Data / Federal awards / NAICS 621999
NAICS 621999 All Other Miscellaneous Ambulatory Health Care Services: $1.1 billion in federal contracts to 382 recipients (FY2024 to FY2027)
Updated October 6, 2026. Source: USAspending.gov.
Federal agencies obligated $1.1 billion under NAICS 621999, All Other Miscellaneous Ambulatory Health Care Services, across 1,654 contract awards to 382 named recipients in fiscal years 2024 to 2027. The largest recipients are STG INTERNATIONAL, INC. ($154.3 million), AMERGIS HEALTHCARE STAFFING, INC. ($97.4 million), THE ARORA GROUP, INC. ($91.8 million). Department of Homeland Security is the largest buyer with $513.6 million. 2 opportunities under this code are open on SAM.gov now.
The request: Every federal contract awarded under NAICS 621999, with the winner, the agency and the value. $10 of work on sign-up, no card.
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- NAICS code
- 621999 All Other Miscellaneous Ambulatory Health Care Services
- Contract awards
- 1,654
- Obligated
- $1.1 billion
- Named recipients
- 382
- Buying agencies
- 19
- Small business share of obligations
- 51%
- Full and open competition share
- 79%
- Set aside share
- 19%
- Latest action
- 2026-10-04
Open opportunities in this niche
The same code on SAM.gov, read each morning: 2 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 |
|---|---|---|---|---|
| STG INTERNATIONAL, INC. | Small Business | 7 | $154.3 million | 13.5% |
| AMERGIS HEALTHCARE STAFFING, INC. | Other Than Small Business | 3 | $97.4 million | 8.5% |
| THE ARORA GROUP, INC. | Other Than Small Business | 3 | $91.8 million | 8.0% |
| ACUITY-CHS, LLC | Other Than Small Business | 17 | $89.9 million | 7.9% |
| SERVEFED INC. | Small Business | 7 | $74.2 million | 6.5% |
| INGENESIS INC | Other Than Small Business | 3 | $66.2 million | 5.8% |
| COGNITO SYSTEMS LLC | Small Business | 1 | $62 million | 5.4% |
| CG SERVICES LLC | Other Than Small Business | 1 | $39.9 million | 3.5% |
| DESTINY MANAGEMENT SERVICES, LLC | Small Business | 31 | $38.5 million | 3.4% |
| HEALTH PARTNER'S MANAGEMENT GROUP, INCORPORATED | Small Business | 53 | $36.2 million | 3.2% |
| DAWSON CMS, LLC | Small Business | 14 | $35.7 million | 3.1% |
| LMR TECHNICAL GROUP LLC | Small Business | 6 | $31.4 million | 2.7% |
| KADIAK LLC | Small Business | 3 | $30.6 million | 2.7% |
| DILLIGAS CORP | Small Business | 23 | $28.2 million | 2.5% |
| ARAPAHO TECHNICAL SERVICES LLC | Small Business | 26 | $27.5 million | 2.4% |
| FORENSIC DRUG & ALCOHOL TESTING LLC | Small Business | 12 | $24.7 million | 2.2% |
| T3I, INC. | Small Business | 3 | $24.4 million | 2.1% |
| MEDTRONIC CARE MANAGEMENT SERVICES, LLC | Other Than Small Business | 7 | $23.9 million | 2.1% |
| NATIONWIDE HEALTHCARE SOLUTIONS, LLC | Small Business | 3 | $20.5 million | 1.8% |
| COGNOSANTE MVH LLC | Other Than Small Business | 7 | $19.5 million | 1.7% |
| NORTH EAST SOUTH WEST HEALTHCARE SOLUTIONS, LLC | Small Business | 2 | $18.6 million | 1.6% |
