Data / Federal awards / NAICS 621910
NAICS 621910 Ambulance Services: $1.3 billion in federal contracts to 422 recipients (FY2024 to FY2027)
Federal agencies obligated $1.3 billion under NAICS 621910, Ambulance Services, across 5,263 contract awards to 422 named recipients in fiscal years 2024 to 2027. The largest recipients are AMERICAN MEDICAL RESPONSE, INC. ($215.1 million), EXCELSIOR AMBULANCE SERVICE INC ($80.2 million), RELIANCE MEDICAL TRANSPORT, LLC ($46.0 million). Department of Veterans Affairs is the largest buyer with $737.2 million. 4 opportunities under this code are open on SAM.gov now.
SpecStream is the live web data engine for teams and agents. It reads every federal contract award on USAspending.gov and every open opportunity on SAM.gov, and this page is that reading. Ask for the awards in your niche and the winners, agencies, values and recompetes arrive in your sheet, CRM, Slack or agent as they are reported.
- NAICS code
- 621910 Ambulance Services
- Contract awards
- 5,263
- Obligated
- $1.3 billion
- Named recipients
- 422
- Buying agencies
- 12
- Small business share of obligations
- 61%
- Full and open competition share
- 50%
- Set aside share
- 7%
- Latest action
- 2026-10-02
Open opportunities in this niche
The same code on SAM.gov, read each morning: 4 opportunities you can still respond to.
Incumbents: the largest recipients
Ranked by dollars obligated in fiscal years 2024 to 2027.
| Recipient | Business size | Awards | Obligated | Share |
|---|---|---|---|---|
| AMERICAN MEDICAL RESPONSE, INC. | Other Than Small Business | 35 | $215.1 million | 17.1% |
| EXCELSIOR AMBULANCE SERVICE INC | Small Business | 30 | $80.2 million | 6.4% |
| RELIANCE MEDICAL TRANSPORT, LLC | Small Business | 28 | $46 million | 3.7% |
| MEDSHORE AMBULANCE SERVICE, INC. | Other Than Small Business | 6 | $23.6 million | 1.9% |
| ALERT AMBULANCE SERVICE, INC. | Small Business | 22 | $23.6 million | 1.9% |
| JOURNEY VIA GURNEY, LLC | Small Business | 21 | $23.6 million | 1.9% |
| MEDEX MEDICAL TRANSPORT SERVICE INC | Small Business | 25 | $22.8 million | 1.8% |
| JAN-CARE AMBULANCE OF NORTH CENTRAL W.VA., INC | Other Than Small Business | 19 | $22.3 million | 1.8% |
| WANDER STAFFING LLC | Small Business | 2 | $21.1 million | 1.7% |
| ACADIAN AMBULANCE SERVICE OF TEXAS, LLC | Other Than Small Business | 18 | $20.9 million | 1.7% |
| PROFESSIONAL HEALTHCARE ASSOCIATES, INC. | Small Business | 12 | $19.9 million | 1.6% |
| FIRST CARE OHIO LLC | Small Business | 16 | $19.7 million | 1.6% |
| UNITED MEDEVAC SOLUTIONS, INC. | Small Business | 10 | $19.3 million | 1.5% |
| ACADIAN AMBULANCE SERVICE INC | Other Than Small Business | 43 | $16.8 million | 1.3% |
| REACH AIR MEDICAL SERVICES, LLC | Other Than Small Business | 14 | $16.4 million | 1.3% |
| APPOINTED WORLDWIDE HOLDINGS LLC | Small Business | 5 | $15.5 million | 1.2% |
| AMBULANCE MANAGEMENT SERVICES LIMITED | Small Business | 16 | $15.1 million | 1.2% |
| FRONT LINE EMS LLC | Small Business | 331 | $14.6 million | 1.2% |
| PRO CARE EMERGENCY MEDICAL SERVICES, LLC | Small Business | 5 | $14.3 million | 1.1% |
| LIFE LINE AMBULANCE SERVICE, INC. | Other Than Small Business | 10 | $13.4 million | 1.1% |
| HAWAII LIFE FLIGHT LLC | Other Than Small Business | 4 | $13.1 million | 1.0% |
| HEARTLAND AMBULANCE SERVICE LLC | Small Business | 138 | $12.4 million | 1.0% |
| LIFELINE MEDICAL SERVICES, INC. | Small Business | 8 | $12.3 million | 1.0% |
| NAVARRE CORPORATION | Small Business | 6 | $11.2 million | 0.9% |
| JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC. | Small Business | 6 | $10.6 million | 0.8% |
