Medical Disability Examinations (MDE)
Active Master IDIQ Awarded
- Federal agency
-
VA Strategic Acquisition Center Frederick
- Awardees
- 4 across 12 IDV awards
- Task orders
- 89
- Obligated
- $12,628,961,284
Vehicle facts
- Opportunity
-
- 36C10X18R0133 Solicitation number
- Agency
-
- VA Strategic Acquisition Center Frederick Headquarters, Department of Veterans Affairs
- Combined task order value
- $12,628,961,284 Current and potential, with all options
- Last date to order 79% complete
- Shared ceiling
- $6,800,000,000.00 Less than its task orders have obligated
- Also known as
-
- MDES
IDV award and task order details come from SAM.gov/FPDS.
About this vehicle
The Department of Veterans Affairs Strategic Acquisition Center Frederick awarded this Master IDIQ for medical disability examination services on November 28, 2018, with ordering authority extending through November 26, 2028. The vehicle carries a shared ceiling of $6.8 billion and has already obligated $12.65 billion across 89 task orders, exceeding the stated ceiling, with approximately 2 years and 4 months of ordering time remaining.
Task orders are issued annually on a consistent cycle, with 11 orders placed each year from 2020 through 2024. Recent FY25 orders obligated $1.38 billion across 11 task orders awarded October 1, 2024, each structured as firm fixed price delivery orders with September 30, 2025 completion dates and quarterly funding modifications. Task order values range from approximately $73.8 million to $700.5 million, with the largest single order to QTC Medical Services Inc. valued at $596.1 million in FY24.
The vehicle is structured as a four-awardee IDIQ split among QTC Medical Services Inc., Veterans Evaluation Services, Inc., Optumserve Health Services, Inc., and Vetfed Resources, Inc. QTC dominates by potential value, holding 32 orders worth $5.19 billion combined, while Veterans Evaluation Services holds 32 orders worth $3.78 billion. Optumserve holds 24 orders valued at $3.66 billion. Vetfed Resources holds a single order for $25.2 million. All task orders carry no set-aside designation. The Department of Veterans Affairs is the sole customer. Task orders reference regional geographic designations (Northeast, Southeast, Midwest, Pacific) and cite Section 504 of the Veterans Benefits Improvements Act of 1996 as the statutory authority. The vehicle delivers disability examination services through a licensed examiner network supporting VA disability determination operations.
Description
MDES provides disability examination services for Veterans and oversees a skilled network of licensed examiners.
IDV awards
Show all 12
Latest task orders
Show 15 more
Latest 25 of 89 listed here. See the rest on GovTribe.
Top awardees by obligations
| Rank | Awardee | Obligated | Share |
|---|---|---|---|
| 1 | QTC Medical Services Inc. | $5,183,030,093 | 41% |
| 2 | Veterans Evaluation Services, Inc. | $3,768,475,206 | 30% |
| 3 | Optumserve Health Services, Inc. | $3,652,208,847 | 29% |
| 4 | Vetfed Resources, Inc. | $25,247,138 | <1% |
Top funding agencies by obligations
| Rank | Funding agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $12,628,961,284 | 100% |
Obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2027 To date | -$9,093,354 |
| FY2026 | -$115,981,750 |
| FY2025 | $1,551,754,628 |
| FY2024 | $3,706,050,177 |
| FY2023 | $1,984,314,100 |
| FY2022 | $1,799,365,982 |
| FY2021 | $1,252,116,151 |
| FY2020 | $1,716,435,372 |
| FY2019 | $744,000,000 |
Quick answers
What is the MDE contract vehicle?
Medical Disability Examinations (MDE) is an indefinite delivery, indefinite quantity (IDIQ) contract vehicle run by VA Strategic Acquisition Center Frederick (Headquarters), awarded on November 28, 2018.
Which companies hold MDE?
4 companies hold MDE's 12 IDV awards. The latest went to Vetfed Resources, Inc. on November 28, 2018. The awardees whose task orders obligated the most are QTC Medical Services Inc., Veterans Evaluation Services, Inc. and Optumserve Health Services, Inc.
How much has been spent through MDE?
89 task orders have been placed under MDE, obligating $12,628,961,284.
What is the shared ceiling of MDE?
The shared ceiling listed for MDE, $6,800,000,000, is less than its task orders have obligated.
Which agencies use MDE the most?
The departments whose task orders under MDE obligated the most are Department of Veterans Affairs ($12,628,961,284).
How much was obligated through MDE in fiscal year 2025?
Task orders under MDE obligated $1,551,754,628 in fiscal year 2025.
On GovTribe
See this vehicle's full record
- Every IDV award and task order
- Funding by agency, awardee, NAICS and set-aside
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