Over the last five years, federal obligations under NAICS 524114 totaled 193.72 billion across 8,357 award actions, with an average action value of 23.18 million. Spending was concentrated at the Department of Veterans Affairs and the Defense Health Agency, with major obligations also flowing to CMS and other federal buyers.
NAICS Industry
NAICS 524114 Federal Contract Obligations (Last 5 Years)
Federal procurement activity for NAICS 524114 covers direct health and medical insurance carrier obligations across the last five years.
Annual obligations ranged from 24.59 billion in 2021 to 44.27 billion in 2024, with 2025 at 43.55 billion.
NAICS Code
524114
Industry
DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Total Obligated
193.72 billion
193,717,401,801.04
Award Actions
8,357
Average Action Value
23,180,256.28
About NAICS 524114 federal contract activity
FPDS records for NAICS 524114, Direct Health and Medical Insurance Carriers, show $193.72 billion in obligated spending across 8,357 awards over the last 5 years, with an average award value of $23.18 million. The category is dominated by large, recurring health coverage and administration obligations rather than a high volume of small awards.
Agency demand and leading federal buyers
The Department of Veterans Affairs accounted for the largest share of obligations at $116.66 billion across 504 awards, followed by the Defense Health Agency at $69.91 billion across 1,675 awards. The Centers for Medicare and Medicaid Services was a distant third at $5.96 billion, while the U.S. Marshals Service and the Department of State showed much smaller obligated amounts despite the latter recording a high award count.
Vendor concentration and leading contractors
Vendor concentration is notable. OPTUM PUBLIC SECTOR SOLUTIONS, INC. led with $82.11 billion across 259 awards, followed by TRIWEST HEALTHCARE ALLIANCE CORP. at $39.75 billion across 258 awards and HUMANA GOVERNMENT BUSINESS, INC. at $36.99 billion across 515 awards. HEALTH NET FEDERAL SERVICES, LLC and EXPRESS SCRIPTS, INC. rounded out the top five with $14.28 billion and $2.99 billion, respectively.
Annual contract trend over the analysis window
Annual obligations peaked in 2024 at $44.27 billion after rising from $39.55 billion in 2022 and $41.76 billion in 2023. 2025 is tracking close to that level at $43.55 billion, while 2021 was materially lower at $24.59 billion, indicating a step-up in spending beginning in 2022.
How to interpret this page
This summary is based on FPDS obligations recorded under NAICS 524114 for the last five years. Totals, award counts, and averages reflect reported FPDS transaction data aggregated across agencies, vendors, and fiscal years; figures are rounded for readability and may not reconcile exactly due to rounding.
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 5 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 |
|---|---|---|---|---|
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 116,657,937,000.58 | 116.66 billion | 504 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 69,913,090,558.55 | 69.91 billion | 1,675 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 5,956,280,637.76 | 5.96 billion | 1,291 |
| 1544 | U.S. MARSHALS SERVICE | 558,751,086.40 | 558.75 million | 41 |
| 1900 | STATE, DEPARTMENT OF | 337,762,027.79 | 337.76 million | 3,778 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 147,739,732.95 | 147.74 million | 51 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 43,322,032.28 | 43.32 million | 366 |
| 5000 | SECURITIES AND EXCHANGE COMMISSION | 40,402,750.59 | 40.40 million | 13 |
| 2046 | OFFICE OF THE COMPTROLLER OF THE CURRENCY | 20,924,254.62 | 20.92 million | 12 |
| 2100 | DEPT OF THE ARMY | 11,135,788.88 | 11.14 million | 24 |
Insight
Obligations under NAICS 524114 are highly concentrated over the last 5 years, with the Department of Veterans Affairs accounting for $116.66 billion of the $193.72 billion total, followed by the Defense Health Agency at $69.91 billion; together they represent the vast majority of obligated dollars. The next largest obligation level, Centers for Medicare and Medicaid Services at $5.96 billion, is materially lower, indicating a steep drop-off after the top two agencies. Award volume is more distributed: the Department of State records 3,778 awards on only $337.76 million, while VA and DHA account for far fewer awards but much larger obligations, suggesting large-value, program-driven contracting activity.
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 5 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 | 82,106,400,556.92 | 82.11 billion | 259 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 39,748,580,215.07 | 39.75 billion | 258 |
| HUMANA GOVERNMENT BUSINESS, INC. | 050S0 | 36,991,125,722.29 | 36.99 billion | 515 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 14,283,991,692.39 | 14.28 billion | 349 |
| EXPRESS SCRIPTS, INC. | 1WPW1 | 2,989,277,083.02 | 2.99 billion | 183 |
| UNITED CONCORDIA COMPANIES, INC. | 03XW8 | 1,843,017,655.65 | 1.84 billion | 132 |
| PALMETTO GBA, LLC | 3EYS4 | 1,359,449,998.20 | 1.36 billion | 160 |
| JOHNS HOPKINS MEDICAL SERVICES CORP | 1NXX2 | 1,213,484,181.65 | 1.21 billion | 18 |
| NOVITAS SOLUTIONS, INC | 4KGW8 | 1,209,876,104.72 | 1.21 billion | 180 |
| THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION | 1NXX2 | 1,164,550,000.00 | 1.16 billion | 20 |
Insight
Obligations in NAICS 524114 are highly concentrated over the last 5 years, with OPTUM PUBLIC SECTOR SOLUTIONS, INC. accounting for $82.11 billion, or about 42% of the $193.72 billion total. The next two vendors, TRIWEST HEALTHCARE ALLIANCE CORP. and HUMANA GOVERNMENT BUSINESS, INC., add another $76.74 billion combined, bringing the top three to roughly 82% of total obligated dollars. Award activity is less concentrated than dollars, but still heavily centered among these firms: the top 10 vendors represent 2,034 awards out of 8,357 total.
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 5 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 |
Insight
NAICS 524114 shows a high, sustained obligation level over the last 5 years, totaling $193.72 billion across 8,357 awards, with an average award value of $23.18 million. Annual obligations increased from $24.59 billion in 2021 to a peak of $44.27 billion in 2024, then remained elevated at $43.55 billion in 2025, indicating a materially higher funding profile in the most recent three years. Award counts also rose from 1,378 in 2021 to 2,094 in 2024 before moderating to 1,813 in 2025, suggesting volume growth alongside relatively stable high-dollar obligations.
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