Acentra Health LLC

Acentra Health LLC, doing business as C N S I, provides healthcare claims processing, medical billing support, and IT operations and maintenance services to federal agencies as a prime contractor on full-and-open competitive and sole-source definitive contracts, with 99% of its federal footprint in prime awards. The company is a for-profit limited liability corporation headquartered in McLean, Virginia, competing without SBA set-aside designations across custom computer programming services (145 awards) and computer systems design work (12 awards), with primary strength in IT and telecommunications systems analysis (85 awards).

Acentra's customer base is highly concentrated in two customer segments anchored by massive single contracts. The Department of Labor's Office of Workers Compensation Program holds the largest single potential value exposure at $283.5 million across 2 awards, driven by a $90.4 million definitive contract for medical bill processing services through June 30, 2028. The Department of Veterans Affairs Technology Acquisition Center holds $186.1 million across 3 awards, including a $74.96 million definitive firm fixed-price contract for operations and maintenance of the Electronic Claims Adjudication and Management System (eCAMS) running through March 17, 2031, and a prior $50.9 million time-and-materials contract through March 18, 2027. Immigration and Customs Enforcement awarded a $67.5 million definitive contract for medical claims processing to the ICE Health Service Corps through July 31, 2026. The Centers for Medicare and Medicaid Services accounts for $74.1 million across 5 awards, including a $34.1 million GSA Multiple Award Schedule delivery order for encounter data processing system support through June 21, 2027. By award count, the Department of Commerce US Census Bureau leads with 52 awards and $34.2 million combined potential value, and the Department of Agriculture Food and Nutrition Service holds 17 awards worth $57.4 million, indicating a secondary customer base in Census and nutrition programs where Acentra places smaller, more numerous task orders.

Acentra's parent vehicle footprint is split between GSA-based and agency-specific IDIQs. The Federal Supply Schedule GS35F4770G anchors 131 task orders worth $192.3 million, and a non-GSA Indefinite Delivery Contract (DTFA0302D00011) carries 26 task orders valued at $756.5 million. A Blanket Purchase Agreement under GS35F4770G-AG3198B080002 carries 12 task orders worth $57.4 million, primarily supporting USDA Food and Nutrition Service work. Recent definitive contracts for VA eCAMS and DOL workers compensation represent sole-source incumbent renewals rather than vehicle-based awards.

Service Contract Inventory data shows SCI-reportable invoiced revenue of $134.8 million across FY2022–FY2024, with FY2022 at $47.1 million, FY2023 at $42 million, and FY2024 at $45.7 million — relatively flat across the period. The SCI dataset reflects roughly 107–127 FTEs delivered to the federal government in the same window, with FY2024 reaching 127 FTEs. On federal services contracts captured in SCI, government-paid hourly rates ranged from $69.84/hr at the 10th percentile to a median of $204.79/hr, with senior labor reaching $277.55/hr at the 90th percentile. Across SCI-reportable prime contracts, subcontractors performed 28% of contractor hours on average, with 27 named subcontractors engaged. The GSA labor portfolio spans 129 unique categories from NOC Specialist I at $44.67/hr to Chief Medical Officer Healthcare IT at $268.18/hr, with no security-cleared roles offered; education requirements range from associate through master's degree.

Acentra's combined potential value across all 243 awards (prime and sub) is $9.8 billion, with $539.6 million obligated to date (6% of potential). Four awards with ultimate completion dates in the next twenty-four months carry combined potential value of $242.9 million, representing recompete exposure on the workers compensation bridge contract and portions of the eCAMS and ICE medical claims processing work. The company operates as a subcontractor on a limited basis, holding 3 named sub-awards to Raytheon Company for ROTHR operations and maintenance technical and engineering services. Acentra Health has a named subsidiary, Keystone Peer Review Organization LLC, a for-profit limited liability company.