The NAICS 621492 page tracks federal obligations for kidney dialysis center services and shows a concentrated spend profile in the last full year. The Department of Veterans Affairs accounted for nearly all activity, while the Federal Prison System and the Department of the Air Force recorded much smaller totals.
NAICS Industry
NAICS 621492 Federal Contract Obligations (Last Year)
Federal procurement activity for NAICS 621492, Kidney Dialysis Centers, totaled $1.46 billion across 172 award actions in the last full year.
Figures reflect the last full year and are based on obligated amounts and award action counts in the provided dataset.
NAICS Code
621492
Industry
KIDNEY DIALYSIS CENTERS
Total Obligated
1.46 billion
1,464,265,827.81
Award Actions
172
Average Action Value
8,513,173.41
About NAICS 621492 federal contract activity
In the last full year, NAICS 621492 (Kidney Dialysis Centers) recorded $1.46 billion in obligated federal spending across 172 awards, with an average award value of $8.51 million. This category is highly concentrated, indicating that a relatively small number of large awards account for most of the activity.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominated this NAICS, accounting for $1.46 billion across 130 awards and representing virtually all reported obligations in the period. The Federal Prison System/Bureau of Prisons was a distant second with $3.05 million across 32 awards, while the Department of the Air Force obligated only $7.78 thousand across 10 awards.
Vendor concentration and leading contractors
Vendor obligations were led by Fresenius Medical Care Holdings Inc at $676.76 million across 10 awards, followed closely by DaVita Inc. at $576.69 million across 18 awards. The remaining top vendors—American Renal Associates LLC, Dialysis Clinic, Inc., and US Renal Care Inc—were materially smaller but still meaningful, with obligations ranging from $43.83 million to $63.10 million.
Annual contract trend over the analysis window
The annual trend shows all recorded activity in 2025, with $1.46 billion obligated across 172 awards. Because only one year is present in the analysis window, this view does not indicate multi-year change, but it does show a high-value procurement profile in the most recent full year.
How to interpret this page
This page summarizes FPDS obligations mapped to NAICS 621492 for the last full year. Totals reflect obligated dollars and award counts as reported in the dataset; agency and vendor rankings are based on total obligated amount.
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 = '621492'
AND content__award__purchaserInformation__contractingOfficeAgencyID IS NOT NULL
AND content__award__purchaserInformation__contractingOfficeAgencyID != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 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 | 1,461,208,652.24 | 1.46 billion | 130 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 3,049,398.66 | 3.05 million | 32 |
| 5700 | DEPT OF THE AIR FORCE | 7,776.91 | 7.78 thousand | 10 |
Insight
Obligations in NAICS 621492 are highly concentrated in one agency: the Department of Veterans Affairs accounted for $1.46 billion of the $1.46 billion obligated over the last full year, across 130 of 172 awards. The Federal Prison System/Bureau of Prisons was a distant second at $3.05 million across 32 awards, while the Department of the Air Force obligated only $7.78 thousand across 10 awards. This distribution indicates that procurement activity in this NAICS is overwhelmingly driven by Veterans Affairs, with very limited spend elsewhere.
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 = '621492'
AND content__award__vendor__vendorHeader__vendorName IS NOT NULL
AND content__award__vendor__vendorHeader__vendorName != ''
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 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 |
|---|---|---|---|---|
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 676,755,682.18 | 676.76 million | 10 |
| DAVITA INC. | 45JM2 | 576,685,387.59 | 576.69 million | 18 |
| AMERICAN RENAL ASSOCIATES LLC | 6U4V6 | 63,097,675.78 | 63.10 million | 11 |
| DIALYSIS CLINIC, INC. | 383R4 | 55,248,073.43 | 55.25 million | 17 |
| US RENAL CARE INC | 608C2 | 43,833,351.46 | 43.83 million | 9 |
| U.S. RENAL CARE, INC. | 608C2 | 17,287,792.19 | 17.29 million | 2 |
| DIALYSIS NEWCO, LLC | 6TPH5 | 10,063,841.22 | 10.06 million | 9 |
| FRESENIUS MEDICAL CARE HOLDINGS, INC. | 3MGP1 | 5,527,505.89 | 5.53 million | 1 |
| DIALYSIS NEWCO, INC. | 6TPH5 | 3,941,927.93 | 3.94 million | 2 |
| CORRECTIONAL DIALYSIS SERVICES LLC | 319S8 | 3,151,993.66 | 3.15 million | 27 |
Insight
Obligations in NAICS 621492 are highly concentrated among two vendors: Fresenius Medical Care Holdings Inc (CAGE 3MGP1) and DaVita Inc. (CAGE 45JM2) account for approximately $1.25 billion of the $1.46 billion obligated in the last full year, or about 86 percent of total obligations. The remaining obligations are distributed across a long tail of vendors, with only a few firms above $50 million and most vendors receiving materially smaller amounts. Award volume is also concentrated at the top, with the category generating 172 awards overall but relatively high average award value of $8.5 million, indicating large-dollar, limited-award activity rather than broad dispersion.
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 = '621492'
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) >= toStartOfYear(now()) - INTERVAL 1 YEAR
AND parseDateTimeBestEffortOrNull(content__award__relevantContractDates__signedDate) < toStartOfYear(now())
GROUP BY year
)
ORDER BY year DESC| Year | Total Obligated | Readable | Award Actions |
|---|---|---|---|
| 2025 | 1,464,265,827.81 | 1.46 billion | 172 |
Insight
For the last full year, NAICS 621492 obligations were concentrated in 172 awards totaling $1.46 billion, with an average award value of $8.51 million. Because only one annual data point is provided for the 1-year window, trend direction cannot be assessed from this view alone. The award volume and obligation level indicate a relatively concentrated spending pattern within kidney dialysis centers.
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