Top 100 Contractors in NAICS 621399: Offices of All Other Miscellaneous Health Practitioners, FY2025

Parent companies by net contract obligations Oct 1, 2024 – Sep 30, 2025 Code page on GovTribe

The top 10 won 36% of FY2025 NAICS 621399 contract dollars

Ranking facts

Contract obligations
$159,189,229 Net of deobligations, by contracts coded NAICS 621399
Contractors
195 Parent companies with an obligation
Largest contractor
Giacare & Medtrust JV LLC $29 million, 12.7% of obligations
Data as of

Contract actions from FPDS (SAM.gov). How the rankings work · Download all 100 rows as CSV

Full ranking

Rank Contractor Net obligations Share Trend
1 $28,986,155
Rank history: #1 in FY2021, #1 in FY2022, #1 in FY2023 and #1 in FY2024; unchanged since FY2024.
2 $12,307,032
Rank history: #2 in FY2021, #2 in FY2022, #3 in FY2023 and #3 in FY2024; up 1 since FY2024.
3 $12,169,617
Rank history: #3 in FY2021, #5 in FY2022, #2 in FY2023 and #2 in FY2024; down 1 since FY2024.
4 $4,869,046
Rank history: not on the FY2021–FY2022 lists, #17 in FY2023 and #4 in FY2024; unchanged since FY2024.
5 $4,786,154
Rank history: not on the FY2021 list, #9 in FY2022, #4 in FY2023 and #5 in FY2024; unchanged since FY2024.
6 $4,428,248
Rank history: #11 in FY2021, #12 in FY2022, #8 in FY2023 and #15 in FY2024; up 9 since FY2024.
7 $4,251,552
Rank history: not on the FY2021–FY2022 lists, #57 in FY2023 and #31 in FY2024; up 24 since FY2024.
8 $3,835,897
Rank history: not on the FY2021–FY2022 lists, #19 in FY2023 and #7 in FY2024; down 1 since FY2024.
9
Reef Systems Corp Through Reef Systems-Fsr LLC
$3,818,175
Rank history: not on the FY2021–FY2023 lists and #20 in FY2024; up 11 since FY2024.
10
R. Keith Enterprises Inc.
$3,585,712
Rank history: not on the FY2021–FY2022 lists, #6 in FY2023 and #16 in FY2024; up 6 since FY2024.
11 $3,119,374
Rank history: #53 in FY2021, #36 in FY2022, #28 in FY2023 and #12 in FY2024; up 1 since FY2024.
12 $3,094,302
Rank history: not on the FY2021–FY2023 lists and #18 in FY2024; up 6 since FY2024.
13 $3,000,105
Rank history: #8 in FY2021, #15 in FY2022, #14 in FY2023 and #17 in FY2024; up 4 since FY2024.
14 $2,546,370
Rank history: not on the FY2021–FY2024 lists; new.
15 $2,488,480
Rank history: #98 in FY2021, #98 in FY2022, #18 in FY2023 and #24 in FY2024; up 9 since FY2024.
16 $2,487,445
Rank history: #75 in FY2021, #19 in FY2022, #23 in FY2023 and #26 in FY2024; up 10 since FY2024.
17 $2,358,489
Rank history: not on the FY2021 list, #29 in FY2022, #40 in FY2023 and #43 in FY2024; up 26 since FY2024.
18 $2,326,955
Rank history: not on the FY2021 list, #35 in FY2022, #52 in FY2023 and #25 in FY2024; up 7 since FY2024.
19 $2,261,967
Rank history: not on the FY2021–FY2022 lists, #30 in FY2023 and #14 in FY2024; down 5 since FY2024.
20 $2,197,751
Rank history: not on the FY2021–FY2023 lists and #27 in FY2024; up 7 since FY2024.
21 $2,185,972
Rank history: not on the FY2021–FY2023 lists and #21 in FY2024; unchanged since FY2024.
22 $2,182,827
Rank history: #12 in FY2021, #44 in FY2022, #62 in FY2023 and #11 in FY2024; down 11 since FY2024.
23 $2,021,578
Rank history: #22 in FY2021, #27 in FY2022, #25 in FY2023 and #38 in FY2024; up 15 since FY2024.
24 $1,803,824
Rank history: not on the FY2021–FY2023 lists and #32 in FY2024; up 8 since FY2024.
25 $1,677,386
Rank history: not on the FY2021–FY2023 lists and #34 in FY2024; up 9 since FY2024.
26 $1,651,507
Rank history: not on the FY2021–FY2022 lists, #31 in FY2023 and #36 in FY2024; up 10 since FY2024.
27 $1,628,939
Rank history: #4 in FY2021, #82 in FY2022 and not on the FY2023–FY2024 lists; up 135 since FY2024.
28 $1,601,586
