PrimeRFP SCOUT · Industry Intelligence
Healthcare & Medical Federal Contracts
Under OMB Category: Medical, federal obligations totaled $50.0B across 37,225 contracts in the trailing 12 months (2025-04-29 → 2026-03-04), with an average award of $1.3M.
This page uses a Category-led market view as the headline and a NAICS-based companion view for firm-classification analysis — see below.
$50.0B
12-Mo Obligations (Headline)
37,225
Contracts (12-Mo)
$1.3M
Avg Award Size
$16.3B
NAICS Companion (NAICS 621)
How this market is scoped
Headline view — Market
OMB Category: Medical
OMB Category Management definition — PSC-based. The authoritative federal taxonomy for this market.
Obligated: $50.0B · 37,225 contracts
Companion view — Firm classification
NAICS 621 — Ambulatory Health Care Services firms
NAICS describes a seller's industry classification — not what was bought. Use this view for firm-set analysis, not market sizing.
Obligated: $16.3B · 7,977 contracts
NAICS 621 captures awards to healthcare service providers (physician offices, clinics, medical labs). It does not include pharmacy / drug distributors (McKesson, AmerisourceBergen) or medical device and supply manufacturers, which are major components of the OMB Medical Category. The NAICS 621 companion view is therefore materially smaller than the Category view and is not a market sizing measure.
Scope note: OMB Medical Category includes clinical services (Q-series), drugs and biologicals (6505), medical / surgical supplies (6515, 6525, 6550), dental / prosthetic items (6640), and related medical products. Pharmacy distribution (McKesson, AmerisourceBergen) is the single largest line — those are not healthcare services firms under NAICS 621.
Data filters — reconstructible in USASpending
Every figure on this page is derived from the following filter set, applied to federal award data. Because SCOUT is a USASpending-derived extract, any number here can be reconstructed in USASpending Advanced Search using the scope label above plus these filters.
- Scope
- OMB Category: Medical
- Time window
- Trailing 12 months (2025-04-29 → 2026-03-04)
- Min award
- ≥ $100,000 per transaction
- Transaction type
- Obligations only (federal_action_obligation). IDIQ/IDV base vehicles excluded.
- Year type
- calendar
- Data source
- PrimeRFP SCOUT (USASpending-derived extract)
- Since date
- 2025-04-28
- Last refreshed
- 2026-04-22
Top Agencies in Healthcare & Medical
| Rank | Agency | Obligations |
|---|---|---|
| #1 | Department of Veterans Affairs | $31.3B |
| #2 | Department of Defense | $14.1B |
| #3 | Department of Health and Human Services | $2.8B |
| #4 | Department of Justice | $833.5M |
| #5 | Department of Homeland Security | $307.3M |
12-month aggregate · Scope: Category · Medical · PrimeRFP SCOUT
Top Healthcare & Medical Contractors
| Rank | Contractor | Awards | Total Obligation |
|---|---|---|---|
| #1 | Optum Public Sector Solutions, Inc. | 23 | $14.9B |
| #2 | McKesson Corporation | 1,263 | $10.5B |
| #3 | Humana Government Business, Inc. | 75 | $3.9B |
| #4 | TriWest Healthcare Alliance Corp. | 69 | $3.5B |
| #5 | AmerisourceBergen Drug Corp | 5,898 | $2.4B |
12-month aggregate, top 5 shown · Scope: Category · Medical · PrimeRFP SCOUT
Emerging Competitors (Rank 6–10)
| Rank | Contractor | Awards | Total Obligation |
|---|---|---|---|
| #6 | Fresenius Medical Care Holdings Inc | 10 | $676.8M |
| #7 | Medline Industries, LP | 135 | $612.6M |
| #8 | DaVita Inc. | 14 | $566.4M |
| #9 | Illumina, Inc. | 139 | $432.7M |
| #10 | The Johns Hopkins Medical Services Corporation | 7 | $358.8M |
Market Intelligence — Healthcare & Medical
$49.96B obligated across 37,225 contracts in the trailing 12 months (OMB Medical category). VA dominates at $31.3B (63% of category), followed by DoD at $14.1B (TRICARE support) and HHS at $2.8B.
Top awardees are a mix of managed-care and pharmacy firms — Optum Public Sector ($14.9B), McKesson ($10.5B drug distribution), Humana Government ($3.9B TRICARE), and TriWest ($3.5B VA community care).
Pharmacy distribution alone accounts for ~$13B — McKesson ($10.5B) + AmerisourceBergen ($2.4B). NAICS 621 excludes these firms, which is why the companion view ($16.27B) is ~3.1× smaller than the Category headline.
VA Community Care Network and Compensation & Pension exam programs drive the top-awardee concentration. DoD TRICARE East / West is structured through Humana Government and TriWest — long-duration managed-care contracts with material recompete risk.
Frequently Asked Questions — Healthcare & Medical
How much federal medical contracting is there?
Under OMB Medical Category, federal obligations reached $49.96B across 37,225 contracts in the trailing 12 months (2025-04-29 → 2026-03-04). VA leads at $31.3B (VA community care, disability exams, pharmacy), followed by DoD at $14.1B. The NAICS 621 companion (firms classified as ambulatory health care providers) totals $16.27B — materially smaller because it excludes pharmacy distribution and medical devices. Source: PrimeRFP SCOUT · obligations only · ≥$100K · calendar-year basis.
Why is the NAICS 621 number so much smaller than the Medical Category?
NAICS 621 only captures awards to firms classified as ambulatory healthcare providers (physicians, clinics, labs). The OMB Medical Category is broader — it includes pharmacy distribution (McKesson, AmerisourceBergen), managed-care organizations (Humana Government, TriWest, Optum), and medical devices / supplies. Those firms sit under different NAICS codes. Use the Category view for federal medical market sizing; use the NAICS 621 view only for healthcare-provider firm-set analysis.
Who are the largest federal medical contractors?
The top obligated awardees are Optum Public Sector ($14.9B), McKesson pharmacy distribution ($10.5B), Humana Government Business ($3.9B TRICARE), TriWest ($3.5B VA community care), and AmerisourceBergen ($2.4B). Together they capture ~71% of total Medical Category obligations — reflecting the highly concentrated structure of VA community care contracting and federal pharmacy distribution.
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