01 / NAICS Market Profile
NAICS 621910 Ambulance Services Federal Contracts
North American Industry Classification System code 621910
Federal contract activity classified under Ambulance Services across FY 2020–FY 2026. Net obligations include both new obligations and subsequent deobligations.
02 / Market Size
How large is the NAICS 621910 federal market?
03 / Spending Trend
NAICS 621910 contract spending by fiscal year
Annual obligations, activity, and participation across the same FY 2020–FY 2026 profile window.
Latest closed fiscal year$347.97M
FY 2026| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2020 | $507.96M | 1,203 | 246 | 20 | — |
| FY 2021 | $552.82M | 1,652 | 257 | 20 | +8.8% |
| FY 2022 | $332.34M | 1,369 | 240 | 18 | −39.9% |
| FY 2023 | $233.43M | 1,708 | 286 | 18 | −29.8% |
| FY 2024 | $414.07M | 2,451 | 310 | 17 | +77.4% |
| FY 2025 | $423.47M | 2,270 | 296 | 19 | +2.3% |
| FY 2026 | $347.97M | 2,309 | 325 | 18 | −17.8% |
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 | $1.24B | 3,663 | 230 | 44.0% |
| FEDERAL EMERGENCY MANAGEMENT AGENCY | 7022 | $1.02B | 547 | 6 | 36.3% |
| FOREST SERVICE | 12C2 | $191.55M | 4,991 | 133 | 6.8% |
| DEPT OF THE ARMY | 2100 | $137.15M | 351 | 64 | 4.9% |
| DEPT OF THE AIR FORCE | 5700 | $66.02M | 258 | 34 | 2.3% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $52.56M | 2,200 | 108 | 1.9% |
| DEPT OF THE NAVY | 1700 | $29.78M | 127 | 18 | 1.1% |
| INDIAN HEALTH SERVICE | 7527 | $24.79M | 179 | 11 | 0.9% |
| DEFENSE HEALTH AGENCY (DHA) | 97DH | $18.92M | 106 | 14 | 0.7% |
| STATE, DEPARTMENT OF | 1900 | $14.66M | 136 | 9 | 0.5% |
05 / Contracting Offices
Which contracting offices buy in NAICS 621910?
Ranked by net obligations during FY 2020–FY 2026.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| INCIDENT SUPPORT SECTION(ISS70) | 70FB70 | FEDERAL EMERGENCY MANAGEMENT AGENCY | $863.82M | 429 | 2 | 30.7% |
| 247-NETWORK CONTRACT OFFICE 7 (36C247) | 36C247 | VETERANS AFFAIRS, DEPARTMENT OF | $207.28M | 241 | 17 | 7.4% |
| USDA FOREST SERVICE | 12024B | FOREST SERVICE | $125.20M | 3,573 | 105 | 4.5% |
| 246-NETWORK CONTRACTING OFFICE 6 (36C246) | 36C246 | VETERANS AFFAIRS, DEPARTMENT OF | $115.17M | 187 | 11 | 4.1% |
| 250-NETWORK CONTRACT OFFICE 10 (36C250) | 36C250 | VETERANS AFFAIRS, DEPARTMENT OF | $113.56M | 307 | 21 | 4.0% |
| 245-NETWORK CONTRACT OFFICE 5 (36C245) | 36C245 | VETERANS AFFAIRS, DEPARTMENT OF | $97.64M | 326 | 24 | 3.5% |
| 257-NETWORK CONTRACT OFFICE 17 (36C257) | 36C257 | VETERANS AFFAIRS, DEPARTMENT OF | $90.69M | 240 | 18 | 3.2% |
| 244-NETWORK CONTRACT OFFICE 4 (36C244) | 36C244 | VETERANS AFFAIRS, DEPARTMENT OF | $84.51M | 218 | 16 | 3.0% |
| 262-NETWORK CONTRACT OFFICE 22 (36C262) | 36C262 | VETERANS AFFAIRS, DEPARTMENT OF | $81.72M | 287 | 20 | 2.9% |
| W40M MRC0 WEST | W81K00 | DEPT OF THE ARMY | $73.13M | 91 | 7 | 2.6% |
06 / Top Vendors
Which contractors lead the NAICS 621910 market?
| Vendor | Obligations | Actions | Customers | Market share | Latest activity |
|---|---|---|---|---|---|
| AMERICAN MEDICAL RESPONSE, INC. | $1.02B | 553 | 3 | 36.3% | Apr 23, 2026 |
| EXCELSIOR AMBULANCE SERVICE, INC. | $122.07M | 101 | 1 | 4.3% | Sep 28, 2026 |
| RELIANCE MEDICAL TRANSPORT, LLC | $73.26M | 68 | 2 | 2.6% | May 28, 2026 |
| UNITED MEDEVAC SOLUTIONS INC | $63.25M | 115 | 3 | 2.2% | Aug 27, 2026 |
| JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INC. | $47.82M | 65 | 1 | 1.7% | Aug 27, 2026 |
| ACADIAN AMBULANCE SERVICE, INC. | $41.94M | 222 | 5 | 1.5% | Sep 17, 2026 |
| MEDSHORE AMBULANCE SERVICE, INC. | $40.17M | 17 | 1 | 1.4% | May 13, 2026 |
| MEDEX MEDICAL TRANSPORT SERVICE INC | $38.30M | 85 | 2 | 1.4% | Jul 29, 2026 |
| JOURNEY VIA GURNEY, LLC | $34.92M | 80 | 2 | 1.2% | Sep 25, 2026 |
| ALERT AMBULANCE SERVICE INC | $29.30M | 63 | 1 | 1.0% | Jul 13, 2026 |
07 / Product and Service Mix
What products and services are purchased under NAICS 621910?
| PSC | Description | Obligations | Actions | Vendors | Share |
|---|---|---|---|---|---|
| V225 | TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE | $1.39B | 6,030 | 392 | 49.4% |
| Q999 | MEDICAL- OTHER | $1.09B | 1,460 | 110 | 38.7% |
| F003 | NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION | $153.08M | 4,551 | 114 | 5.4% |
| V119 | TRANSPORTATION/TRAVEL/RELOCATION- TRANSPORTATION: OTHER | $43.04M | 53 | 8 | 1.5% |
| V999 | TRANSPORTATION/TRAVEL/RELOCATION- OTHER: OTHER | $25.00M | 83 | 10 | 0.9% |
| V227 | TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: NAVIGATIONAL AID AND PILOTAGE | $24.00M | 18 | 2 | 0.9% |
| V221 | TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: PASSENGER AIR CHARTER | $21.08M | 88 | 16 | 0.7% |
| Q401 | MEDICAL- NURSING | $15.26M | 18 | 2 | 0.5% |
| V129 | TRANSPORTATION/TRAVEL/RELOCATION- TRANSPORTATION: OTHER | $14.46M | 18 | 6 | 0.5% |
| Q201 | MEDICAL- MANAGED HEALTHCARE | $12.04M | 265 | 24 | 0.4% |
08 / Buying Pattern
How does the government buy in NAICS 621910?
| Common action type | Obligations | Actions |
|---|---|---|
| DELIVERY ORDER | $2.35B | 8,653 |
| PURCHASE ORDER | $241.05M | 3,541 |
| DEFINITIVE CONTRACT | $206.36M | 606 |
| BPA CALL | $13.37M | 162 |
09 / Recent Contract Awards
What was awarded most recently in NAICS 621910?
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 $2.81B market as addressable.