GETWAB

02 / Market Size

How large is the NAICS 621399 federal market?

Net obligations$1.25B
Contract actions8,869
Vendors838
Federal customers38
Contracting offices234
Average action$140.4K
Largest action$35.36M
Data coverageFY 2019–FY 2025

03 / Spending Trend

NAICS 621399 contract spending by fiscal year

Annual obligations, activity, and participation across the same FY 2019–FY 2025 profile window.

Latest closed fiscal year$162.72M
FY 2025
Fiscal yearObligationsActionsVendorsCustomersChange
FY 2019$153.50M1,55943724
FY 2020$159.43M1,30942625+3.9%
FY 2021$164.44M1,25936726+3.1%
FY 2022$228.22M1,35034824+38.8%
FY 2023$178.77M1,20430826−21.7%
FY 2024$198.43M1,10227423+11.0%
FY 2025$162.72M1,08623223−18.0%

04 / Top Federal Customers

Which federal agencies buy most in this industry?

Ranked by net obligations during FY 2019–FY 2025.

Federal customerCodeObligationsActionsVendorsMarket share
DEPT OF THE ARMY2100$537.30M2,20720843.1%
INDIAN HEALTH SERVICE7527$232.98M1,96411818.7%
VETERANS AFFAIRS, DEPARTMENT OF3600$191.99M1,69118815.4%
DEFENSE HEALTH AGENCY (DHA)97DH$82.74M222336.6%
DEPT OF THE AIR FORCE5700$82.52M732856.6%
FEDERAL PRISON SYSTEM / BUREAU OF PRISONS1540$35.27M866582.8%
CENTERS FOR DISEASE CONTROL AND PREVENTION7523$33.63M163122.7%
MARITIME ADMINISTRATION6938$23.78M5831.9%
FOREST SERVICE12C2$6.24M73300.5%
WASHINGTON HEADQUARTERS SERVICES (WHS)97F5$5.97M9040.5%

05 / Contracting Offices

Which contracting offices buy in NAICS 621399?

Ranked by net obligations during FY 2019–FY 2025.

06 / Top Vendors

Which contractors lead the NAICS 621399 market?

VendorObligationsActionsCustomersMarket shareLatest activity
GIACARE AND MEDTRUST JV, LLC$193.27M74115.5%Aug 26, 2025
PRAIRIE QUEST, INC.$73.82M7925.9%Sep 17, 2025
WISESTAFF, LLC$61.16M5624.9%Aug 14, 2025
REEF SYSTEMS-FSR, LLC$30.37M3322.4%Sep 11, 2025
ROSATO ASSOCIATES, INC.$29.18M2812.3%May 30, 2025
INTEGRATED MEDICAL SOLUTIONS, INC$26.98M10612.2%Sep 4, 2025
FOUR WINDS STAFFING LLC$25.48M5012.0%Sep 19, 2025
NORTH SHORE UNIVERSITY HOSPITAL$23.76M5011.9%Sep 16, 2025
ROBISON MEDICAL RESOURCE GROUP LLC$21.89M11721.8%Aug 5, 2025
MEDTRUST, L.L.C.$21.58M17011.7%Nov 15, 2021

07 / Product and Service Mix

What products and services are purchased under NAICS 621399?

PSCDescriptionObligationsActionsVendorsShare
Q401MEDICAL- NURSING$501.01M2,27125540.2%
Q701SPECIALIZED MEDICAL SUPPORT$132.36M2342310.6%
Q201MEDICAL- GENERAL HEALTH CARE$98.86M8161147.9%
Q999MEDICAL- OTHER$91.30M1,5991867.3%
Q501MEDICAL- ANESTHESIOLOGY$61.43M408244.9%
Q517MEDICAL- PHARMACOLOGY$58.48M874794.7%
Q522MEDICAL- RADIOLOGY$40.56M339443.3%
Q521MEDICAL- PULMONARY$29.41M9162.4%
Q527MEDICAL- NUCLEAR MEDICINE$25.56M2542.1%
Q502MEDICAL- CARDIO-VASCULAR$20.10M122211.6%

08 / Buying Pattern

How does the government buy in NAICS 621399?

Competed under SAP41.6%3,691 actions
Not competed under SAP17.9%1,585 actions
Other / unknown16.4%1,457 actions
Not available for competition10.5%931 actions
Not competed7.6%672 actions
Competed6.0%533 actions
Other than small business share57.8%$719.60M
Small business share42.2%$525.91M
Common action typeObligationsActions
PURCHASE ORDER$214.15M3,406
DELIVERY ORDER$658.90M3,093
DEFINITIVE CONTRACT$331.79M1,802
BPA CALL$40.67M568

09 / Recent Contract Awards

What was awarded most recently in NAICS 621399?

10 / Market Interpretation

How should contractors evaluate this market?

01

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.

02

Follow the actual buyers

Move from federal customers to contracting offices. Offices reveal where acquisition responsibility and recurring purchasing activity are concentrated.

03

Measure accessible demand

Use competition, small-business participation, incumbent vendors, and PSC mix before treating the full $1.25B market as addressable.