| ACADIAN AMBULANCE SERVICE OF TENNESSEE, LLC | Other Than Small Business | 12 | $10.2 million | 0.8% |
| METRO WEST AMBULANCE SERVICE, INC. | Other Than Small Business | 21 | $9.9 million | 0.8% |
| BAY MEDIC TRANSPORTATION INC. | Small Business | 10 | $9.3 million | 0.7% |
| OHIO AMBULANCE SOLUTIONS, LLC | Small Business | 10 | $9.2 million | 0.7% |
| FRONTLINE SUPPORT SOLUTIONS, LLC | Small Business | 3 | $8.7 million | 0.7% |
| LIFEFLEET SOUTHEAST INC | Small Business | 11 | $8.4 million | 0.7% |
| LEGACY EMS INC | Small Business | 5 | $8.4 million | 0.7% |
| APREA GROUP LLC | Small Business | 4 | $8.3 million | 0.7% |
| PRIORITY ONE MEDICAL TRANSPORT INC | Small Business | 7 | $8.1 million | 0.6% |
| CITYWIDE MOBILE RESPONSE CORP | Small Business | 11 | $8 million | 0.6% |
| EMERGYCARE INC | Other Than Small Business | 7 | $8 million | 0.6% |
| PAFFORD MEDICAL SERVICES, INC. | Small Business | 11 | $7.9 million | 0.6% |
| ABLE AMBULANCE, INC | Small Business | 5 | $7.9 million | 0.6% |
| ADVENTURE MEDICS LLC | Small Business | 227 | $7.9 million | 0.6% |
| ABBOTT AMBULANCE, INC. | Other Than Small Business | 7 | $7.4 million | 0.6% |
| EMERGENCY RESPONSE LOGISTICS, LLC | Small Business | 154 | $7.4 million | 0.6% |
| AMERICAN MEDICAL RESPONSE WEST | Other Than Small Business | 21 | $6.9 million | 0.6% |
| WILDERNESS MEDICS, INC. | Small Business | 164 | $6.9 million | 0.5% |
| DALMOR LLC | Small Business | 6 | $6.8 million | 0.5% |
| PROCARE AMBULANCE OF MARYLAND, INC | Small Business | 11 | $6.4 million | 0.5% |
| C.H.L. EMS, INC. | Small Business | 90 | $6.2 million | 0.5% |
| L-J-L TRUCKING, INC | Small Business | 10 | $6.2 million | 0.5% |
| MINUTEMAN EMS LLC | Small Business | 129 | $6.1 million | 0.5% |
| RG AMBULANCE SERVICE, INC. | Small Business | 6 | $5.9 million | 0.5% |
| K & W MEDICAL SERVICES INC | Small Business | 7 | $5.5 million | 0.4% |
Agencies buying under this code
| Agency | Awards | Obligated | Largest recipient |
|---|---|---|---|
| Department of Veterans Affairs | 1,078 | $737.2 million | EXCELSIOR AMBULANCE SERVICE INC |
| Department of Homeland Security | 32 | $214.6 million | AMERICAN MEDICAL RESPONSE, INC. |
| Department of Agriculture | 3,268 | $145.6 million | FRONT LINE EMS LLC |
| Department of Defense | 127 | $109.1 million | WANDER STAFFING LLC |
| Department of Justice | 612 | $28.6 million | MED-TRANS CORPORATION |
| Department of Health and Human Services | 68 | $13.3 million | FRONT LINE EMS LLC |
| Department of State | 23 | $7.4 million | CENTERRA GROUP, LLC |
| National Aeronautics and Space Administration | 6 | $664,840 | GLOBAL GUARDIAN, LLC |
| Department of the Interior | 39 | $580,358 | ADVENTURE MEDICS LLC |
| Department of Energy | 7 | $164,464 | WORLDWIDE AIRCRAFT SERVICES INC |
| Smithsonian Institution | 2 | $51,990 | MEDICAL FACULTY ASSOCIATES, INC. |
| Department of the Treasury | 1 | $-43,535 | MOBILE MEDIC AMBULANCE SERVICE INC |
Obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2024 | $417.2 million |
| FY2025 | $429.7 million |
| FY2026 | $349.9 million |
| FY2027 | $60.5 million |
Products and services bought
| Code | Product or service | Awards | Obligated |
|---|---|---|---|
| V225 | Transportation/travel/relocation- Travel/lodging/recruitment: Ambulance | 1,692 | $803.2 million |
| Q999 | Medical- Other | 318 | $253.4 million |
| F003 | Natural Resources/conservation- Forest-Range Fire Suppression/presuppression | 3,012 | $108.6 million |
| V119 | Transportation/travel/relocation- Transportation: Other | 18 | $31.5 million |
