NAICS 621: Ambulatory Health Care Services

Subsector

Code facts

Codes under it
7
Contract awards
5,493 In the last 12 months
Contract obligations
$12,339,729,805 In FY2025

NAICS codes and definitions come from the U.S. Census Bureau and contract spending from SAM.gov/FPDS.

Contract obligations by fiscal year

Fiscal year Obligated
FY2027 To date $59,168,959
FY2026 $11,163,546,424
FY2025 $12,339,729,805
FY2024 $7,873,720,951
FY2023 $6,542,603,787

Top contractors by obligations

Rank Contractor Obligated, FY2026–FY2027 Share
1 QTC Medical Services Inc. $2,402,470,075
2 Optumserve Health Services, Inc. $1,919,266,632
3 Loyal Source Government Services LLC $1,840,555,617
4 Veterans Evaluation Services, Inc. $1,686,722,947
5 Fresenius Medical Care Holdings Inc. $268,719,798
6 Davita Inc. $179,620,008
7 Valor Healthcare Inc. $146,460,930
8 KBR Wyle Services, LLC $114,044,413
9 Laboratory Corporation Of America $104,418,187
10 Quest Diagnostics Incorporated $90,753,565

Top funding agencies by obligations

Rank Agency Obligated, FY2026–FY2027 Share
1 Department of Veterans Affairs $9,364,437,782
2 Defense Health Agency Department of Defense $657,151,071
3 Department of Health and Human Services $332,973,261
4 Department of Homeland Security $235,975,582
5 Air Force Department of Defense $151,874,610
6 Department of the Army Department of Defense $140,301,814
7 Department of Justice $81,673,776
8 Department of Agriculture $68,093,397
9 Social Security Administration $56,550,233
10 Department of the Navy Department of Defense $24,097,542
Rank PSC code Obligated, FY2026–FY2027 Share
1 Q403 Medical Evaluation and Screening Services $7,754,876,134
2 Q999 Other Medical Services $999,613,298
3 Q201 Medical – Managed Healthcare $899,776,239
4 V225 Ambulance Service $250,358,458
5 Q301 Reference Laboratory Testing $215,206,223
6 Q522 Radiology Services $173,412,170
7 Q401 Nursing $135,564,100
8 Q802 Clerical Medical Support $51,671,781
9 Q601 Medical Coding and Auditing $51,577,724
10 F003 Forest/Range Fire Suppression/Presuppression Services $46,830,394

Contract obligations by state

Rank Place of performance Obligated, last 12 months Share
1 Texas $3,932,466,984
2 Florida $2,065,125,076
3 Wisconsin $1,924,864,351
4 California $491,178,619
5 Virginia $318,244,449
6 Massachusetts $309,288,424
7 Colorado $250,319,117
8 Maryland $195,224,922
9 New York $157,585,140
10 Arizona $109,013,925
11 New Mexico $84,762,440
12 Pennsylvania $80,341,234
13 South Dakota $70,966,334
14 Georgia $69,662,562
15 Tennessee $63,824,084
16 Louisiana $63,049,312
17 Illinois $53,702,089
18 Oklahoma $46,503,017
19 Oregon $43,353,748
20 Washington $41,290,466
21 Hawaii $39,576,754
22 Minnesota $32,312,742
23 District of Columbia $28,303,612
24 Mississippi $26,442,719
25 South Carolina $24,042,014
26 Nevada $20,389,629
27 Ohio $19,914,151
28 Utah $18,108,867
29 Missouri $17,107,645
30 Indiana $16,648,180
31 Alabama $14,944,708
32 Montana $14,561,310
33 Alaska $12,768,070
34 West Virginia $11,160,966
35 Nebraska $11,072,381
36 Arkansas $10,759,656
37 North Carolina $9,894,004
38 North Dakota $9,666,536
39 New Jersey $9,418,398
40 Michigan $8,880,872
41 Kansas $8,089,719
42 Kentucky $8,076,476
43 Idaho $7,746,937
44 Iowa $5,266,601
45 Connecticut $4,583,112
46 Guam $4,563,195
47 Puerto Rico $2,340,822
48 Wyoming $1,711,001
49 New Hampshire $1,691,648
50 Maine $1,670,195
51 Vermont $1,365,304
52 Rhode Island $688,783
53 Delaware $257,004
54 U.S. Virgin Islands $60,130
Show all 54

Shares are of everything obligated under NAICS 621 in the last 12 months before deobligations, including work performed abroad or with no place of performance on record.