Rank history: not on the FY2021–FY2022 lists, #46 in FY2023 and #29 in FY2024; up 1 since FY2024.
29 $1,491,118
Rank history: #48 in FY2021, #55 in FY2022, #51 in FY2023 and #53 in FY2024; up 24 since FY2024.
30 $1,465,040
Rank history: #13 in FY2021, #14 in FY2022, #15 in FY2023 and #28 in FY2024; down 2 since FY2024.
31 $1,406,659
Rank history: not on the FY2021 list, #56 in FY2022, #71 in FY2023 and #52 in FY2024; up 21 since FY2024.
32 $1,371,500
Rank history: not on the FY2021–FY2024 lists; new.
33 $1,346,334
Rank history: not on the FY2021–FY2022 lists, #68 in FY2023 and #41 in FY2024; up 8 since FY2024.
34 $1,325,565
Rank history: not on the FY2021–FY2022 lists, #27 in FY2023 and #8 in FY2024; down 26 since FY2024.
35 $1,254,596
Rank history: not on the FY2021–FY2023 lists and #40 in FY2024; up 5 since FY2024.
36 $1,229,757
Rank history: #27 in FY2021, #16 in FY2022, #13 in FY2023 and not on the FY2024 list; returned.
37 $1,210,269
Rank history: not on the FY2021 list, #18 in FY2022, #20 in FY2023 and #23 in FY2024; down 14 since FY2024.
38 $1,205,060
Rank history: not on the FY2021–FY2023 lists and #9 in FY2024; down 29 since FY2024.
39 $1,160,572
Rank history: #68 in FY2021, not on the FY2022 list, #41 in FY2023 and #47 in FY2024; up 8 since FY2024.
40 $1,048,775
Rank history: #23 in FY2021, #21 in FY2022, #21 in FY2023 and #39 in FY2024; down 1 since FY2024.
41
Palisade-Heritage JV LLC
$1,041,756
Rank history: not on the FY2021 list, #69 in FY2022, #53 in FY2023 and #50 in FY2024; up 9 since FY2024.
42 $1,025,744
Rank history: not on the FY2021–FY2023 lists and #82 in FY2024; up 40 since FY2024.
43 $1,017,120
Rank history: #42 in FY2021, #41 in FY2022, #45 in FY2023 and #51 in FY2024; up 8 since FY2024.
44 $936,038
Rank history: not on the FY2021–FY2023 lists and #45 in FY2024; up 1 since FY2024.
45 $906,265
Rank history: not on the FY2021 list, #37 in FY2022, #39 in FY2023 and #42 in FY2024; down 3 since FY2024.
46
Golden Gate Perfusion Inc.
$898,976
Rank history: not on the FY2021–FY2023 lists and #59 in FY2024; up 13 since FY2024.
47 $845,632
Rank history: not on the FY2021–FY2024 lists; new.
48 $818,604
Rank history: not on the FY2021 list, #66 in FY2022, #59 in FY2023 and #60 in FY2024; up 12 since FY2024.
49 $809,199
Rank history: not on the FY2021–FY2022 lists, #44 in FY2023 and #44 in FY2024; down 5 since FY2024.
50
H4 Enterprises LLC
$793,958
Rank history: not on the FY2021–FY2023 lists and #61 in FY2024; up 11 since FY2024.
51
Emerge Solutions Group LLC
$793,278
Rank history: not on the FY2021–FY2022 lists, #35 in FY2023 and #30 in FY2024; down 21 since FY2024.
52 $786,400
Rank history: #84 in FY2021, #42 in FY2022, #49 in FY2023 and #79 in FY2024; up 27 since FY2024.
53 $739,396
Rank history: not on the FY2021–FY2024 lists; new.
54 $695,522
Rank history: not on the FY2021–FY2024 lists; new.
55 $604,590
Rank history: not on the FY2021–FY2024 lists; up 99 since FY2024.
56
Prosperitus Solutions LLC
$565,645
Rank history: not on the FY2021–FY2022 lists, #87 in FY2023 and #77 in FY2024; up 21 since FY2024.
57 $546,732
Rank history: #56 in FY2021, #73 in FY2022, #74 in FY2023 and #73 in FY2024; up 16 since FY2024.
58 $537,791
Rank history: not on the FY2021–FY2022 lists, #93 in FY2023 and #66 in FY2024; up 8 since FY2024.
59 $513,701
Rank history: #30 in FY2021, #31 in FY2022, #56 in FY2023 and #63 in FY2024; up 4 since FY2024.
60 $505,712
Rank history: not on the FY2021–FY2024 lists; up 74 since FY2024.
61 $491,184
Rank history: not on the FY2021–FY2024 lists; new.
62 $485,917
Rank history: not on the FY2021–FY2023 lists and #48 in FY2024; down 14 since FY2024.
63 $484,636