| SEATTLE INDIAN HEALTH BOARD | Other Than Small Business | 2 | $17 million | 1.5% |
| CABAN RESOURCES LLC | Small Business | 22 | $14.9 million | 1.3% |
| STRATUS FEDERAL SOLUTIONS LLC | Small Business | 7 | $13.8 million | 1.2% |
| AVOSYS TECHNOLOGY, INC. | Small Business | 17 | $13.5 million | 1.2% |
| MEDFORCE GOVERNMENT SOLUTIONS, INC. | Small Business | 6 | $10.7 million | 0.9% |
| AVEL ECARE LLC | Other Than Small Business | 9 | $10.4 million | 0.9% |
| HEALTHCARE RESOURCE NETWORK LLC | Small Business | 4 | $8.7 million | 0.8% |
| REEF SYSTEMS CORP | Small Business | 4 | $8.6 million | 0.8% |
| PEMBROOKE OCCUPATIONAL HEALTH, INC. | Other Than Small Business | 24 | $7.8 million | 0.7% |
| THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED | Other Than Small Business | 2 | $7.8 million | 0.7% |
| CHENEGA HEALTHCARE SERVICES LLC | Small Business | 1 | $7.5 million | 0.7% |
| KATMAI COMMODITIES, LLC | Small Business | 4 | $7.3 million | 0.6% |
| DISTINCTIVE SPECTRUM HEALTHCARE SOLUTIONS JV LLC | Small Business | 19 | $6.8 million | 0.6% |
| UNIVERSITY OF ARIZONA | Other Than Small Business | 1 | $6.1 million | 0.5% |
| CSRS3 LLC | Small Business | 1 | $6.1 million | 0.5% |
| DEFENSE HEALTH PROFESSIONALS LLC | Small Business | 4 | $6.1 million | 0.5% |
| THE NATIVE PROJECT | Other Than Small Business | 2 | $6 million | 0.5% |
| MODERN HEALTHCARE SERVICES JV LLC | Small Business | 18 | $6 million | 0.5% |
| NATIVE AMERICAN DEVELOPMENT CORP | Other Than Small Business | 4 | $5.6 million | 0.5% |
| AMERICAN INDIAN ASSOCIATION OF TUCSON, INC | Other Than Small Business | 16 | $5.4 million | 0.5% |
| METROPOLITAN MEDICAL LLC | Small Business | 6 | $5.2 million | 0.5% |
| URBAN INDIAN CENTER OF SALT LAKE | Other Than Small Business | 1 | $5.2 million | 0.5% |
| INDIAN HEALTH CENTER OF SANTA CLARA VALLEY | Other Than Small Business | 2 | $5.2 million | 0.5% |
| STANDARD TECHNOLOGY, INC. | Small Business | 9 | $4.9 million | 0.4% |
| EMPOWERED MANAGEMENT SOLUTIONS LLC | Small Business | 22 | $4.8 million | 0.4% |
| FRESNO AMERICAN INDIAN HEALTH PROJECT | Other Than Small Business | 2 | $4.7 million | 0.4% |
| FOUR WINDS STAFFING LLC | Other Than Small Business | 18 | $4.5 million | 0.4% |
| GENERAL INFOMATICS-A SERVICE DISABLED OWNED VETERAN BUSINESS, INC. | Small Business | 24 | $4.5 million | 0.4% |
| INTERAGENCY READINESS SOLUTIONS, LLC | Small Business | 4 | $4.5 million | 0.4% |
Agencies buying under this code
| Agency | Awards | Obligated | Largest recipient |
|---|---|---|---|
| Department of Homeland Security | 56 | $513.6 million | STG INTERNATIONAL, INC. |
| Department of Defense | 607 | $447.2 million | COGNITO SYSTEMS LLC |
| Department of Veterans Affairs | 273 | $65.2 million | MEDTRONIC CARE MANAGEMENT SERVICES, LLC |
| General Services Administration | 1 | $39.9 million | CG SERVICES LLC |
| Department of Agriculture | 303 | $31.4 million | EMERGENCY RESPONSE LOGISTICS, LLC |
| Department of Transportation | 8 | $23.8 million | FORENSIC DRUG & ALCOHOL TESTING LLC |
