MDE 2025 Regions 1-4 Recompete

Active Master IDIQ Awarded

Federal agency
Awardees
4
Task orders
74
Obligated
$12,453,170,448

Vehicle facts

Opportunity
Agency
Combined task order value
$12,453,170,448 Current and potential, with all options
Last date to order 72% complete
Shared ceiling
$3,294,180,138.43 Less than its task orders have obligated

IDV award and task order details come from SAM.gov/FPDS.

About this vehicle

The Department of Veterans Affairs Strategic Acquisition Center Frederick awarded the MDE 2025 Regions 1-4 Recompete Master IDIQ on January 1, 2025, with ordering authority extending through June 30, 2027. The vehicle carries a shared ceiling of $3.294 billion and procures medical disability examination services under Public Law 104-275, including scheduling, in-person and tele-health examinations, clinical documentation, and VA systems integration across Regions 1-4.

The vehicle is fully obligated. All 74 task orders issued to date account for $12.26 billion in combined potential value, representing 100% of the stated combined potential across awarded orders. Ordering momentum has decelerated materially: 58 orders were placed in 2025 against 16 in 2026 through January. The most recent order award was January 1, 2026; no orders have been placed in the past six months, signaling a shift in purchasing cadence or a pause pending fiscal guidance.

Competition is concentrated among four primes with roughly balanced portfolios. QTC Medical Services Inc. holds 20 orders valued at $3.5 billion, Optumserve Health Services, Inc. holds 20 orders at $3.35 billion, Veterans Evaluation Services, Inc. holds 20 orders at $3.02 billion, and Loyal Source Government Services LLC holds 14 orders at $2.39 billion. The top three primes control approximately 58% of potential value; all four capture 100% of current awards. No additional firms have received task orders since the vehicle was established. All orders are unrestricted (no set-aside applied).

The Department of Veterans Affairs Strategic Acquisition Center Frederick is the sole customer, placing all 74 orders. Task orders are firm fixed price delivery orders, typically ranging from roughly $24 million to $754 million per award, with most FY26 orders concentrated in the $260 million to $714 million band. The RFI that preceded this vehicle indicated a guaranteed minimum of $3.5 million per contract and a 10-year period of performance; awarded orders reflect only the initial 2-year (2025–2026) window to date.

IDV awards

Latest task orders

Task order Awardee Awarding agency Obligated Last action
FY26 funding medical disability examinations 36C10X26N0034 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $336,017,423
Medical disability examinations - to FY26 funding 36C10X26N0042 Loyal Source Government Services LLC VA Strategic Acquisition Center Frederick $336,017,423
FY26 funding medical disability examinations 36C10X26N0046 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $272,174,837
Medical disability examinations - to FY26 funding 36C10X26N0040 Loyal Source Government Services LLC VA Strategic Acquisition Center Frederick $760,312,386
FY26 funding medical disability examinations 36C10X26N0031 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $378,691,285
FY26 funding medical disability examinations 36C10X26N0032 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $770,312,386
FY26 funding medical disability examinations 36C10X26N0044 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $714,081,758
FY26 funding medical disability examinations 36C10X26N0045 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $356,623,262
Option 1 task order (january 1, 2026 - december 31, 2026) for department of… 36C10X26N0035 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $306,914,738
FY26 funding medical disability examinations 36C10X26N0037 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $388,506,331
FY26 funding medical disability examinations 36C10X26N0043 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $362,240,799
FY26 funding medical disability examinations 36C10X26N0038 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $263,061,727
FY26 funding medical disability examinations 36C10X26N0033 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $392,676,748
FY26 funding medical disability examinations 36C10X26N0036 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $566,164,541
Medical disability examinations - to FY26 funding 36C10X26N0021 Loyal Source Government Services LLC VA Strategic Acquisition Center Frederick $348,691,285
Medical disability examinations - to FY26 funding 36C10X26N0041 Loyal Source Government Services LLC VA Strategic Acquisition Center Frederick $392,676,748
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0251 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $62,065,705
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0244 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $47,007,854
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0241 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $140,927,408
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0245 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $67,060,653
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0252 Veterans Evaluation Services, Inc. VA Strategic Acquisition Center Frederick $35,934,607
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0243 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $74,478,988
Task order for FY25 Q4 and FY26 Q1 additional exams 36C10X25N0240 Optumserve Health Services, Inc. VA Strategic Acquisition Center Frederick $70,366,698
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0247 QTC Medical Services Inc. VA Strategic Acquisition Center Frederick $75,213,694
FY25 Q4 and FY26 Q1 additional exams 36C10X25N0235 Loyal Source Government Services LLC VA Strategic Acquisition Center Frederick $32,852,778
Show 15 more

Latest 25 of 74 listed here. See the rest on GovTribe.

Top awardees by obligations

Rank Awardee Obligated Share
1 QTC Medical Services Inc. $3,610,724,940 29%
2 Optumserve Health Services, Inc. $3,365,032,860 27%
3 Veterans Evaluation Services, Inc. $3,019,389,652 24%
4 Loyal Source Government Services LLC $2,458,022,996 20%

Top funding agencies by obligations

Rank Funding agency Obligated Share
1 Department of Veterans Affairs $12,453,170,448 100%

Obligations by fiscal year

Fiscal year Obligated
FY2026 $7,007,229,336
FY2025 $5,445,941,099

Quick answers

What is the MDE 2025 Regions 1-4 Recompete contract vehicle?

MDE 2025 Regions 1-4 Recompete is an indefinite delivery, indefinite quantity (IDIQ) contract vehicle run by VA Strategic Acquisition Center Frederick (Headquarters), awarded on January 1, 2025.

Which companies hold MDE 2025 Regions 1-4 Recompete?

4 companies hold MDE 2025 Regions 1-4 Recompete's IDV awards, one each. The latest went to Optumserve Health Services, Inc. on January 1, 2025. The awardees whose task orders obligated the most are QTC Medical Services Inc., Optumserve Health Services, Inc. and Veterans Evaluation Services, Inc.

How much has been spent through MDE 2025 Regions 1-4 Recompete?

74 task orders have been placed under MDE 2025 Regions 1-4 Recompete, obligating $12,453,170,448.

What is the shared ceiling of MDE 2025 Regions 1-4 Recompete?

The shared ceiling listed for MDE 2025 Regions 1-4 Recompete, $3,294,180,138, is less than its task orders have obligated.

Which agencies use MDE 2025 Regions 1-4 Recompete the most?

The departments whose task orders under MDE 2025 Regions 1-4 Recompete obligated the most are Department of Veterans Affairs ($12,453,170,448).

How much was obligated through MDE 2025 Regions 1-4 Recompete in fiscal year 2025?

Task orders under MDE 2025 Regions 1-4 Recompete obligated $5,445,941,099 in fiscal year 2025.

On GovTribe

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