Rank history: not on the FY2021–FY2022 lists, #55 in FY2023 and #62 in FY2024; down 1 since FY2024.
64 $479,770
Rank history: not on the FY2021–FY2024 lists; up 41 since FY2024.
65 $455,618
Rank history: not on the FY2021–FY2022 lists, #94 in FY2023 and #72 in FY2024; up 7 since FY2024.
66 $440,533
Rank history: not on the FY2021–FY2024 lists; new.
67 $416,836
Rank history: not on the FY2021 list, #8 in FY2022, #12 in FY2023 and not on the FY2024 list; returned.
68 $409,760
Rank history: not on the FY2021–FY2023 lists and #91 in FY2024; up 23 since FY2024.
69 $327,617
Rank history: #37 in FY2021, #62 in FY2022 and not on the FY2023–FY2024 lists; returned.
70 $326,928
Rank history: not on the FY2021–FY2023 lists and #68 in FY2024; down 2 since FY2024.
71 $325,200
Rank history: #85 in FY2021, #91 in FY2022, #86 in FY2023 and #80 in FY2024; up 9 since FY2024.
72 $321,346
Rank history: #86 in FY2021, not on the FY2022–FY2023 lists and #87 in FY2024; up 15 since FY2024.
73 $319,136
Rank history: #16 in FY2021, not on the FY2022–FY2023 lists and #78 in FY2024; up 5 since FY2024.
74 $309,614
Rank history: not on the FY2021 list, #71 in FY2022, #66 in FY2023 and #97 in FY2024; up 23 since FY2024.
75 $307,069
Rank history: not on the FY2021–FY2022 lists, #79 in FY2023 and #76 in FY2024; up 1 since FY2024.
76 $295,137
Rank history: not on the FY2021–FY2022 lists, #98 in FY2023 and not on the FY2024 list; up 43 since FY2024.
77
Rieles Group LLC
$287,568
Rank history: not on the FY2021–FY2024 lists; new.
78 $286,669
Rank history: not on the FY2021–FY2023 lists and #86 in FY2024; up 8 since FY2024.
79 $270,113
Rank history: #78 in FY2021, not on the FY2022–FY2023 lists and #83 in FY2024; up 4 since FY2024.
80 $263,834
Rank history: #43 in FY2021, #83 in FY2022, #95 in FY2023 and not on the FY2024 list; up 36 since FY2024.
81 $262,121
Rank history: not on the FY2021 list, #63 in FY2022, #38 in FY2023 and not on the FY2024 list; returned.
82 $240,500
Rank history: not on the FY2021–FY2024 lists; new.
83 $226,320
Rank history: #60 in FY2021, #93 in FY2022, #73 in FY2023 and #67 in FY2024; down 16 since FY2024.
84 $215,422
Rank history: not on the FY2021–FY2024 lists; up 37 since FY2024.
85
Transmedics Inc.
$211,807
Rank history: not on the FY2021–FY2024 lists; new.
86 $208,662
Rank history: #96 in FY2021, #99 in FY2022, not on the FY2023 list and #95 in FY2024; up 9 since FY2024.
87 $202,543
Rank history: not on the FY2021–FY2023 lists and #99 in FY2024; up 12 since FY2024.
88 $201,152
Rank history: not on the FY2021–FY2024 lists; new.
89 $196,080
Rank history: not on the FY2021–FY2024 lists; up 56 since FY2024.
90 $188,934
Rank history: not on the FY2021–FY2024 lists; up 45 since FY2024.
91 $182,287
Rank history: #94 in FY2021, #95 in FY2022 and not on the FY2023–FY2024 lists; up 10 since FY2024.
92 $168,124
Rank history: not on the FY2021–FY2024 lists; new.
93 $153,469
Rank history: not on the FY2021–FY2024 lists; up 14 since FY2024.
94
Hanger Prosthetics & Orthotics East Inc. 2 awardees, including Hanger Institute for Clinical Research and Education LLC
$146,394
Rank history: not on the FY2021–FY2024 lists; new.
95 $145,274
Rank history: not on the FY2021–FY2024 lists; up 47 since FY2024.
96 $144,504
Rank history: not on the FY2021–FY2024 lists; up 40 since FY2024.
97 $129,953
Rank history: #83 in FY2021 and not on the FY2022–FY2024 lists; up 7 since FY2024.
98 $126,326
Rank history: not on the FY2021–FY2024 lists; up 51 since FY2024.
99 $124,861
Rank history: not on the FY2021–FY2024 lists; new.
100 $119,608
Rank history: not on the FY2021–FY2023 lists and #74 in FY2024; down 26 since FY2024.
Show 75 more

