NAICS Code 621399: Offices of All Other Miscellaneous Health Practitioners

National industry

SBA small business size standard: $10 million in average annual receipts

Definition

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers.

Code facts

Contract awards
156 In the last 12 months
Contract obligations
$159,189,229 In FY2025

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

Business activities under NAICS 621399

  • Acupuncturists' (except MDs or DOs) offices (e.g., centers, clinics)
  • Christian Science practitioners' offices (e.g., centers, clinics)
  • Clinical pharmacists' offices (e.g., centers, clinics)
  • Dental hygienists' offices (e.g., centers, clinics)
  • Denturists' offices (e.g., centers, clinics)
  • Dietitians' offices (e.g., centers, clinics)
  • Herbalists' offices (e.g., centers, clinics)
  • Home nursing services, private practice
  • Homeopaths' offices (e.g., centers, clinics)
  • Hypnotherapists' offices (e.g., centers, clinics)
  • Inhalation therapists' offices (e.g., centers, clinics)
  • Licensed practical nurses' (LPNs) offices (e.g., centers, clinics)
  • LPNs' (licensed practical nurses) offices (e.g., centers, clinics)
  • Manual-arts therapists' offices (e.g., centers, clinics)
  • Massage therapists' offices
  • Midwives' offices (e.g., centers, clinics)
  • Naturopaths' offices (e.g., centers, clinics)
  • Nurses', licensed practical or registered, offices (e.g., centers, clinics)
  • Nutritionists' offices (e.g., centers, clinics)
  • Orthotists' offices (e.g., centers, clinic)
  • Paramedics' offices (e.g., centers, clinics)
  • Pedorthics' offices (e.g., centers, clinics)
  • Physicians' assistants' offices (e.g., centers, clinics)
  • Practical nurses' offices (e.g., centers, clinics), licensed
  • Prosthetists' offices (e.g., centers, clinics)
  • Registered nurses' (RNs) offices (e.g., centers, clinics)
  • Respiratory therapists' offices (e.g., centers, clinics)
  • RNs' (registered nurses) offices (e.g., centers, clinics)

Contract obligations by fiscal year

Fiscal year Obligated
FY2027 To date $3,464,405
FY2026 $160,176,404
FY2025 $159,189,229
FY2024 $198,173,929
FY2023 $178,770,639

Top contractors by obligations

Rank Contractor Obligated, FY2026–FY2027 Share
1 Giacare & Medtrust JV LLC $30,011,812
2 Acuity International, LLC $20,400,000
3 Maat Enterprises Inc. $8,856,571
4 Prairie Quest, Inc. $6,347,913
5 Four Winds Staffing LLC $5,553,740
6 Bay Area Anesthesia LLC $4,137,100
7 Indian Health Board Of Minneapolis, Inc. $4,029,895
8 Akicita Cyber LLC $3,998,066
9 Reef Systems-Fsr LLC $3,818,175
10 R Keith Enterprises Inc. $3,756,072

Top funding agencies by obligations

Rank Agency Obligated, FY2026–FY2027 Share
1 Defense Health Agency Department of Defense $54,086,881
2 Department of Health and Human Services $49,174,423
3 Department of Veterans Affairs $30,089,863
4 Department of Homeland Security $20,268,572
5 Department of Transportation $3,271,378
6 Department of the Army Department of Defense $2,120,464
7 Department of Justice $2,001,196
8 Air Force Department of Defense $1,610,228
9 Armed Forces Retirement Home $783,651
10 Department of Commerce $394,678
Rank PSC code Obligated, FY2026–FY2027 Share
1 Q401 Nursing $50,110,293
2 Q999 Other Medical Services $27,658,691
3 Q201 Medical – Managed Healthcare $19,427,230
4 Q517 Pharmacy Services $13,142,079
5 Q701 Specialized Medical Support $10,822,767
6 Q501 Anesthesiology Services $8,416,654
7 Q521 Pulmonary Services $5,150,846
8 Q523 Surgery Services $4,161,797
9 Q502 Cardiology $3,687,050
10 Q522 Radiology Services $3,456,565