Contract opportunities

Notice Posted Due
Q502--Copy of LOCUM - Perfusion Services - 626 POP: 10/1/26 - 9/30/27 UCD 9/30/2031 MSO-2026-COM-0021 BOC 2579 Award Notice · Veterans Integrated Service Network 9 (VHA) —
Q301--Referral Laboratory Services for Specialized Red Cell Immunohematology Testing Award Notice · Veterans Integrated Service Network 16 (VHA) —
Request for Information in support of Urinalysis testing for perspective United States Space Force Civilian Employees Pre-Solicitation · District Washington (HAF)
BPA - Blood Transfusion Services Solicitation · AFLCMC Wright Patterson AFB
Laboratory Support Services Pre-Solicitation · Washington Headquarters Service
Q301--NEW – STX Specialized Molecular Residual Disease Testing Special Notice · Veterans Integrated Service Network 17 (VHA)
Pre-Employment Screening Services (Nationwide) Award Notice · BOP Field Acquisition Office —
VISN 7 Virtual Pharmacy Services Award Notice · Veterans Integrated Service Network 7 (VHA) —
USMMA Medical, Dental, Counseling services Solicitation · Maritime Administration
Texas Army National Guard - Mobile Medical and Dental Services - Nov 2026 Solicitation · Texas National Guard (ARNG)
6550--Blood & Blood Products Award Notice · Veterans Integrated Service Network 5 (VHA) —
Temporary Physician Services - FCI Marion, IL Award Notice · BOP Field Acquisition Office —
VA Police Psychological Evaluations Solicitation · Veterans Integrated Service Network 23 (VHA)
Electromyography and Nerve Conduction Velocity Testing FMC Lexington, KY Award Notice · BOP Field Acquisition Office —
Tattoo Removal Services- Sources Sought ONLY Pre-Solicitation · Central Office (BOP)
Newborn Screening Special Notice · Defense Health Agency
G099--SUDTP - Methadone Dosing Services Pre-Solicitation · Veterans Integrated Service Network 22 (VHA)
Sources Sought: ISBEE/IEE Capability for Non-Personal Healthcare Services – Dental Oral Surgeon Staffing Services, Blackfeet Service Unit, Blackfeet Community Hospital, Browning, MT Pre-Solicitation · Indian Health Service
Q301--FY27 (BASE+4) STAT Laboratory Testing - Syracuse (VA-27-00010334) Special Notice · Veterans Integrated Service Network 2 (VHA)
Q501--stat clinical lab testing and autopsies Pre-Solicitation · Veterans Integrated Service Network 6 (VHA) —
Professional Services, Isleta and T'siya Schools Solicitation · Bureau of Indian Education (BIA)
Q522--Sources Sought | Ultrasound Guidance for Urology | Orlando Pre-Solicitation · Veterans Integrated Service Network 8 (VHA)
6640--karius test Pre-Solicitation · Veterans Integrated Service Network 8 (VHA)
Human Cadaver - Based Medical Training and Program Support Services for the 44th Medical Brigade stationed at Fort Bragg Army Base, North Carolina. Pre-Solicitation · Medical Command (Army)
Boxelder JCC Medical Services Solicitation · Forest Service
Laboratory Proficiency Testing for the Red Lake Service Unit Special Notice · Indian Health Service
Q524--FY27: Perfusionist Services| NFSG Solicitation · Veterans Integrated Service Network 8 (VHA)
Q523--FY27: Intraoperative Neuromonitoring (IONM) Services Pre-Solicitation · Veterans Integrated Service Network 8 (VHA)
Q999--NTX Durable Medical Equipment (DME) Services Award Notice · Veterans Integrated Service Network 17 (VHA) —
Mobile diagnostic services - FCI miami, FL Pre-Solicitation · BOP Field Acquisition Office
6505--Human Blood and Blood Products Special Notice · Veterans Integrated Service Network 17 (VHA)
RFP Preservation of the Force and Family POTFF III Support Contract H9240027RE001 Solicitation · US Special Operations Command
Physician, APP, and Allied Health Professional Staffing Services / Multiple-Award IDIQ / IEE Set-Aside / IHS Billings Area Pre-Solicitation · Indian Health Service
Occupational Health Services and Medical Case Review Services - BRIDGE Award Notice · Washington Headquarters Service —
Intraoperative Neurophysiologic Monitoring (IONM) Services Award Notice · Veterans Integrated Service Network 15 (VHA) —
Optometrist Services - OAX Pre-Solicitation · BOP Field Acquisition Office
DME and related services Award Notice · Veterans Integrated Service Network 5 (VHA) —
Q999--MO | Surgical Laser Service | 663 5 year IDIQ : 2/11/2027-2/10/2032 Pre-Solicitation · Veterans Integrated Service Network 20 (VHA)
Blood Bank Sample Services Award Notice · National Institute of Standards and Technology —
Bemidji Area Wide Teleradiology Services for Diagnostic Interpretation of Radiologic Studies Solicitation · Indian Health Service
Q522--Locum - Med Physicist - 10SG LLC - 621 1-YR ER 11-1-26 to 10-31-27 Award Notice · Veterans Integrated Service Network 9 (VHA) —
U009--FY27 ACPE Accreditation & Dues (Chaplain Service) Special Notice · Veterans Integrated Service Network 6 (VHA)
Flatwoods JCC Medical Services Pre-Solicitation · Forest Service
Jacobs Creek JCC Medical Services Pre-Solicitation · Forest Service
Q201--Post-Op Medical Companion Services at VA Pittsburgh Healthcare Center Award Notice · Veterans Integrated Service Network 4 (VHA) —
Q999--Kidney Biopsies Interpretation and Brain Autopsy. Special Notice · Veterans Integrated Service Network 22 (VHA)
Intent to Sole Source - Fertility Preservation Lab Services Special Notice · National Institutes of Health
Show 37 more

