Government Offices of All Other Miscellaneous Health Practitioners Contracts
NAICS 621399 · Offices of All Other Miscellaneous Health Practitioners
Government offices of all other miscellaneous health practitioners contracts totaled $530M across 1,332 awards from FY2024 to FY2026. Obligations were up 4% in FY2026 compared with FY2025, and the Department of Defense was the largest buyer, accounting for $243M (46% of the total).
Key figures
In FY2026, contract obligations were $169,251,615 across 559 awards with activity that year, a change of +4% from $162,723,135 in FY2025. From FY2024 to FY2026, obligations totaled $530,404,052 across 1,332 awards.
- Obligated in FY2026
- $169M
- Awards in FY2026
- 559
- Change vs FY2025
- +4%
- Total, FY2024 to FY2026
- $530M
Note: FY2026 ended on Sep 30, 2026. The Department of Defense publishes contract data with a 90-day delay, so FY2026 totals may still rise as late reports arrive.
Offices of All Other Miscellaneous Health Practitioners contract spending by year
Federal offices of all other miscellaneous health practitioners contracts per fiscal year (October to September), under NAICS 621399. The table below lists the same numbers.
| Fiscal year | Obligated | Awards | Change |
|---|---|---|---|
| FY2026 | $169,251,615 | 559 | +4% |
| FY2025 | $162,723,135 | 747 | -18% |
| FY2024 | $198,429,302 | 866 | n/a |
About government offices of all other miscellaneous health practitioners contracts
Federal spending on offices of all other miscellaneous health practitioners contracts fell 15% from FY2024 ($198M) to FY2026 ($169M). FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
Spending is spread widely: the top 3 contractors account for 27% of the total. No single company dominates, which leaves room for new and small contractors.
The Department of Defense spends the most on offices of all other miscellaneous health practitioners contracts (46%), followed by the Department of Health and Human Services. The states with the most of this work are Texas, New Mexico and Arizona.
NAICS 621399 (Offices of All Other Miscellaneous Health Practitioners) is part of the Health Care and Social Assistance sector.
Top offices of all other miscellaneous health practitioners government contractors
Companies ranked by contract dollars under NAICS 621399 (Offices of All Other Miscellaneous Health Practitioners).
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | Giacare & Medtrust JV LLC | $87,145,195 | 16.4% |
| 2 | Prairie Quest, Inc. | $30,505,141 | 5.8% |
| 3 | Acuity International, LLC | $22,986,359 | 4.3% |
| 4 | Wisestaff, LLC | $22,247,400 | 4.2% |
| 5 | Akima Global Logistics, LLC | $19,535,859 | 3.7% |
| 6 | Four Winds Staffing LLC | $18,860,661 | 3.6% |
| 7 | Maat Enterprises Inc | $17,740,639 | 3.3% |
| 8 | North Shore University Hospital | $11,803,828 | 2.2% |
| 9 | Reef Systems-Fsr LLC | $11,233,703 | 2.1% |
| 10 | Ware River Consulting LLC | $11,050,352 | 2.1% |
Agencies buying offices of all other miscellaneous health practitioners services
Federal agencies ranked by contract dollars under NAICS 621399.
| # | Agency | Obligated | Share |
|---|---|---|---|
| 1 | Department of Defense | $243,154,642 | 45.8% |
| 2 | Department of Health and Human Services | $150,946,668 | 28.5% |
| 3 | Department of Veterans Affairs | $91,298,449 | 17.2% |
| 4 | Department of Homeland Security | $24,365,636 | 4.6% |
| 5 | Department of Transportation | $11,803,579 | 2.2% |
| 6 | Department of Justice | $5,163,907 | 1.0% |
| 7 | Department of Agriculture | $1,198,481 | 0.2% |
| 8 | Department of the Interior | $1,029,758 | 0.2% |
| 9 | Department of Commerce | $730,019 | 0.1% |
| 10 | Department of the Treasury | $706,093 | 0.1% |
Where offices of all other miscellaneous health practitioners contract work is performed
States ranked by contract dollars, using the place of performance on each award.
| # | State | Obligated | Share |
|---|---|---|---|
| 1 | Texas | $202,692,141 | 38.2% |
| 2 | New Mexico | $47,352,623 | 8.9% |
| 3 | Arizona | $41,547,402 | 7.8% |
| 4 | South Dakota | $35,009,321 | 6.6% |
| 5 | Virginia | $31,837,727 | 6.0% |
| 6 | New York | $27,887,715 | 5.3% |
| 7 | Florida | $20,760,797 | 3.9% |
| 8 | Pennsylvania | $16,366,627 | 3.1% |
| 9 | California | $14,981,367 | 2.8% |
| 10 | Minnesota | $13,913,944 | 2.6% |
Recent offices of all other miscellaneous health practitioners contract awards
The latest offices of all other miscellaneous health practitioners contracts, newest first. Each award ID links to its record on USAspending.gov.