Contract obligations by state

Rank Place of performance Obligated, last 12 months Share
1 Texas $50,471,890
2 Virginia $21,377,864
3 Arizona $17,795,041
4 New Mexico $14,131,399
5 South Dakota $11,532,074
6 New York $6,978,308
7 Florida $6,929,309
8 Pennsylvania $4,131,031
9 Georgia $3,042,315
10 Maryland $1,922,944
11 California $1,899,848
12 Colorado $1,750,990
13 West Virginia $1,668,861
14 Connecticut $1,509,314
15 North Dakota $1,410,669
16 Minnesota $1,269,009
17 Oregon $861,296
18 Tennessee $771,176
19 Wisconsin $753,639
20 Michigan $712,937
21 Mississippi $685,532
22 Illinois $629,177
23 Oklahoma $262,871
24 Hawaii $257,596
25 District of Columbia $225,836
26 Missouri $222,590
27 Kentucky $208,553
28 Utah $204,479
29 New Hampshire $187,200
30 Delaware $178,909
31 Indiana $166,209
32 South Carolina $163,536
33 Massachusetts $155,370
34 Maine $136,368
35 Louisiana $132,000
36 Vermont $117,940
37 Rhode Island $114,715
38 Arkansas $106,314
39 Kansas $34,368
40 Alabama $31,824
Show all 40

Shares are of everything obligated under NAICS 621399 in the last 12 months before deobligations, including work performed abroad or with no place of performance on record.