Latest 47 of 36,237 listed here. See the rest on GovTribe.

Codes under 621

Definition

Industries in the Ambulatory Health Care Services subsector provide health care services directly or indirectly to ambulatory patients and do not usually provide inpatient services. Health practitioners in this subsector provide outpatient services, with the facilities and equipment not usually being the most significant part of the production process.

Quick answers

What is NAICS 621?

NAICS 621 is Ambulatory Health Care Services, a subsector in NAICS 62, Health Care and Social Assistance.

What codes are under NAICS 621?

NAICS 621 has 7 codes under it with their own GovTribe pages, including 6211 Offices of Physicians, 6212 Offices of Dentists and 6213 Offices of Other Health Practitioners.

How much do federal agencies spend under NAICS 621?

Federal contracts under NAICS 621 obligated $12,339,729,805 in fiscal year 2025 and $37,978,769,925 in fiscal years 2023 through 2027.

Who are the largest contractors under NAICS 621?

The contractors with the most obligated under NAICS 621 in fiscal years 2026 and 2027 are QTC Medical Services Inc. ($2,402,470,075); Optumserve Health Services, Inc. ($1,919,266,632); and Loyal Source Government Services LLC ($1,840,555,617).

Which agencies buy the most under NAICS 621?

The agencies that obligated the most under NAICS 621 in fiscal years 2026 and 2027 are Department of Veterans Affairs ($9,364,437,782), Defense Health Agency ($657,151,071) and Department of Health and Human Services ($332,973,261).

Which PSC codes are used with NAICS 621?

The PSC codes with the most obligated under NAICS 621 in fiscal years 2026 and 2027 are Q403 Medical Evaluation and Screening Services, Q999 Other Medical Services and Q201 Medical – Managed Healthcare.

Where is the work under NAICS 621 performed?

By place of performance, the states with the most contract obligations under NAICS 621 over the last 12 months are Texas ($3,932,466,984), Florida ($2,065,125,076) and Wisconsin ($1,924,864,351).

What is the latest contract opportunity under NAICS 621?

The latest contract opportunity under NAICS 621 is Q502--Copy of LOCUM - Perfusion Services - 626 POP: 10/1/26 - 9/30/27 UCD 9/30/2031 MSO-2026-COM-0021 BOC 2579, award notice from Veterans Integrated Service Network 9 (VHA), posted October 23, 2026.

On GovTribe

See everything under NAICS 621

  • Federal contract opportunities, awards and IDVs under this code
  • Funding analysis by contractor, agency and set-aside
  • Contacts who buy under this code
  • Ask GovTribe AI about this code