PrimeRFP SCOUT · Industry Intelligence

Healthcare & Medical Federal Contracts

Under OMB Category: Medical, federal obligations totaled $67.3B across 43,751 contracts in the trailing 12 months (last 12 months (2025-08-06 – 2026-08-01)), with an average award of $1.5M.

This page uses a Category-led market view as the headline and a NAICS-based companion view for firm-classification analysis — see below.

$67.3B

12-Mo Obligations (Headline)

43,751

Contracts (12-Mo)

$1.5M

Avg Award Size

$12.4B

NAICS Companion (Healthcare-provider firm lens; excludes pharmacy distribution.)

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Find & Track Open Healthcare & Medical Contracts

Beyond the historical award data below, PrimeRFP SCOUT surfaces open healthcare & medical solicitations — RFPs, RFQs, sources-sought notices, and BPAs — across federal (SAM.gov) and state, local & education (SLED) sources, plus upcoming medical recompetes with named incumbents before they hit the street.

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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: $67.3B · 43,751 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: $12.4B · 9,102 contracts

Pharmacy distribution (McKesson, AmerisourceBergen) is in the Medical Category but not 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 (2025-08-06 → 2026-08-01)
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: 2025-08-06
Last refreshed: 2026-08-01

Top Agencies in Healthcare & Medical

Rank	Agency	Obligations
#1	Department of Veterans Affairs (VA)	$41.7B
#2	Department of Defense (DOD)	$20.6B
#3	Department of Health and Human Services (HHS)	$2.6B
#4	Department of Justice (DOJ)	$1.0B
#5	Department of Homeland Security (DHS)	$659.6M
#6	National Aeronautics and Space Administration (NASA)	$199.8M
#7	General Services Administration (GSA)	$120.6M
#8	Department of Transportation (DOT)	$108.3M
#9	Department of Agriculture (USDA)	$93.6M
#10	Social Security Administration (SSA)	$53.0M

12-month aggregate · Scope: Medical category obligations (≥$100K, TTM). · PrimeRFP SCOUT

Top Healthcare & Medical Contractors

Rank	Contractor	Awards	Total Obligation
#1	OPTUM PUBLIC SECTOR SOLUTIONS, INC.	33	$23.5B
#2	MCKESSON CORPORATION	1,217	$12.2B
#3	HUMANA GOVERNMENT BUSINESS, INC.	82	$6.1B
#4	TRIWEST HEALTHCARE ALLIANCE CORP.	84	$5.5B
#5	AMERISOURCEBERGEN DRUG CORP	8,845	$3.2B

12-month aggregate, top 5 shown · Scope: Medical category obligations (≥$100K, TTM). · PrimeRFP SCOUT

Emerging Competitors (Rank 6–10)

Rank	Contractor	Awards	Total Obligation
#6	MEDLINE INDUSTRIES, LP	144	$857.3M
#7	EXPRESS SCRIPTS, INC.	38	$698.5M
#8	THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION	11	$529.5M
#9	MARTINS POINT HEALTH CARE INC	11	$461.1M
#10	ILLUMINA, INC.	153	$449.5M

Market Intelligence — Healthcare & Medical

●

OMB Medical category obligations total $67.3B across 43,731 contracts — Department of Veterans Affairs ($41.7B) leads, with Department of Defense ($20.5B) via TRICARE support.

●

Optum Public Sector Solutions, Inc. ($23.5B), McKesson Corporation ($12.2B), and Humana Government Business, Inc. ($6.1B) dominate healthcare-category dollars.

●

TriWest ($5.5B) and AmerisourceBergen ($3.1B) continue to concentrate VA community care and federal pharmacy distribution.

●

NAICS 621 companion (~$12.2B, five-buyer) is the ambulatory-provider firm lens — use Category for medical market sizing.

Frequently Asked Questions — Healthcare & Medical

How much federal medical contracting is there?

Under OMB Medical Category, federal obligations reached $67.28B across 43,731 contracts in the trailing 12 months (2025-08-16 → 2026-08-04). VA leads at $41.7B (VA community care, disability exams, pharmacy), followed by DoD at $20.5B. The NAICS 621 companion (five-buyer ambulatory providers) totals $12.15B — 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 ($23.5B), McKesson pharmacy distribution ($12.2B), Humana Government Business ($6.1B TRICARE), TriWest ($5.5B VA community care), and AmerisourceBergen ($3.1B). The concentration reflects VA community care contracting and federal pharmacy distribution.

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About Healthcare & Medical

Federal medical spending under the OMB Medical Category — clinical services, pharmaceuticals, medical supplies, and related products.

Headline scope: Medical category obligations (≥$100K, TTM).

Companion (NAICS): Healthcare-provider firm lens; excludes pharmacy distribution.

Data coverage: last 12 months (2025-08-06 – 2026-08-01)

Data Coverage

PrimeRFP SCOUT · USASpending-derived extract
Obligations only · Awards ≥ $100K
Trailing 12 months · Last refreshed: 2026-08-01

Other Industries

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Data & Methodology

Federal contract and award data sourced from government procurement systems — including FPDS-NG, SAM.gov, and related federal data repositories. PrimeRFP SCOUT ingests, normalizes, and continuously updates records as agencies publish them. Reporting timelines vary by agency; some components (particularly DoD) carry a 60–90 day lag relative to award execution.

Dataset coverage — ≥ $100K floor

All intelligence on this page and within SCOUT is filtered to federal contract awards whose current total award value is $100K or more. PrimeRFP applies this floor at the award level (on current_total_value_award), not per-transaction, so large awards split across many mid-size obligation lines are retained in full. PrimeRFP's own empirical sampling against the raw USASpending dataset shows this threshold captures 98%+ of total federal contract dollars while excluding a long tail of micro-purchases, small modifications, and administrative actions — the trade-off that makes market intelligence tractable without distorting the dollar picture. Coverage: 560,000+ active contract awards and 2.5M+ unique awardees, including small-business set-asides, task orders, and mid-market opportunities.

Award identification: Each record is keyed by federal Award ID (PIID). Task orders recorded as independent awards appear as separate rows. IDIQs and their task orders are tracked distinctly.

Why SCOUT dollar figures differ from published annual totals: Per-agency dollar figures on SCOUT intelligence pages aggregate all USASpending transaction records — including base contract awards, task orders, delivery orders, and modifications to existing contracts. Annual federal contract obligation figures cited in industry reports (e.g., FY2025: $833.8B per Bloomberg Government) count only new prime award actions in the fiscal year, excluding mods. An IDIQ vehicle (like OASIS+) carries no obligation at award — only task orders issued against it are counted. SCOUT's transaction-level aggregates are larger because they capture the full activity picture across a contract's lifecycle, making them useful for competitive analysis and pipeline sizing rather than year-over-year spending comparison.

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