Contract opportunities

Notice Posted Due
Sources Sought: IEE/ISBEE Capability Inquiry – CRNA Services – Turtle Mountain Service Unit, Quentin N. Burdick Memorial Healthcare Facility, Belcourt, ND. Pre-Solicitation · Indian Health Service
Psychological Evaluation Service, JFK Solicitation · Bureau of Indian Education (BIA)
Industry day/RFI physical wellness support Pre-Solicitation · Interior Business Center (DO)
Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, CO - Amendment 0001 Solicitation · Indian Health Service
VISN 7 Virtual Pharmacy Services Award Notice · Veterans Integrated Service Network 7 (VHA) · 36C24727D0009 —
USMMA Medical, Dental, Counseling services Solicitation · Maritime Administration
Q524--FY27: Perfusionist Services| NFSG Solicitation · Veterans Integrated Service Network 8 (VHA) · 36C24827Q0013_1
Physician, APP, and Allied Health Professional Staffing Services / Multiple-Award IDIQ / IEE Set-Aside / IHS Billings Area Pre-Solicitation · Indian Health Service
Intraoperative Neurophysiologic Monitoring (IONM) Services Award Notice · Veterans Integrated Service Network 15 (VHA) —
Q510--IONM Services - 589a4 - BASE - L4EFRBEMENC4 - Award Notice · Veterans Integrated Service Network 15 (VHA) —
Perfusionist - Bridge Contract Award Notice · Veterans Integrated Service Network 21 (VHA) · 36C26127D0013 —
Perfusionist - Bridge Contract Limited / Sole Source Justification · Veterans Integrated Service Network 21 (VHA) · 36C26127D0013 —
Q510--660 Intraoperative Monitoring (IONM) Services Award Notice · Veterans Integrated Service Network 19 (VHA) —
Medical Support Services for CBP (including medical exams, fitness for duty, drug testing, and related services) Award Notice · Customs and Border Protection —
Maryland Army National Guard (MDARNG) Licensed Medical Provider Services Award Notice · Maryland National Guard (ARNG) · W912K626Q1CEI —
Q517--Durham VAMC Virtual Pharmacists Sources Sought Notice Pre-Solicitation · Veterans Integrated Service Network 6 (VHA)
Q502--Long Term Perfusionist Services (STX) Pre-Solicitation · Veterans Integrated Service Network 17 (VHA)
Sources Sought Notice for Nurse Triage Services at the Jicarilla Indian Health Center in Dulce, New Mexico. Pre-Solicitation · Indian Health Service
UPDATED Neuromonitoring Services - SLC VAMC Solicitation · Veterans Integrated Service Network 19 (VHA)
Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, CO Pre-Solicitation · Indian Health Service
IDARNG Dental /Medical Services Amendment Solicitation · Army National Guard
Therapeutic Diabetic Shoe Program Solicitation · Indian Health Service
IDARNG Dental /Medical Services Special Notice · Army National Guard · W912J726RA001
Dental Examination Services for Maryland Army National Guard Solicitation · Maryland National Guard (ARNG)
VISN 7 Virtual Pharmacy Services Solicitation · Veterans Integrated Service Network 7 (VHA) · 36C24726Q0605
Holistic Health and Fitness (H2F) Integration Team (HIT) Pre-Solicitation · MICC Fort Eustis
Great Plains Area Indian Health Service (GPAIHS), Aberdeen, SD, hereby submits a notice of intent to award an Urgent and Compelling, firm fixed-price, commercial medical service bridge contract for Midlevel Services. Special Notice · Indian Health Service
IDARNG Dental /Medical Services Solicitation · Army National Guard · W912J726RA001
Maryland Army National Guard (MDARNG) Licensed Medical Provider Services Solicitation · Maryland National Guard (ARNG) · W912K6-26-Q-1CEI
Pharmacy Services for the Yakama Service Unit (YSU) Award Notice · Indian Health Service —
Q999--Sexual Assault Nurse Examiner (SANE) Services Pre-Solicitation · Veterans Integrated Service Network 17 (VHA)
CMA and LPN Medical Services – Warm Springs Service Unit Solicitation · Indian Health Service
FY26 23TRS/OTS Licensed Practical Nurses Pre-Solicitation · Air Education and Training Command (USAF)
142WG OHWS Services Solicitation · Oregon National Guard (ARNG)
Solicitation 75H70726Q00090- Non-Personal Diagnostic Radiologic Technologist (Computed Tomography) Services for Zuni Comprehensive Community Health Center Solicitation · Indian Health Service
Q524--FY27: Perfusionist Services| NFSG Pre-Solicitation · Veterans Integrated Service Network 8 (VHA) · 36C24827Q0013
JROTC Raider Challenge Medical Support Pre-Solicitation · MICC Fort Sam Houston
Neuromonitoring Services - SLC VAMC Pre-Solicitation · Veterans Integrated Service Network 19 (VHA)
Non-Personal Pharmacist Staffing Services Solicitation · Indian Health Service
Q523--Intraoperative Neuromonitoring (IONM) Services South Texas Veterans Health Care System Solicitation · Veterans Integrated Service Network 17 (VHA) · 36C25726Q0274
435 AGOW Human Performance Optimization (HPO) Services Solicitation · Air Forces Europe and Africa (USAF)
Antarctic Telemedical Support Services for the U. S Award Notice · National Oceanic and Atmospheric Administration —
142WG Optimizing Human Weapon System (OHWS) Pre-Solicitation · Oregon National Guard (ARNG)
Registered Nursing and Public Health Nurse Support Services (RN & PHN) Solicitation · Indian Health Service
NMARNG FY26 Medical Surveillance Solicitation · Army National Guard
Q523--Intraoperative Neuromonitoring (IONM) Services South Texas Veterans Health Care System Pre-Solicitation · Veterans Integrated Service Network 17 (VHA) · 36C25726Q0274
L052--Washington DC VAMC | Prosthetics Fitter(s) Needed | RFQ/SSN Special Notice · Veterans Integrated Service Network 5 (VHA)
Pharmacy services Limited / Sole Source Justification · Interior Business Center (DO) —
CRNA Services Award Notice · Veterans Integrated Service Network 5 (VHA) —
Show 39 more

Latest 49 of 3,196 listed here. See the rest on GovTribe.

