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 2019–FY 2025. 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 2019–FY 2025 profile window.
Latest closed fiscal year$13.78M
FY 2025| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2019 | $4.99M | 19 | 7 | 4 | — |
| FY 2020 | -$1.32M | 22 | 14 | 5 | −126.4% |
| 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% |
04 / Top Federal Customers
Which federal agencies buy most in this industry?
Ranked by net obligations during FY 2019–FY 2025.
| Federal customer | Code | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|
| STATE, DEPARTMENT OF | 1900 | $47.90M | 44 | 3 | 51.8% |
| VETERANS AFFAIRS, DEPARTMENT OF | 3600 | $31.11M | 40 | 15 | 33.6% |
| INDIAN HEALTH SERVICE | 7527 | $13.09M | 10 | 3 | 14.2% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $217.5K | 24 | 3 | 0.2% |
| U.S. CUSTOMS AND BORDER PROTECTION | 7014 | $72.7K | 5 | 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 2019–FY 2025.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| ACQUISITIONS - AQM MOMENTUM | 19AQMM | STATE, DEPARTMENT OF | $47.90M | 44 | 3 | 51.8% |
| 246-NETWORK CONTRACTING OFFICE 6 (36C246) | 36C246 | VETERANS AFFAIRS, DEPARTMENT OF | $16.53M | 20 | 1 | 17.9% |
| INDIAN HEALTH SERVICE | 75H711 | INDIAN HEALTH SERVICE | $13.09M | 10 | 3 | 14.2% |
| 262-NETWORK CONTRACT OFFICE 22 (36C262) | 36C262 | VETERANS AFFAIRS, DEPARTMENT OF | $12.95M | 6 | 3 | 14.0% |
| 247-NETWORK CONTRACT OFFICE 7 (36C247) | 36C247 | VETERANS AFFAIRS, DEPARTMENT OF | $1.45M | 1 | 1 | 1.6% |
| 260-NETWORK CONTRACT OFFICE 20 (36C260) | 36C260 | VETERANS AFFAIRS, DEPARTMENT OF | $655.7K | 3 | 2 | 0.7% |
| 248-NETWORK CONTRACT OFFICE 8 (36C248) | 36C248 | VETERANS AFFAIRS, DEPARTMENT OF | $112.2K | 1 | 1 | 0.1% |
| FPC DULUTH | 15B402 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $110.4K | 17 | 1 | 0.1% |
| FCI SANDSTONE | 15B413 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $98.6K | 6 | 2 | 0.1% |
| AIR AND MARINE CONTRACTING DIVISION | 70B02C | U.S. CUSTOMS AND BORDER PROTECTION | $72.7K | 5 | 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 | $44.00M | 26 | 1 | 47.6% | Sep 18, 2023 |
| WHITE STONE SPECTRUM HEALTHCARE RESOURCES LLC | $16.53M | 20 | 1 | 17.9% | Aug 13, 2025 |
| BANNER PHOENIX SURGERY CENTER, LLC | $12.62M | 4 | 1 | 13.6% | Sep 29, 2025 |
| OKLAHOMA STATE UNIVERSITY | $6.58M | 6 | 1 | 7.1% | May 29, 2025 |
| CHENEGA GOVERNMENT MISSION SOLUTIONS, LLC | $3.44M | 1 | 1 | 3.7% | Sep 17, 2025 |
| TRIBAL HEALTH, LLC | $3.06M | 3 | 1 | 3.3% | Jun 3, 2025 |
| STERLING MEDICAL ASSOCIATES, INC | $2.46M | 11 | 1 | 2.7% | Sep 28, 2025 |
| LOWCOUNTRY SURGERY CENTER, LLC | $1.45M | 1 | 1 | 1.6% | Feb 13, 2025 |
| 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 | $44.20M | 52 | 4 | 47.8% |
| Q509 | MEDICAL- INTERNAL MEDICINE | $16.53M | 20 | 1 | 17.9% |
| Q523 | MEDICAL- SURGERY | $12.83M | 9 | 4 | 13.9% |
| Q701 | SPECIALIZED MEDICAL SUPPORT | $6.58M | 6 | 1 | 7.1% |
| Q999 | MEDICAL- OTHER | $6.28M | 28 | 8 | 6.8% |
| Q529 | EMERGENCY MEDICINE SERVICES | $3.44M | 1 | 1 | 3.7% |
| Q511 | OPHTHALMOLOGY & OPTOMETRY | $1.45M | 1 | 1 | 1.6% |
| 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 | $274.3K | 1 | 1 | 0.3% |
08 / Buying Pattern
How does the government buy in NAICS 621493?
| Common action type | Obligations | Actions |
|---|---|---|
| DEFINITIVE CONTRACT | $33.04M | 52 |
| PURCHASE ORDER | $1.19M | 42 |
| DELIVERY ORDER | $58.45M | 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 $92.47M market as addressable.