| V227 | Transportation/travel/relocation- Travel/lodging/recruitment: Navigational Aid and Pilotage | 8 | $17.7 million |
| V129 | Transportation/travel/relocation- Transportation: Other | 11 | $12.3 million |
| V999 | Transportation/travel/relocation- Other: Other | 19 | $10.2 million |
| Q201 | Medical- Managed Healthcare | 58 | $5.2 million |
| Q529 | Emergency Medicine Services | 9 | $3.8 million |
| V221 | Transportation/travel/relocation- Travel/lodging/recruitment: Passenger Air Charter | 22 | $2.9 million |
Largest contract awards
| Award ID | Recipient | Agency | Type | NAICS | What it buys | Obligated in window | Award value | Starts | Ends | Place of performance | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 70FB7025F00000011 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO HURR | $29,361,134 | $29,361,134 | October 7, 2024 | January 22, 2025 | Asheville, NC | usaspending.gov |
| 70FB7025F00000003 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF NORTH CAROLINA IN RESPONSE | $25,019,520 | $25,019,520 | October 3, 2024 | January 15, 2025 | Greenville, SC | usaspending.gov |
| 70FB7024F00000116 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO TROP | $24,825,785 | $24,825,785 | September 26, 2024 | January 16, 2025 | Fayetteville, NC | usaspending.gov |
| 70FB7024F00000109 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO TROP | $23,493,237 | $23,493,237 | September 25, 2024 | January 8, 2025 | Stone Mountain, GA | usaspending.gov |
| W81K0024C0004 | WANDER STAFFING LLC | Department of Defense | Definitive Contract | 621910 | NON-PERSONAL GROUND AMBULANCE SERVICES | $21,044,583 | $21,044,583 | April 1, 2024 | March 31, 2027 | El Paso, TX | usaspending.gov |
| 70FB7025F00000025 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF NORTH CAROLINA IN RESPONSE | $19,163,848 | $19,163,848 | October 16, 2024 | January 17, 2025 | Raleigh, NC | usaspending.gov |
| 70FB7025F00000001 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF NORTH CAROLINA IN RESPONSE | $17,401,586 | $17,401,586 | October 1, 2024 | January 15, 2025 | Greenville, SC | usaspending.gov |
| 70FB7025F00000020 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO HURR | $14,259,765 | $14,259,765 | October 9, 2024 | January 22, 2025 | Havana, FL | usaspending.gov |
| 36C24626N0473 | RELIANCE MEDICAL TRANSPORT, LLC | Department of Veterans Affairs | Delivery Order | 621910 | NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES | $13,183,288 | $13,183,288 | March 1, 2026 | February 28, 2027 | Hampton, VA | usaspending.gov |
| 70FB7025F00000017 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO HURR | $13,041,122 | $13,041,122 | October 9, 2024 | January 22, 2025 | Greenwood Village, CO | usaspending.gov |
| 36C24726N0186 | EXCELSIOR AMBULANCE SERVICE INC | Department of Veterans Affairs | Delivery Order | 621910 | NONEMERGENT AMBULANCE SERVICES | $10,978,707 | $10,978,707 | April 22, 2026 | April 21, 2027 | Ludowici, GA | usaspending.gov |
| 70FB7025F00000031 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF NORTH CAROLINA IN RESPONSE | $10,796,133 | $10,796,133 | October 31, 2024 | January 15, 2025 | Raleigh, NC | usaspending.gov |
| 36C24726N0016 | EXCELSIOR AMBULANCE SERVICE INC | Department of Veterans Affairs | Delivery Order | 621910 | AMBULANCE TRANSPORTATION SERVICES | $10,573,600 | $10,573,600 | December 17, 2025 | December 16, 2026 | Columbia, SC | usaspending.gov |