| Department of Justice | 109 | $14.5 million | METROPOLITAN MEDICAL LLC |
| Department of Energy | 8 | $10.9 million | CHENEGA HEALTHCARE SERVICES LLC |
| Social Security Administration | 6 | $8.7 million | HEALTHCARE RESOURCE NETWORK LLC |
| Department of the Interior | 25 | $8.6 million | PEMBROOKE OCCUPATIONAL HEALTH, INC. |
| National Aeronautics and Space Administration | 5 | $6.6 million | SERVEFED INC. |
| Department of Labor | 3 | $2.2 million | KONIAG PROFESSIONAL SERVICES, LLC |
| Railroad Retirement Board | 9 | $1.5 million | QTC MEDICAL SERVICES INC |
| Peace Corps | 1 | $1.2 million | MEDICAL FACULTY ASSOCIATES, INC. |
| Nuclear Regulatory Commission | 2 | $765,686 | FORENSIC DRUG & ALCOHOL TESTING LLC |
| Department of State | 15 | $226,300 | SERVICE EXTERNE DE PREVENTION ET DE PROTECTION SECUREX-EXTERNE DIENST VOOR PREVENTIE EN BESCHERMING SECUREX |
| Court Services and Offender Supervision Agency | 8 | $35,838 | PEMBROOKE OCCUPATIONAL HEALTH, INC. |
| National Gallery of Art | 1 | $4,800 | METROPOLITAN MEDICAL LLC |
| Department of Health and Human Services | 214 | $-31,472,263 | SERVEFED INC. |
Obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2024 | $299.9 million |
| FY2025 | $338 million |
| FY2026 | $505.2 million |
| FY2027 | $1.7 million |
Products and services bought
| Code | Product or service | Awards | Obligated |
|---|---|---|---|
| Q201 | Medical- Managed Healthcare | 147 | $565.4 million |
| Q999 | Medical- Other | 593 | $414.6 million |
| Q802 | Clerical Medical Support | 173 | $104.7 million |
| Q403 | Medical- Evaluation/screening | 83 | $72.6 million |
| Q401 | Medical- Nursing | 65 | $45.3 million |
| Q801 | Medical Appointing Services | 40 | $34.3 million |
| U099 | Education/training- Other | 2 | $25 million |
| Q601 | Medical Coding and Auditing | 53 | $22.8 million |
| Q301 | Reference Laboratory Testing | 47 | $18.3 million |
| Q602 | Medical Records | 15 | $14.6 million |
Largest contract awards
| Award ID | Recipient | Agency | Type | NAICS | What it buys | Obligated in window | Award value | Starts | Ends | Place of performance | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 70CDCR18C00000003 | STG INTERNATIONAL, INC. | Department of Homeland Security | Definitive Contract | 621999 | IGF::OT::IGF IHSC MEDICAL STAFFING SERVICES | $106,908,172 | $641,096,353 | February 20, 2018 | March 31, 2025 | Alexandria, VA | usaspending.gov |
| 70CDCR24FR0000061 | AMERGIS HEALTHCARE STAFFING, INC. | Department of Homeland Security | Delivery Order | 621999 | MEDICAL STAFFING SERVICES FOR THE ICE HEALTH SERVICE CORPS (IHSC) | $97,429,778 | $109,455,149 | September 23, 2024 | September 22, 2027 | Columbia, MD | usaspending.gov |
| 70CDCR24FR0000035 | THE ARORA GROUP, INC. | Department of Homeland Security | Delivery Order | 621999 | MEDICAL STAFFING SERVICES | $90,727,531 | $132,144,612 | August 1, 2024 | July 31, 2027 | Alexandria, LA | usaspending.gov |
