0.0% |
| 6515 | MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | $2.1K | 4 | 2 | 0.0% |
08 / Buying Pattern
How does the government buy in NAICS 621492?
| Common action type | Obligations | Actions |
|---|---|---|
| DELIVERY ORDER | $4.25B | 501 |
| PURCHASE ORDER | $342.64M | 297 |
| DEFINITIVE CONTRACT | $6.63M | 68 |
| BPA CALL | $1.58M | 8 |
09 / Recent Contract Awards
What was awarded most recently in NAICS 621492?
10 / Market Interpretation
How should contractors evaluate this market?
Start with the spending direction
Compare annual obligations with actions and vendor participation. Growth driven by only a few large actions represents a different opportunity from broad, recurring demand.
Follow the actual buyers
Move from federal customers to contracting offices. Offices reveal where acquisition responsibility and recurring purchasing activity are concentrated.
Measure accessible demand
Use competition, small-business participation, incumbent vendors, and PSC mix before treating the full $4.60B market as addressable.