| Start date | Recipient | Agency and description | Amount | Record |
|---|---|---|---|---|
| Sep 29, 2026 | Acuity International, LLC | Department of Homeland SecurityMEDICAL SUPPORT SERVICES FOR THE CBP MEDICAL AND FITNESS BRANCH, INCLUDING EMPLOYEE MEDICAL EXAMS, FITNESS TESTING, DRUG TESTING, CONSULTATIONS, SCHEDULING, LABORATORY SERVICES, AND RELATED SUPPORT. | $2,586,359 | 70B06C26F00001001 |
| Sep 29, 2026 | Acuity International, LLC | Department of Homeland SecurityMEDICAL SUPPORT SERVICES FOR THE CBP HIRING CENTER, INCLUDING PRE-EMPLOYMENT MEDICAL EXAMS, FITNESS TESTING, DRUG TESTING, CONSULTATIONS, SCHEDULING, LABORATORY SERVICES, AND RELATED SUPPORT. | $20,400,000 | 70B06C26F00001000 |
| Sep 24, 2026 | Ozark Medical Inc | Department of Veterans AffairsINTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING (IONM) SERVICES | $174,845 | 36C25926C0085 |
| Sep 21, 2026 | Tribal Providers PLLC | Department of Health and Human ServicesCMA/LPN SUPPORT SERVICES FOR WARM SPRINGS SERVICE UNIT | $140,640 | 75H71326P00056 |
| Sep 18, 2026 | Complete Pedorthic Solutions LLC | Department of Health and Human ServicesTHERAPEUTIC SHOE PROGRAM FOR LIH | $51,000 | 75H71126F27001 |
| Sep 18, 2026 | Indian Health Board of Minneapolis, Inc. | Department of Health and Human Services(FY) 2026 URBAN INDIAN HEALTH NON-RECURRING FUNDING SUPPLEMENT. | $27,250 | 75H70526F06013 |
| Sep 18, 2026 | American Indian Health Service of Chicago | Department of Health and Human ServicesNON-RECURRING DISTRIBUTION OF FUNDS TO AREA URBAN INDIAN ORGANIZATIONS. | $27,250 | 75H70526F06011 |
| Sep 18, 2026 | Gerald L Ignace Indian Health Center Inc | Department of Health and Human Services2026- NON-RECURRING. UIO PROJECT FUNDING | $27,250 | 75H70526F06011 |
| Sep 18, 2026 | American Indian Health and Family Services of Southeastern Mi, Inc. | Department of Health and Human ServicesNON-RECURRING DISTRIBUTION OF FUNDS TO AREA URBAN INDIAN ORGANIZATIONS. | $27,250 | 75H70526F06009 |
| Sep 16, 2026 | Amedistaf, LLC | Department of Health and Human ServicesLPN SERVICES FOR THE OKLAHOMA AREA TO COVER STAFFING SHORTAGES SO THAT WE MAY CONTINUE TO PROVIDE SAFE AND QUALITY CLINICAL CARE TO PATIENTS. | $64,782 | 75H71126F27006 |
| Sep 15, 2026 | Loyal Source Government Services LLC | Department of Health and Human ServicesLPN SERVICES | $63,192 | 75H71126F27001 |
| Sep 14, 2026 | Nativearc II, LLC | Department of Health and Human ServicesFIRM FIXED-PRICE, NON-PERSONAL HEALTHCARE SERVICES CONTRACT FOR PHYSICIAN ASSISTANT, NURSE PRACTITIONER, AND CERTIFIED NURSE MIDWIFE SERVICES FOR THE ROSEBUD IHS HOSPITAL, ROSEBUD, SOUTH DAKOTA. | $612,541 | 75H70626P00179 |
| Sep 14, 2026 | Arbor Environmental LLC | Department of Veterans AffairsVISN 22 - RESPIRATOR FIT TESTING | $34,685 | 36C26226F0383 |
| Sep 14, 2026 | Arbor Environmental LLC | Department of Veterans AffairsVISN 22 - RESPIRATOR FIT TESTING | $97,695 | 36C26226F0382 |
| Sep 14, 2026 | Hanger Prosthetics & Orthotics East, Inc. | Department of JusticeTO PERFORM PROSTHETIC AND ORTHOTIC SERVICES ACCORDING TO THE STATEMENT OF WORK AT FMC BUTNER, NC. | $25,098 | 15B10626F00000193 |
| Sep 10, 2026 | Akicita Cyber LLC | Department of Health and Human ServicesRADIOLOGY TECHNICIAN NON-PERSONAL SERVICES LOCATED IN TOPPENISH, WASHINGTON. | $107,120 | 75H71326P00044 |
| Sep 9, 2026 | Bay Area Anesthesia LLC | Department of Health and Human ServicesTASK ORDER AGAINST 75H70623D00029 FOR MID-LEVEL SERVICES FOR THE CRHC. POP: 9/8/2026 - 7/31/2027 | $811,200 | 75H70626F03003 |
| Sep 4, 2026 | Encode, Inc. | Department of Health and Human ServicesLPN SERVICES FOR THE OKLAHOMA AREA TO COVER STAFFING SHORTAGES SO THAT WE MAY CONTINUE TO PROVIDE SAFE AND QUALITY CLINICAL CARE TO PATIENTS. | $64,792 | 75H71126F27011 |
| Sep 4, 2026 | Shared Mission, LLC | Department of Health and Human ServicesREGISTERED NURSE SERVICES FOR THE OUTPATIENT DEPARTMENT AT THE CHEYENNE RIVER HEALTH CENTER, EAGLE BUTTE, SD | $373,750 | 75H70626P00189 |
| Sep 4, 2026 | American Indian Health Service of Chicago | Department of Health and Human Services2026- NON-RECURRING. UIO PROJECT FUNDING | $10,500 | 75H70526F06010 |
| Sep 4, 2026 | American Indian Health and Family Services of Southeastern Mi, Inc. | Department of Health and Human Services2026- NON-RECURRING. UIO PROJECT FUNDING | $10,500 | 75H70526F06008 |
| Sep 4, 2026 | Arbor Environmental LLC | Department of Veterans AffairsVISN 22 - RESPIRATOR FIT TESTING | $51,306 | 36C26226F0385 |