100 of 195 contractors listed here. See the rest on GovTribe.

How this ranking works

  • Source: every contract action FPDS records (as published on SAM.gov) in the period, as GovTribe received it.
  • Amounts are net obligations: what was obligated, less what was deobligated. Shares are of $228 million obligated before deobligations, so they never pass 100%.
  • Parent companies: each action counts under the ultimate parent its award record names, or under the awardee when it names none, so no dollar counts twice. Parents of the same name (Inc., LLC and the like aside) count as one company, since FPDS records a company's parent under more than one UEI over time. GovTribe corrects a few parents and names by hand; see the corrections.
  • Fiscal year 2025 ran Oct 1, 2024 – Sep 30, 2025. The Department of Defense reports its contract actions to FPDS about 90 days late, so a fiscal year is ranked once they're in, in February, and the list doesn't change after.
  • Rank changes compare with FY2024. "New" marks a company outside that period's top 500, and "Returned" one of those that was on an earlier fiscal year's list.
  • Rank lines show each company's rank on every fiscal year's list since FY2021, #1 at the top, on a scale that gives the top of the list more room. A dashed stretch spans years it wasn't on the list. The step from FY2024 takes the color of the rank change beside it.
  • Placeholder recipients FPDS uses when it names no company ("Miscellaneous Foreign Contractors" and the like) aren't ranked.

Quick answers

Who were the top 10 NAICS 621399 contractors in FY2025?

1. Giacare & Medtrust JV LLC ($29M), 2. Wisestaff, LLC ($12.3M), 3. Prairie Quest, Inc. ($12.2M), 4. Akima Global Logistics, LLC ($4.87M), 5. Four Winds Staffing LLC ($4.79M), 6. Northwell Health, Inc. ($4.43M), 7. Wander Staffing LLC ($4.25M), 8. Ware River Consulting LLC ($3.84M), 9. Reef Systems Corp ($3.82M), 10. R. Keith Enterprises Inc. ($3.59M).

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