The Veterans Affairs Department accounts for nearly all obligated spending in this NAICS, while the Bureau of Prisons, ASPR, the Air Force, and CMS represent much smaller shares. Major obligations are concentrated among dialysis providers such as DaVita Inc. and Fresenius Medical Care Holdings.
NAICS Industry
NAICS 621492 Federal Contract Obligations (Last 10 Years)
Federal procurement for NAICS 621492 covers kidney dialysis centers, with 1,568 award actions totaling $6.71 billion over the last 10 years.
Values reflect readable FPDS obligations for the last 10 years and may include multiple award entries tied to the same vendor name or CAGE code.
NAICS Code
621492
Industry
KIDNEY DIALYSIS CENTERS
Total Obligated
6.71 billion
6,711,055,394.53
Award Actions
1,568
Average Action Value
4,280,009.81
About NAICS 621492 federal contract activity
NAICS 621492 (Kidney Dialysis Centers) accounted for $6.71 billion in federal obligations across 1,568 awards over the last 10 years, with an average award value of $4.28 million. The obligation base is highly concentrated, indicating a small number of large healthcare service awards drive most activity in this sector.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominated demand for kidney dialysis center services, obligating $6.67 billion across 987 awards and accounting for nearly all spending in the category. The next largest buyers were the Federal Prison System/Bureau of Prisons at $35.37 million across 490 awards and the Office of Assistant Secretary for Preparedness and Response at $7.20 million across 21 awards, while the remaining agencies were materially smaller.
Vendor concentration and leading contractors
Vendor activity is similarly concentrated. DaVita Inc. led with $2.00 billion across 88 awards, followed by Fresenius Medical Care Holdings, Inc. and Fresenius Medical Care Holdings Inc., which together represent a substantial share of obligations; DaVita Healthcare Partners Inc. and Dialysis Clinic, Inc. also appear among the top recipients.
Annual contract trend over the analysis window
Annual obligations were uneven over the analysis window, with 2025 showing the highest recorded annual total at $1.46 billion across 172 awards. After that peak, obligations were lower in 2024 at $371.57 million, while 2023 through 2021 remained in a narrower band of roughly $637.77 million to $691.32 million.
How to interpret this page
This page summarizes FPDS obligations for NAICS 621492 over the last 10 years using total obligated dollars, award counts, and average award value. Agency and vendor rankings are based on total obligated amounts in the selected period, and annual trend values reflect obligations recorded by fiscal year.
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 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 |
|---|---|---|---|---|
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 6,665,709,066.81 | 6.67 billion | 987 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 35,367,438.93 | 35.37 million | 490 |
| 7505 | OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | 7,197,654.17 | 7.20 million | 21 |
| 5700 | DEPT OF THE AIR FORCE | 2,577,894.67 | 2.58 million | 46 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 122,287.00 | 122.29 thousand | 5 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 77,500.00 | 77.50 thousand | 2 |
| 2100 | DEPT OF THE ARMY | 26,226.00 | 26.23 thousand | 7 |
| 7527 | INDIAN HEALTH SERVICE | 10,026.95 | 10.03 thousand | 8 |
| 1700 | DEPT OF THE NAVY | -32,700.00 | -32.70 thousand | 2 |
Insight
Over the last 10 years, obligations under NAICS 621492 total $6.71 billion across 1,568 awards, with the Department of Veterans Affairs accounting for $6.67 billion and 987 awards, or nearly all activity in this code. The next-largest obligators are far smaller in dollar terms: the Federal Prison System/Bureau of Prisons at $35.37 million across 490 awards and the Office of Assistant Secretary for Preparedness and Response at $7.20 million across 21 awards. Remaining agencies each obligated less than $2.58 million, indicating a highly concentrated spend pattern dominated by VA.
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 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 |
|---|---|---|---|---|
| DAVITA INC. | 45JM2 | 2,000,573,736.90 | 2.00 billion | 88 |
| FRESENIUS MEDICAL CARE HOLDINGS, INC. | 3MGP1 | 1,556,501,749.10 | 1.56 billion | 11 |
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 1,348,412,532.08 | 1.35 billion | 29 |
| DAVITA HEALTHCARE PARTNERS INC. | 45JM2 | 839,200,767.94 | 839.20 million | 66 |
| DIALYSIS CLINIC, INC. | 383R4 | 269,199,706.85 | 269.20 million | 69 |
| AMERICAN RENAL ASSOCIATES LLC | 6U4V6 | 231,404,743.28 | 231.40 million | 32 |
| U.S. RENAL CARE, INC. | 608C2 | 137,982,707.49 | 137.98 million | 21 |
| DIALYSIS NEWCO, INC. | 6TPH5 | 61,543,519.56 | 61.54 million | 23 |
| US RENAL CARE INC | 608C2 | 43,833,351.46 | 43.83 million | 9 |
| SATELLITE HEALTHCARE, INC. | 6U1D5 | 26,791,220.87 | 26.79 million | 15 |
Insight
Obligations in NAICS 621492 total $6.71 billion across 1,568 awards over the last 10 years, with an average award value of $4.28 million. The vendor base is highly concentrated: DaVita and Fresenius entries account for the largest shares, led by DAVITA INC. at $2.00 billion and FRESENIUS MEDICAL CARE HOLDINGS, INC./INC. at a combined $2.90 billion, before a steep drop to the remaining vendors. Several vendors appear under multiple name variants with the same CAGE code, indicating award concentration at a small number of entities rather than a broad distribution across many firms.
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 10 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 |
| 2024 | 371,574,826.38 | 371.57 million | 98 |
| 2023 | 691,319,683.07 | 691.32 million | 89 |
| 2022 | 655,427,513.15 | 655.43 million | 123 |
| 2021 | 637,765,184.31 | 637.77 million | 158 |
| 2020 | 727,388,994.22 | 727.39 million | 146 |
| 2019 | 510,621,711.35 | 510.62 million | 181 |
| 2018 | 637,736,827.12 | 637.74 million | 204 |
| 2017 | 560,817,683.03 | 560.82 million | 178 |
| 2016 | 454,137,144.09 | 454.14 million | 219 |
Insight
Over the last 10 years, NAICS 621492 obligations totaled $6.71 billion across 1,568 awards, with an average award value of $4.28 million. Annual obligations were fairly steady from 2016 through 2024, generally ranging from about $371.6 million to $727.4 million, while award counts remained dispersed between 89 and 219 per year. The period is dominated by a sharp increase in 2025 to $1.46 billion, making that year materially higher than the prior annual pattern and indicating recent concentration in obligation volume.
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