Prime Physicians PLLC

Prime Physicians PLLC, doing business as Siouxland Hospitalists PLLC, is a minority-owned, self-certified small disadvantaged business that provides healthcare staffing, emergency department management, medical case review, and clinical consulting services to federal agencies as a prime contractor on 107 awards carrying $43.28 billion in combined potential value. The company operates entirely as a prime (100% of awards) with no subcontractor engagement and is headquartered in Dakota Dunes, South Dakota.

The vendor's customer base is heavily concentrated in civilian healthcare agencies. The Indian Health Service dominates by award count (58 awards, $251.3 million combined potential value), followed by the Social Security Administration (24 awards, $7 million), Health Resources and Services Administration (12 awards, $7.7 million), and the Bureau of Engraving and Printing (7 awards, $4.1 million). However, the Defense Health Agency anchors the portfolio by dollars: a single $43 billion multiple-award indefinite delivery contract for Medical Q-Coded Support and Services-Next Generation awarded May 15, 2025, accounts for 100% of the total potential value. This creates a stark divergence between the count-based and dollar-based customer rankings, exposing the vendor to recompete risk on a massive single vehicle while its day-to-day operational footprint is spread across smaller task orders at IHS and SSA.

Capability work is concrete and labor-intensive. At the Indian Health Service, Prime Physicians staffs emergency departments, inpatient nursing units, and behavioral health positions at five Great Plains-area facilities (Rosebud, Cheyenne River, Pine Ridge, Northern Navajo Medical Center, and Gallup Indian Medical Center) under a $188.5 million single-award indefinite delivery contract (75H70621D00024) running through June 30, 2029, with 34 task orders valued at $6.4 million. At the Social Security Administration, the vendor provides disability case review and medical consultant services across Regions 6 (Dallas) and 8 (Denver) under two $1.8 million blanket purchase agreements (awarded June 3, 2024, through December 31, 2028) and a $1.9 million BPA (March 1, 2024, through February 28, 2029), with 24 awards totaling $7 million in potential value performing independent reviews of disability claim files. At the Health Resources and Services Administration, the vendor holds a $7.5 million single-award BPA (awarded February 9, 2022, through April 22, 2025, now terminated) for medical case reviewer services supporting the Vaccine Injury Compensation Program and Countermeasures Injury Compensation Program, with 12 task orders valued at $7.7 million. Recent definitive contracts include a $1.301 million contract with IHS for nurse advice and triage services (Shiprock, New Mexico, through August 31, 2031), a $3.994 million Bureau of Engraving and Printing delivery order for occupational health services at the Fort Worth facility (through August 31, 2031), a $2.341 million IHS contract for nurse advice line services to the Gallup Service Unit (through August 31, 2031), and a $2.495 million Defense Health Agency delivery order for neurology physician services at Joint Base Langley-Eustis, Virginia (through July 21, 2030). The vendor also provides occupational health screenings and cardiac stress testing to the Bureau of Engraving and Printing under small blanket purchase agreement calls.

Activity grew year over year from 10 awards in 2022 to 30 in 2024, though 2025 and 2026 show moderation (22 and 13 awards respectively), likely reflecting the maturation of the large IHS and SSA vehicles under which most work flows as task orders. Six awards with combined potential value of $19.4 million face ultimate completion within the next twenty-four months and present recompete exposure; however, this figure is dwarfed by the Defense Health Agency GWAC's structural ceiling date in May 2030, which will require full recompete of a $43 billion vehicle if the vendor seeks renewal.

SCI-reported federal service-contract invoicing totaled $4.4 million across fiscal years 2022–2025, with $0 recorded in FY2022 and FY2023, $2 million in FY2024 across 7.3 FTEs, and $2.4 million in FY2025 across 10.1 FTEs. This modest SCI footprint reflects the vendor's reliance on higher-volume, lower-value task orders (many under the $150,000 SCI reporting threshold) and firm fixed-price deliverables rather than labor-hour or cost-reimbursable service contracts. On the 24 SCI-reportable prime records captured, government-paid hourly rates ran a median of $95 per hour, with a 10th percentile floor of $62.50 per hour and 90th percentile ceiling of $281.25 per hour, indicating pricing spread across administrative support, nursing, and specialist physician roles. The vendor performed all work itself (0% sub-hours share) on its SCI-tracked portfolio.

The vendor's set-aside posture is mixed. Most Indian Health Service and Social Security Administration awards carry total small business or no set-aside designation, with the $188.5 million IHS indefinite delivery contract and the $7.5 million HRSA BPA awarded without set-aside. However, the Defense Health Agency's $43 billion GWAC is set-aside for total small businesses, and recent definitive IHS contracts (nurse triage at Shiprock, occupational health services at Fort Worth, nurse advice at Gallup) are all set-aside for total small business. Bureau of Engraving and Printing work spans total small business and non-set-aside designations. This pattern indicates the vendor competes successfully in both set-aside and full-and-open competitions but benefits from small-business restrictions on its largest dollar vehicle.

Prime Physicians operates without disclosed subcontractors across its prime portfolio, delivering medical staffing, clinical management, and consulting services through its own workforce and affiliated physician and nursing networks. The vendor's governance structure as a limited liability company and its self-certified small disadvantaged business designation position it to retain all prime margins and maintain direct customer relationships across IHS, SSA, HRSA, DoD, VA, and the Bureau of Engraving and Printing without sub-tier complexity.

Provide medical, clinical, dental, radiological services, temporary physician or other health care provider staffing, lab services, locum tenens, annual physicals, large pool of physicians.