Size standard history

Federal Register rules that named this code

Final rule Published Effective
Small Business Size Standards: Adjustment of Monetary-Based Size Standards, Disadvantage Thresholds, and 8(a) Eligibility Thresholds for Inflation 87 FR 69118 · 3245-AH93
Small Business Size Standards: Education Services; Health Care and Social Assistance; Arts, Entertainment and Recreation; Accommodation and Food Services; Other Services 87 FR 18646 · 3245-AG88
Small Business Size Standards: Adjustment of Monetary-Based Size Standards for Inflation 84 FR 34261 · 3245-AH17
Small Business Size Standards: Inflation Adjustment to Monetary Based Size Standards 79 FR 33647 · 3245-AG60
Small Business Size Standards: Inflation Adjustment to Size Standards, Business Loan Program, and Disaster Assistance Loan Program 73 FR 41237 · 3245-AF41
Small Business Size Standards, Inflation Adjustment to Size Standards; Business Loan Program; Disaster Assistance Loan Program 70 FR 72577 · 3245-AF41
Small Business Size Standards; Adoption of Size Standards by 2002 North American Industry Classification System for Size Standards 67 FR 56905 · 3245-AF00
Small Business Size Standards; Inflation Adjustment to Size Standards 67 FR 3041 · 3245-AE56
Small Business Size Standards; Health Care 65 FR 69432
Small Business Size Regulations; Size Standards and the North American Industry Classification System 65 FR 30836

Proposed size standard changes

Proposed rule Published Comments
Small Business Size Standards: Monetary-Based Industry Size Standards 90 FR 41168 · 3245-AI12 Closed Oct 21, 2025No final rule found

From the NAICS codes each rule's amendments to 13 CFR 121.201 name. Rules that print their size standard tables as images aren't listed.

Quick answers

What is NAICS 621399?

NAICS 621399 is Offices of All Other Miscellaneous Health Practitioners, a national industry in NAICS 62, Health Care and Social Assistance.

What is the NAICS code for massage therapists' offices?

The NAICS code for massage therapists' offices is 621399, Offices of All Other Miscellaneous Health Practitioners.

What is the NAICS code for home nursing services, private practice?

The NAICS code for home nursing services, private practice is 621399, Offices of All Other Miscellaneous Health Practitioners.

What is the NAICS code for midwives' offices (e.g., centers, clinics)?

The NAICS code for midwives' offices (e.g., centers, clinics) is 621399, Offices of All Other Miscellaneous Health Practitioners.

When did the size standard for NAICS 621399 last change?

The most recent Federal Register rule on record that names NAICS 621399 in the SBA's size standards is "Small Business Size Standards: Adjustment of Monetary-Based Size Standards, Disadvantage Thresholds, and 8(a) Eligibility Thresholds for Inflation" (87 FR 69118), published Nov 17, 2022 and effective Dec 19, 2022.

How much do federal agencies spend under NAICS 621399?

Federal contracts under NAICS 621399 obligated $159,189,229 in fiscal year 2025 and $699,774,605 in fiscal years 2023 through 2027.

Who are the largest contractors under NAICS 621399?

The contractors with the most obligated under NAICS 621399 in fiscal years 2026 and 2027 are Giacare & Medtrust JV LLC ($30,011,812); Acuity International, LLC ($20,400,000); and Maat Enterprises Inc. ($8,856,571).

Which agencies buy the most under NAICS 621399?

The agencies that obligated the most under NAICS 621399 in fiscal years 2026 and 2027 are Defense Health Agency ($54,086,881), Department of Health and Human Services ($49,174,423) and Department of Veterans Affairs ($30,089,863).

Which PSC codes are used with NAICS 621399?

The PSC codes with the most obligated under NAICS 621399 in fiscal years 2026 and 2027 are Q401 Nursing, Q999 Other Medical Services and Q201 Medical – Managed Healthcare.

Where is the work under NAICS 621399 performed?

By place of performance, the states with the most contract obligations under NAICS 621399 over the last 12 months are Texas ($50,471,890), Virginia ($21,377,864) and Arizona ($17,795,041).

What is the latest contract opportunity under NAICS 621399?

The latest contract opportunity under NAICS 621399 is Sources Sought: IEE/ISBEE Capability Inquiry – CRNA Services – Turtle Mountain Service Unit, Quentin N. Burdick Memorial Healthcare Facility, Belcourt, ND, pre-solicitation from Indian Health Service, posted November 6, 2026.

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