| 70CDCR24FR0000032 | INGENESIS INC | Department of Homeland Security | Delivery Order | 621999 | MEDICAL STAFFING SERVICES FOR THE ICE HEALTH SERVICE CORPS (IHSC) TASK ORDER 3 | $66,204,268 | $84,806,726 | September 23, 2024 | September 22, 2026 | San Antonio, TX | usaspending.gov |
| W81K0421C0009 | COGNITO SYSTEMS LLC | Department of Defense | Definitive Contract | 621999 | ATHLETIC TRAINERS AT MULTIPLE ARMY INSTALLATIONS. | $62,005,816 | $97,914,453 | August 13, 2021 | September 18, 2027 | Newport News, VA | usaspending.gov |
| 75P00123F37008 | SERVEFED INC. | Department of Health and Human Services | Delivery Order | 621999 | CLINICAL EAST OCCUPATIONAL HEALTH SUPPORT SERVICES | $52,632,456 | $62,094,435 | May 1, 2023 | December 31, 2025 | Bladensburg, MD | usaspending.gov |
| 47QFWA22C0005 | CG SERVICES LLC | General Services Administration | Definitive Contract | 621999 | DEPARTMENT OF DEFENSE MEDICAL EXAMINATION REVIEW BOARD MEDICAL SERVICES | $39,859,863 | $51,349,912 | May 17, 2022 | September 30, 2026 | Usaf Academy, CO | usaspending.gov |
| 70B06C25F00000914 | ACUITY-CHS, LLC | Department of Homeland Security | Delivery Order | 621999 | PRE AND POST-EMPLOYMENT MEDICAL, DRUG, AND FITNESS EXAMINATIONS FOR CBP'S HIRING PROCESSES. | $25,538,703 | $25,538,703 | September 1, 2025 | August 31, 2026 | Cape Canaveral, FL | usaspending.gov |
| 75P00125F37008 | STG INTERNATIONAL, INC. | Department of Health and Human Services | Delivery Order | 621999 | THIS IS AN ISSUANCE OF TASK ORDER 8, AGAINST STG INTERNATIONAL CONTRACT # HHSP233201800010I FOR THE NATIONAL STAFFING SERVICES SUPPORT. THIS | $25,089,565 | $25,089,565 | March 1, 2025 | August 31, 2026 | Arlington, VA | usaspending.gov |
| FA300222C0004 | T3I, INC. | Department of Defense | Definitive Contract | 621999 | CANDIDATE DEVELOPMENT SUPPORT SERVICES FOR SPECIAL WARFARE/COMBAT SUPPORT | $24,367,598 | $38,347,311 | December 30, 2021 | November 30, 2026 | Randolph Afb, TX | usaspending.gov |
| W81K0424C0006 | DAWSON CMS, LLC | Department of Defense | Definitive Contract | 621999 | RN CASE MANAGER | $23,624,237 | $23,624,237 | June 1, 2024 | May 31, 2027 | Saint Petersburg, FL | usaspending.gov |
| 70LGLY21CGLB00003 | KADIAK LLC | Department of Homeland Security | Definitive Contract | 621999 | HEALTH SERVICES, ENTERPRISE, SBA EM1608747851Z | $19,791,283 | $34,646,614 | April 1, 2021 | July 31, 2026 | Brunswick, GA | usaspending.gov |
| 75P00123F37007 | SERVEFED INC. | Department of Health and Human Services | Delivery Order | 621999 | CLINICAL WEST OCCUPATIONAL HEALTH SUPPORT SERVICES | $18,987,507 | $22,997,979 | May 1, 2023 | October 31, 2026 | Bethesda, MD | usaspending.gov |
| 70CDCR24FR0000063 | NORTH EAST SOUTH WEST HEALTHCARE SOLUTIONS, LLC | Department of Homeland Security | Delivery Order | 621999 | MEDICAL STAFFING SERVICES FOR THE ICE HEALTH SERVICE CORPS (IHSC) | $18,581,925 | $20,103,887 | September 23, 2024 | October 31, 2026 | Pearsall, TX | usaspending.gov |
