01 / NAICS Market Profile
NAICS 621493 Freestanding Ambulatory Surgical And Emergency Centers Federal Contracts
North American Industry Classification System code 621493
Federal contract activity classified under Freestanding Ambulatory Surgical And Emergency Centers across FY 2020–FY 2026. Net obligations include both new obligations and subsequent deobligations.
02 / Market Size
How large is the NAICS 621493 federal market?
03 / Spending Trend
NAICS 621493 contract spending by fiscal year
Annual obligations, activity, and participation across the same FY 2020–FY 2026 profile window.
| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2020 | -$1.32M | 22 | 14 | 5 | — |
| FY 2021 | $10.90M | 15 | 5 | 4 | +928.3% |
| FY 2022 | $22.98M | 27 | 7 | 4 | +110.8% |
| FY 2023 | $29.19M | 19 | 8 | 6 | +27.0% |
| FY 2024 | $11.94M | 10 | 6 | 4 | −59.1% |
| FY 2025 | $13.78M | 17 | 11 | 5 | +15.4% |
| FY 2026 | $5.44M | 29 | 10 | 4 | −60.5% |
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 |
|---|---|---|---|---|---|
| STATE, DEPARTMENT OF | 1900 | $42.39M | 46 | 3 | 45.6% |
| VETERANS AFFAIRS, DEPARTMENT OF | 3600 | $35.78M | 49 | 13 | 38.5% |
| INDIAN HEALTH SERVICE | 7527 | $14.18M | 13 | 3 | 15.3% |
| NUCLEAR REGULATORY COMMISSION | 3100 | $309.9K | 7 | 1 | 0.3% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $134.1K | 14 | 3 | 0.1% |
| U.S. CUSTOMS AND BORDER PROTECTION | 7014 | $59.0K | 4 | 1 | 0.1% |
| DEPT OF THE ARMY | 2100 | $36.2K | 1 | 1 | 0.0% |
| SMITHSONIAN INSTITUTION | 3300 | $22.0K | 1 | 1 | 0.0% |
| AGRICULTURAL RESEARCH SERVICE | 12H2 | $11.3K | 3 | 1 | 0.0% |
| FOREST SERVICE | 12C2 | $903 | 1 | 1 | 0.0% |
05 / Contracting Offices
Which contracting offices buy in NAICS 621493?
Ranked by net obligations during FY 2020–FY 2026.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| ACQUISITIONS - AQM MOMENTUM | 19AQMM | STATE, DEPARTMENT OF | $42.39M | 46 | 3 | 45.6% |
| 246-NETWORK CONTRACTING OFFICE 6 (36C246) | 36C246 | VETERANS AFFAIRS, DEPARTMENT OF | $18.41M | 22 | 1 | 19.8% |
| INDIAN HEALTH SERVICE | 75H711 | INDIAN HEALTH SERVICE | $14.18M | 13 | 3 | 15.3% |
| 262-NETWORK CONTRACT OFFICE 22 (36C262) | 36C262 | VETERANS AFFAIRS, DEPARTMENT OF | $13.38M | 14 | 4 | 14.4% |
| 247-NETWORK CONTRACT OFFICE 7 (36C247) | 36C247 | VETERANS AFFAIRS, DEPARTMENT OF | $3.43M | 5 | 1 | 3.7% |
| 260-NETWORK CONTRACT OFFICE 20 (36C260) | 36C260 | VETERANS AFFAIRS, DEPARTMENT OF | $655.7K | 3 | 2 | 0.7% |
| NUCLEAR REGULATORY COMMISSION | 313100 | NUCLEAR REGULATORY COMMISSION | $309.9K | 7 | 1 | 0.3% |
| FCI SANDSTONE | 15B413 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $79.2K | 5 | 2 | 0.1% |
| 252-NETWORK CONTRACT OFFICE 12 (36C252) | 36C252 | VETERANS AFFAIRS, DEPARTMENT OF | $63.5K | 1 | 1 | 0.1% |
| AIR AND MARINE CONTRACTING DIVISION | 70B02C | U.S. CUSTOMS AND BORDER PROTECTION | $59.0K | 4 | 1 | 0.1% |
06 / Top Vendors
Which contractors lead the NAICS 621493 market?
| Vendor | Obligations | Actions | Customers | Market share | Latest activity |
|---|---|---|---|---|---|
| DO KNOW HARM, LLC | $37.98M | 24 | 1 | 40.9% | Feb 10, 2026 |
| WHITE STONE SPECTRUM HEALTHCARE RESOURCES LLC | $18.41M | 22 | 1 | 19.8% | Jul 20, 2026 |
| BANNER PHOENIX SURGERY CENTER, LLC | $13.00M | 7 | 1 | 14.0% | Sep 17, 2026 |
| CHENEGA GOVERNMENT MISSION SOLUTIONS, LLC | $5.59M | 3 | 1 | 6.0% | Aug 27, 2026 |
| OKLAHOMA STATE UNIVERSITY | $5.53M | 7 | 1 | 6.0% | Feb 3, 2026 |
| LOWCOUNTRY SURGERY CENTER, LLC | $3.43M | 5 | 1 | 3.7% | Aug 20, 2026 |
| TRIBAL HEALTH, LLC | $3.06M | 3 | 1 | 3.3% | Jun 3, 2025 |
| STERLING MEDICAL ASSOCIATES, INC | $2.97M | 15 | 1 | 3.2% | Jun 5, 2026 |
| JOHNS HOPKINS HEALTHCARE LLC | $1.45M | 7 | 1 | 1.6% | Jul 5, 2022 |
| BMK VENTURES, INC. | $328.0K | 1 | 1 | 0.4% | Jun 10, 2020 |
07 / Product and Service Mix
What products and services are purchased under NAICS 621493?
| PSC | Description | Obligations | Actions | Vendors | Share |
|---|---|---|---|---|---|
| Q201 | MEDICAL- GENERAL HEALTH CARE | $38.41M | 47 | 5 | 41.3% |
| Q509 | MEDICAL- INTERNAL MEDICINE | $18.41M | 22 | 1 | 19.8% |
| Q523 | MEDICAL- SURGERY | $13.09M | 11 | 3 | 14.1% |
| Q999 | MEDICAL- OTHER | $7.27M | 28 | 6 | 7.8% |
| Q529 | EMERGENCY MEDICINE SERVICES | $5.59M | 3 | 1 | 6.0% |
| Q701 | SPECIALIZED MEDICAL SUPPORT | $5.53M | 7 | 1 | 6.0% |
| Q511 | OPHTHALMOLOGY & OPTOMETRY | $3.43M | 5 | 1 | 3.7% |
| 6515 | MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES | $411.5K | 4 | 3 | 0.4% |
| 6530 | HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES | $381.4K | 2 | 2 | 0.4% |
| G004 | SOCIAL- SOCIAL REHABILITATION | $303.9K | 4 | 1 | 0.3% |
08 / Buying Pattern
How does the government buy in NAICS 621493?
| Common action type | Obligations | Actions |
|---|---|---|
| DEFINITIVE CONTRACT | $37.00M | 57 |
| DELIVERY ORDER | $55.02M | 47 |
| PURCHASE ORDER | $1.12M | 33 |
| BPA CALL | -$225.8K | 2 |
09 / Recent Contract Awards
What was awarded most recently in NAICS 621493?
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 $92.92M market as addressable.