Part a/part B medicare administrative contractor (MAC) jurisdiction M (JM)

Active Definitive Contract Awarded Last action

Contract number
75FCMC22C0037
Awardee
Awarding agency
Obligated
$817,941,700

Award facts

Opportunity
Contract value 63% obligated
  • $891,431,870.00 Current, with exercised options
  • $1,294,704,459.00 Potential, with all options
Completion date 59% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 1 offer Negotiated Proposal / Quote
Pricing
Cost Plus Award Fee
Place of performance
Columbia, SC 29203, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Funding Only Action P00058 $25,434,783
Other Administrative Action P00057 -$259,782
Exercise an Option P00056 $157,024,269
Other Administrative Action P00055 $100,931
Funding Only Action P00054 $20,000,000
Other Administrative Action P00052 $0
Funding Only Action P00051 $2,515,416
Funding Only Action P00050 $2,695,256
Funding Only Action P00049 $147,242,737
Change Order P00048 · EOI::executive order 14222, implementing the president's "department of government efficiency" cost efficiency initiative::EOI bilateral modification to descope… $0
Supplemental Agreement for work within scope P00047 $777,344
Supplemental Agreement for work within scope P00045 $6,226,466
Other Administrative Action P00046 $0
Other Administrative Action P00044 $10,000,000
Funding Only Action P00043 $218,238
Other Administrative Action P00042 $354,308
Supplemental Agreement for work within scope P00041 $8,862,980
Other Administrative Action P00040 $7,857,469
Other Administrative Action P00039 $1,294,937
Other Administrative Action P00038 $0
Other Administrative Action P00037 $0
Other Administrative Action P00036 $0
Other Administrative Action P00035 $2,096,567
Other Administrative Action P00034 $5,226,922
Other Administrative Action P00033 $288,077
Supplemental Agreement for work within scope P00032 $13,428
Exercise an Option P00031 $127,805,769
Other Administrative Action P00030 $0
Supplemental Agreement for work within scope P00029 $2,537,588
Supplemental Agreement for work within scope P00028 $401,320
Funding Only Action P00027 $10,000,000
Funding Only Action P00026 $72,739
Supplemental Agreement for work within scope P00025 $3,518,705
Supplemental Agreement for work within scope P00024 $60,513
Funding Only Action P00023 $11,000,000
Supplemental Agreement for work within scope P00022 $1,511,527
Supplemental Agreement for work within scope P00021 $3,657,393
Supplemental Agreement for work within scope P00020 $722,629
Supplemental Agreement for work within scope P00019 $1,939,599
Funding Only Action P00018 $15,000,000
Funding Only Action P00017 $225,264
Definitize Change Order P00016 -$18,570
Definitize Change Order P00015 $0
Change Order P00014 $24,071,253
Change Order P00013 $344,102
Other Administrative Action P00012 $0
Change Order P00011 $110,091
Exercise an Option P00010 $107,057,846
Supplemental Agreement for work within scope P00009 $55,063
Supplemental Agreement for work within scope P00008 $1,058,878
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About this award

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services awarded a $1.294 billion definitive contract to Palmetto GBA, LLC for Medicare Administrative Contractor services covering Jurisdiction M on September 30, 2022, under a cost-plus-award-fee structure with no set-aside.

The contract extends through August 31, 2029 (base period plus options). Palmetto GBA processes Medicare Part A and Part B claims and payments for North Carolina, South Carolina, Virginia, and West Virginia, as well as home health and hospice claims across 16 additional states. Work is performed in Columbia, SC. The originating solicitation called for claims processing, provider relations, and financial integrity oversight of the Medicare fee-for-service program.

In FY2025, the most recent reported year, Palmetto GBA invoiced $189.8 million across 1,241 FTEs and 2.58 million contractor hours, reflecting a derived blended hourly rate of $73.54. The labor footprint has grown materially since FY2023 ($108.8 million invoiced, 663 FTEs), with FY2024 reaching $187.5 million across 1,087 FTEs. The company subcontracted approximately 8 percent of hours in FY2025 across 10 subcontractors. The derived hourly rate declined from $82.91 in FY2024, indicating a shift in labor composition or pricing posture.

Quick answers

Who was awarded contract 75FCMC22C0037?

75FCMC22C0037 was awarded to Palmetto Gba, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 30, 2022.

How much is contract 75FCMC22C0037 worth?

The government has obligated $817,941,700 on 75FCMC22C0037. Its current value, with exercised options, is $891,431,870. Its potential value, with all options, is $1,294,704,459.

Was contract 75FCMC22C0037 competed?

The extent of competition for 75FCMC22C0037 was full and open competition. The government received 1 offer.

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