| W81K0024C0002 | UNITED MEDEVAC SOLUTIONS, INC. | Department of Defense | Definitive Contract | 621910 | PATIENT TRANSPORT SERVICES IN SUPPORT OF BAMC, JBSA FT. SAM HOUSTON, TX | $10,161,194 | $10,161,194 | December 15, 2023 | December 14, 2026 | San Antonio, TX | usaspending.gov |
| W81K0425CA004 | REACH AIR MEDICAL SERVICES, LLC | Department of Defense | Definitive Contract | 621910 | AIR MEDICAL TRANSPORT AMBULANCE SERVICES (AMTAS) FOR FORT HUNTER LIGGETT (FHL), CA | $9,914,262 | $20,685,416 | December 15, 2024 | October 31, 2026 | Jolon, CA | usaspending.gov |
| 36C24725N0381 | EXCELSIOR AMBULANCE SERVICE INC | Department of Veterans Affairs | Delivery Order | 621910 | NONEMERGENT AMBULANCE SERVICES | $9,298,151 | $9,298,151 | April 22, 2025 | April 21, 2026 | Birmingham, AL | usaspending.gov |
| 36C24725N0396 | MEDSHORE AMBULANCE SERVICE, INC. | Department of Veterans Affairs | Delivery Order | 621910 | NON-EMERGENT AMBULANCE SERVICE | $9,109,051 | $9,109,051 | June 22, 2025 | June 21, 2026 | Columbia, SC | usaspending.gov |
| 70FB7025F00000015 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES SPECIFICALLY IN THE STATE OF FLORIDA IN RESPONSE TO HURR | $8,351,764 | $8,351,764 | October 8, 2024 | January 16, 2025 | Havana, FL | usaspending.gov |
| 36C24724N0349 | MEDSHORE AMBULANCE SERVICE, INC. | Department of Veterans Affairs | Delivery Order | 621910 | NON-EMERGENT AMBULANCE SERVICE | $8,087,350 | $8,087,350 | June 22, 2024 | June 21, 2025 | Columbia, SC | usaspending.gov |
| 36C24725N0098 | EXCELSIOR AMBULANCE SERVICE INC | Department of Veterans Affairs | Delivery Order | 621910 | AMBULANCE TRANSPORTATION SERVICES | $7,720,894 | $7,720,894 | December 17, 2024 | December 16, 2025 | Charleston, SC | usaspending.gov |
| 36C24724N0157 | EXCELSIOR AMBULANCE SERVICE INC | Department of Veterans Affairs | Delivery Order | 621910 | NONEMERGENT AMBULANCE SERVICES | $7,403,757 | $7,403,757 | April 22, 2024 | April 21, 2025 | Birmingham, AL | usaspending.gov |
| 36C26125F0244 | HAWAII LIFE FLIGHT LLC | Department of Veterans Affairs | Delivery Order | 621910 | AIR AMBULANCE SERVICES FOR VAPIHCS 6 MONTH TASK ORDER. POP: 04/01/2025 TO 09/30/2025. | $6,659,328 | $6,659,328 | April 1, 2025 | March 31, 2026 | Honolulu, HI | usaspending.gov |
| 36C24625N1038 | RELIANCE MEDICAL TRANSPORT, LLC | Department of Veterans Affairs | Delivery Order | 621910 | NON-EMERGENCY ALS AND BLS AMBULANCE SERVICES | $6,532,716 | $6,532,716 | September 1, 2025 | February 28, 2026 | Hampton, VA | usaspending.gov |
| 70FB7024F00000080 | AMERICAN MEDICAL RESPONSE, INC. | Department of Homeland Security | Delivery Order | 621910 | EMERGENCY MEDICAL SUPPORT SERVICES WITHIN CONTINENTAL UNITED STATES AND TERRITORIES - SPECIFICALLY TO SUPPORT TROPICAL STORM DEBBY (FLORIDA) | $6,526,672 | $6,526,672 | August 5, 2024 | October 24, 2024 | Jacksonville, FL | usaspending.gov |
| 36C24126N0161 | ALERT AMBULANCE SERVICE, INC. | Department of Veterans Affairs | Delivery Order | 621910 | AMBULANCE SERVICE | $6,267,000 | $6,267,000 | January 1, 2026 | December 31, 2026 | Jamaica Plain, MA | usaspending.gov |
Updated October 6, 2026. Read from USAspending.gov. Public U.S. federal spending data (U.S. Department of the Treasury). Obligations are the contract actions dated in fiscal years 2024 to 2027 of the USAspending.gov award archive of 2026-10-06; a contract's total value is its current value as USAspending reports it, including earlier years. Recipients are matched on their SAM.gov UEI, never on the name, and are shown as the government prints them. Sole proprietorships and opted-out entities count in the totals and are not named. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.