This NAICS page summarizes federal obligations to direct health and medical insurance carriers over the past decade. The data is led by the Defense Health Agency and the Department of Veterans Affairs, with most spending concentrated among a small set of large program carriers.
NAICS Industry
NAICS 524114 Federal Contract Obligations (Last 10 Years)
Federal procurement activity for NAICS 524114 covers direct health and medical insurance carrier awards across the last 10 years, with $266.08 billion obligated in 14,204 actions.
Totals reflect award actions recorded in the selected 10-year analysis window and may include multiple actions under the same vendor or agency.
NAICS Code
524114
Industry
DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Total Obligated
266.08 billion
266,080,190,595.97
Award Actions
14,204
Average Action Value
18,732,764.75
About NAICS 524114 federal contract activity
NAICS 524114 covers direct health and medical insurance carriers, and over the last 10 years FPDS records show 14,204 awards totaling $266.08 billion, with an average award value of $18.73 million. Spending in this category is concentrated in large health benefit and care management contracts rather than a broad base of small awards.
Agency demand and leading federal buyers
The Defense Health Agency dominates obligations in this NAICS with $130.21 billion across 4,301 awards, followed closely by the Department of Veterans Affairs with $122.40 billion across 672 awards. The Centers for Medicare and Medicaid Services is a distant third at $11.69 billion, while the U.S. Marshals Service and the Department of State account for materially smaller totals.
Vendor concentration and leading contractors
Vendor concentration is high. OPTUM PUBLIC SECTOR SOLUTIONS, INC. leads with $84.11 billion, followed by HUMANA GOVERNMENT BUSINESS, INC. at $56.96 billion and TRIWEST HEALTHCARE ALLIANCE CORP. at $43.49 billion; HEALTH NET FEDERAL SERVICES, LLC and HUMANA MILITARY HEALTHCARE SERVICES, INC. also represent significant obligation totals.
Annual contract trend over the analysis window
Annual obligations have remained elevated in recent years, ranging from $24.59 billion in 2021 to $44.27 billion in 2024. The most recent available year, 2025, shows $43.55 billion across 1,813 awards, indicating continued high-volume activity after the 2021 level increased sharply.
How to interpret this page
This page summarizes FPDS obligations for NAICS 524114 over the last 10 years using the provided aggregate award, agency, vendor, and annual trend data. Totals reflect obligated dollars recorded in FPDS and are not adjusted for inflation, scope changes, or contract modifications beyond the underlying reporting.
Top Agencies
SELECT
agency_id,
agency_name,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
content__award__purchaserInformation__contractingOfficeAgencyID AS agency_id,
anyHeavy(content__award__purchaserInformation__contractingOfficeAgencyID__name) AS agency_name,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '524114'
AND content__award__purchaserInformation__contractingOfficeAgencyID IS NOT NULL
AND content__award__purchaserInformation__contractingOfficeAgencyID != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY agency_id
)
ORDER BY total_obligated DESC
LIMIT 10| Agency ID | Agency Name | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 130,208,884,690.81 | 130.21 billion | 4,301 |
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 122,403,330,172.95 | 122.40 billion | 672 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 11,686,421,151.48 | 11.69 billion | 2,482 |
| 1544 | U.S. MARSHALS SERVICE | 874,422,632.72 | 874.42 million | 72 |
| 1900 | STATE, DEPARTMENT OF | 491,207,712.74 | 491.21 million | 5,064 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 231,088,071.58 | 231.09 million | 90 |
| 5000 | SECURITIES AND EXCHANGE COMMISSION | 47,710,495.76 | 47.71 million | 14 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 44,321,615.53 | 44.32 million | 379 |
| 2046 | OFFICE OF THE COMPTROLLER OF THE CURRENCY | 42,936,899.81 | 42.94 million | 25 |
| 2100 | DEPT OF THE ARMY | 20,634,162.25 | 20.63 million | 44 |
Insight
Obligations under NAICS 524114 are highly concentrated over the last 10 years, with the Defense Health Agency and the Department of Veterans Affairs accounting for 252.61 billion, or about 95% of the 266.08 billion obligated. The Centers for Medicare and Medicaid Services is a distant third at 11.69 billion, while the remaining agencies each obligated less than 1 billion, indicating a steep drop-off after the top two buyers. Award volume is more distributed than dollars, led by Defense Health Agency (4,301 awards) and the Department of State (5,064 awards), while the average award value across the code is 18.73 million.