| FA489025F0051 | LMR TECHNICAL GROUP LLC | Department of Defense | Delivery Order | 621999 | HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES IN SUPPORT OF OPTIMIZING THE HUMAN WEAPON SYSTEM (OHWS) FOR ACC, AFMC, PACAF, USAFE, AND AFRC | $17,913,881 | $18,039,440 | June 1, 2025 | May 31, 2027 | Hampton, VA | usaspending.gov |
| 75P00124F37007 | STG INTERNATIONAL, INC. | Department of Health and Human Services | Delivery Order | 621999 | THIS IS AN ISSUANCE OF TASK ORDER 7, AGAINST STG INTERNATIONAL CONTRACT # HHSP233201800010I FOR THE NATIONAL STAFFING SERVICES SUPPORT. THIS | $17,113,145 | $17,113,145 | March 1, 2024 | February 28, 2025 | Arlington, VA | usaspending.gov |
| 75P00124F37001 | NATIONWIDE HEALTHCARE SOLUTIONS, LLC | Department of Health and Human Services | Delivery Order | 621999 | CLINICAL NATIONAL CAPITAL REGION (NCR) SUPPORT SERVICES TASK ORDER#1 | $16,911,173 | $16,911,173 | September 9, 2024 | June 8, 2026 | Rockville, MD | usaspending.gov |
| HT001424F0026 | ARAPAHO TECHNICAL SERVICES LLC | Department of Defense | Delivery Order | 621999 | MEDICAL SUPPORT SERVICES | $16,631,042 | $18,158,291 | February 1, 2024 | September 30, 2027 | Bethesda, MD | usaspending.gov |
| 70B06C26F00000306 | ACUITY-CHS, LLC | Department of Homeland Security | Delivery Order | 621999 | PREEMPLOYMENT MEDICAL SERVICES TESTING | $15,000,007 | $15,000,007 | April 24, 2026 | April 23, 2027 | Cape Canaveral, FL | usaspending.gov |
| HT001523F0037 | STRATUS FEDERAL SOLUTIONS LLC | Department of Defense | Delivery Order | 621999 | CREDENTIALING SUPPORT SERVICES | $13,999,074 | $18,786,934 | March 9, 2023 | March 8, 2027 | Jbsa Ft Sam Houston, TX | usaspending.gov |
| FA489025F0072 | LMR TECHNICAL GROUP LLC | Department of Defense | Delivery Order | 621999 | HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES FOR AIR EDUCATION AND TRAINING COMMAND (AETC) COMPREHENSIVE READINESS FOR AIRCREW FLYING TRAIN | $12,603,197 | $12,603,197 | September 1, 2025 | January 31, 2027 | Randolph Afb, TX | usaspending.gov |
| 75H71324C00002 | SEATTLE INDIAN HEALTH BOARD | Department of Health and Human Services | Definitive Contract | 621999 | SIHB - URBAN INDIAN HEALTH CARE SERVICES - SEATTLE, WASHINGTON | $11,487,085 | $11,487,085 | September 27, 2024 | September 30, 2027 | Seattle, WA | usaspending.gov |
| 70B06C26F00000323 | ACUITY-CHS, LLC | Department of Homeland Security | Delivery Order | 621999 | MEDICAL TESTING SERVICES. | $11,039,344 | $11,039,344 | May 30, 2026 | May 29, 2027 | Cape Canaveral, FL | usaspending.gov |
| HT940623F0006 | DESTINY MANAGEMENT SERVICES, LLC | Department of Defense | Delivery Order | 621999 | MEDICAL OFFICE CLERKS | $10,884,684 | $15,945,175 | December 10, 2022 | December 9, 2026 | Jacksonville, FL | usaspending.gov |
| 693JK426F95006N | FORENSIC DRUG & ALCOHOL TESTING LLC | Department of Transportation | Delivery Order | 621999 | ESTABLISH NEW TASK ORDER TO OBLIGATE FUNDING TO OPTION YEAR 2 (FROM OCTOBER 1, 2025, TO SEPTEMBER 30, 2026) AND PROVIDE FUNDING IN THE AMOUN | $8,608,000 | $8,608,000 | October 1, 2025 | September 30, 2026 | Washington, DC | 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.