Lescano, Joseph L

Lescano, Joseph L, doing business as Medquest Medical Supply, a sole proprietorship based in Tamuning, Guam, supplies home oxygen equipment, durable medical equipment, and prosthetics to the Department of Veterans Affairs as a prime contractor, operating entirely in full-and-open federal procurements with no set-aside designation across its active portfolio. The vendor holds two single-award Indefinite Delivery Contracts with the VA's Veterans Integrated Service Network 21 (VISN 21) — a $3 million IDC for home oxygen services (September 2021 through August 2026) and a $267,025 IDC for durable medical equipment services (September 2021 through September 2026) — from which the majority of task orders flow.

Medquest Medical Supply's customer concentration is extreme. The VA's Veterans Integrated Service Network 21 accounts for 179 of 185 total awards (99% coverage) and $8.7 million of $8.8 million combined potential value. The remaining customer footprint consists of a single purchase order from VA Headquarters ($29 thousand), one from the Defense Health Agency ($27 thousand), and two from the Department of the Navy Bureau of Medicine and Surgery ($8 thousand combined). This concentration reflects the vendor's geographic and service-line specialization as the primary durable medical equipment provider for the VA's Pacific Islands Health Care System covering Guam, American Samoa, and Saipan.

Medquest operates under primary PSC Medical and Surgical Instruments, Equipment, and Supplies (175 of 185 awards), with supplementary work in medical-managed healthcare and hospital furniture and supplies. The vendor's concrete delivery portfolio centers on monthly firm fixed-price delivery orders for home oxygen cylinders, concentrators, tubing, regulators, and related respiratory supplies; prosthetics including modular ramps, wheelchair ramps, stairlifts, vertical platform lifts, EZ Access ramps, and mobility devices; and durable medical equipment logistics across VA facilities. Representative awards include a $172,389 delivery order (February 2025) for November 2024 through January 2025 home oxygen services in Guam and American Samoa; a $110,604 delivery order (May 2022) for April and May 2022 home oxygen services; a $32,999 purchase order (March 2025) for prosthetics-modular ramps; and a $28,990 purchase order (May 2024) for prosthetics and stairlift.

Activity has been volatile and is declining sharply. The vendor recorded 19 awards in 2023, 15 in 2022, 14 in 2024, 4 in 2025, and 1 in 2026 — a pattern consistent with the conclusion of the initial IDC period and transition to a new ordering cycle or shift in procurement strategy. Combined potential value across all 185 awards stands at $8.8 million, with $5.2 million obligated (59% realization). Only two awards with ultimate completion dates in the next twenty-four months carry combined potential value of $66 thousand, indicating minimal recompete exposure in that window but also minimal near-term pipeline visibility. The vendor registered as a federal contractor in 2007 and has maintained continuous VA engagement through the two primary IDCs; however, task order frequency and dollar volume have contracted significantly since 2023, signaling either declining demand from VISN 21 or a shift to larger, less-frequent orders that are not yet visible in the award data.