Top Vendors
SELECT
vendor_name,
cage_code,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
content__award__vendor__vendorHeader__vendorName AS vendor_name,
anyHeavy(content__award__vendor__vendorSiteDetails__entityIdentifiers__cageCode) AS cage_code,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '524114'
AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
AND content__award__vendor__vendorHeader__vendorName != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY vendor_name
)
ORDER BY total_obligated DESC
LIMIT 10| Vendor | CAGE Code | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| OPTUM PUBLIC SECTOR SOLUTIONS, INC. | 4KU58 | 84,106,611,882.87 | 84.11 billion | 339 |
| HUMANA GOVERNMENT BUSINESS, INC. | 050S0 | 56,959,185,416.33 | 56.96 billion | 868 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 43,488,015,763.22 | 43.49 billion | 281 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 29,307,831,863.65 | 29.31 billion | 1,059 |
| HUMANA MILITARY HEALTHCARE SERVICES, INC. | 050S0 | 7,342,160,317.21 | 7.34 billion | 443 |
| EXPRESS SCRIPTS, INC. | 1WPW1 | 6,419,053,000.25 | 6.42 billion | 336 |
| UNITEDHEALTH MILITARY & VETERANS SERVICES, LLC | 53JY0 | 5,815,076,801.40 | 5.82 billion | 402 |
| UNITED CONCORDIA COMPANIES, INC. | 03XW8 | 3,464,351,654.65 | 3.46 billion | 222 |
| JOHNS HOPKINS MEDICAL SERVICES CORP | 1NXX2 | 3,313,534,458.04 | 3.31 billion | 78 |
| MARTIN'S POINT HEALTH CARE, INC. | 1NFZ9 | 2,862,692,893.27 | 2.86 billion | 79 |
Insight
Obligations under NAICS 524114 total $266.08 billion across 14,204 awards over the last 10 years, with spending concentrated among a small set of vendors. OPTUM PUBLIC SECTOR SOLUTIONS, INC. leads at $84.11 billion, followed by HUMANA GOVERNMENT BUSINESS, INC. at $56.96 billion and TRIWEST HEALTHCARE ALLIANCE CORP. at $43.49 billion; the top four vendors together account for roughly 80% of total obligations. Award volume is more dispersed than dollar value, with HEALTH NET FEDERAL SERVICES, LLC recording 1,059 awards despite ranking fourth by obligated dollars, indicating a mix of high-value and more frequent lower-value awards among major vendors.
Annual Trend
SELECT
year,
total_obligated,
award_count,
formatReadableQuantity(total_obligated) AS total_obligated_readable
FROM
(
SELECT
toYear(parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate)) AS year,
sum(content__award__dollarValues__obligatedAmount) AS total_obligated,
count() AS award_count
FROM fpds.data
WHERE
contract_type = 1
AND content__award__productOrServiceInformation__principalNAICSCode = '524114'
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 10 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 43,547,251,337.84 | 43.55 billion | 1,813 |
| 2024 | 44,269,448,242.38 | 44.27 billion | 2,094 |
| 2023 | 41,760,150,451.14 | 41.76 billion | 1,647 |
| 2022 | 39,549,915,322.11 | 39.55 billion | 1,425 |
| 2021 | 24,590,636,447.57 | 24.59 billion | 1,378 |
| 2020 | 18,808,600,087.99 | 18.81 billion | 1,061 |
| 2019 | 10,110,817,054.05 | 10.11 billion | 1,006 |
| 2018 | 17,532,269,574.43 | 17.53 billion | 1,187 |
| 2017 | 11,453,271,316.01 | 11.45 billion | 1,221 |
| 2016 | 14,457,830,762.45 | 14.46 billion | 1,372 |
Insight
NAICS 524114 shows a highly concentrated obligation pattern over the last 10 years, with total obligations of $266.08 billion across 14,204 awards and an average award value of $18.73 million. Annual obligations were strongest in 2024 and 2025 at $44.27 billion and $43.55 billion, respectively, following a lower but still substantial range from 2016 through 2023. The series indicates a clear step-up beginning in 2021, when annual obligations rose above $24.59 billion and remained near or above $39.55 billion in each subsequent year. Award counts also increased in the later years, peaking at 2,094 in 2024, which reinforces the sustained concentration of procurement activity in the most recent period.
Use FPDS Query for deeper industry analysis
Explore federal procurement data with custom SQL, fast filtering, and deeper industry analysis across agencies, vendors, and annual trends.
Continue from this last 10 years view into full FPDS Query workflows with deeper filtering, custom SQL, saved queries, and broader market comparison.