| Sep 4, 2026 | Arbor Environmental LLC | Department of Veterans AffairsVISN 22 - RESPIRATOR FIT TESTING | $56,475 | 36C26226F0384 |
| Sep 2, 2026 | Prime Tri Providers LLC | Department of Health and Human ServicesFOUR (4) OUTPATIENT NURSING ASSISTANTS TO PROVIDE NON-PERSONAL HEALTH CARE SERVICES AT THE JICARILLA SERVICE UNIT IN THE ALBUQUERQUE AREA INDIAN HEALTH SERVICE (IHS). | $399,942 | 7571PS26P00025 |
| Sep 1, 2026 | Encode, Inc. | Department of Health and Human ServicesLPN SERVICES FOR HASKELL INDIAN HEALTH CENTER TO MAINTAIN ADEQUATE STAFFING LEVELS AND CONTINUITY OF PATIENT CARE. | $17,355 | 75H71126F27009 |
Open offices of all other miscellaneous health practitioners government bids
The newest open notices from SAM.gov. Bidding needs a free SAM.gov registration.
Interior, Department of the · Sources Sought · NAICS 621399
Posted Oct 30, 2026 · Responses due Nov 12, 2026
Veterans Affairs, Department of · Solicitation · NAICS 621399 · FL · Service-Disabled Veteran-Owned Small Business (SDVOSB) Set-Aside (FAR 19.14)
Posted Oct 29, 2026 · Responses due Nov 13, 2026
How to win government offices of all other miscellaneous health practitioners contracts
Federal offices of all other miscellaneous health practitioners contracts are posted on SAM.gov under NAICS 621399. Register your business free on SAM.gov with this code, watch for offices of all other miscellaneous health practitioners bids, and look for small business set-asides: many offices of all other miscellaneous health practitioners contracts for small business are reserved for small firms.
Explore government offices of all other miscellaneous health practitioners contracts by state, agency and contractor
- Department of Defense contracts
- Department of Health and Human Services contracts
- Department of Veterans Affairs contracts
- Department of Homeland Security contracts
- Department of Transportation contracts
- Government contracts in Texas
- Government contracts in New Mexico
- Government contracts in Arizona
- Government contracts in South Dakota
- Government contracts in Virginia
Frequently asked questions
- What NAICS code is used for government offices of all other miscellaneous health practitioners contracts?
- Federal offices of all other miscellaneous health practitioners contracts use NAICS 621399 (Offices of All Other Miscellaneous Health Practitioners). List this code in your free SAM.gov registration to be found for these contracts.
- Who are the largest offices of all other miscellaneous health practitioners government contractors?
- By contract dollars under NAICS 621399 from FY2024 to FY2026, the largest were Giacare & Medtrust JV LLC ($87.1M), Prairie Quest, Inc. ($30.5M) and Acuity International, LLC ($23M).
- Which agencies buy the most offices of all other miscellaneous health practitioners?
- From FY2024 to FY2026, the biggest buyers were the Department of Defense ($243M), the Department of Health and Human Services ($151M) and the Department of Veterans Affairs ($91.3M).
- Where are government offices of all other miscellaneous health practitioners contracts performed?
- By contract dollars, the most federal offices of all other miscellaneous health practitioners work is performed in Texas ($203M), New Mexico ($47.4M) and Arizona ($41.5M).
- Is federal spending on offices of all other miscellaneous health practitioners contracts growing?
- Federal offices of all other miscellaneous health practitioners contract obligations fell 15% from FY2024 ($198M) to FY2026 ($169M). FY2026 closed recently, and Defense Department contracts are reported up to 90 days late, so its total may still rise.
- Do I qualify as a small business for offices of all other miscellaneous health practitioners contracts?
- It depends on the SBA size standard for NAICS 621399, which is set either by average annual revenue or by number of employees. Check the current table of size standards on sba.gov before you bid on small business set-asides.
- What do I need to bid on government offices of all other miscellaneous health practitioners contracts?
- An active SAM.gov registration (free) with NAICS 621399 listed, the licenses and insurance your state requires for offices of all other miscellaneous health practitioners work, and examples of similar past work. Some solicitations also ask for specific certifications or security clearances.