Federal procurement under NAICS 621492 is heavily concentrated in the Department of Veterans Affairs, which accounts for $3.80 billion of the $3.82 billion total obligated. The largest vendors are DaVita Inc. and Fresenius Medical Care Holdings, with obligations spread across 640 award actions from 2021 through 2025.
NAICS Industry
NAICS 621492 Federal Contract Obligations (Last 5 Years)
FPDS procurement data for NAICS 621492 covers kidney dialysis centers with 640 award actions and $3.82 billion obligated over the last 5 years.
Totals reflect readable FPDS obligated amounts for the last 5 years, and vendor names may appear in multiple records where naming varies.
NAICS Code
621492
Industry
KIDNEY DIALYSIS CENTERS
Total Obligated
3.82 billion
3,820,353,034.72
Award Actions
640
Average Action Value
5,969,301.61
About NAICS 621492 federal contract activity
NAICS 621492, Kidney Dialysis Centers, shows $3.82 billion in obligated federal spending across 640 awards over the last 5 years, with an average award value of $5.97 million. The category is highly concentrated in a small number of large awards, indicating a procurement profile dominated by recurring healthcare service contracts rather than broad award dispersion.
Agency demand and leading federal buyers
The Department of Veterans Affairs accounted for $3.80 billion across 359 awards, representing the overwhelming share of obligations in this NAICS. The Federal Prison System/Bureau of Prisons was a distant second with $15.84 million across 246 awards, while the Air Force, Indian Health Service, and the Office of the Assistant Secretary for Preparedness and Response each contributed only marginal amounts, including small negative obligations in two cases.
Vendor concentration and leading contractors
Davita Inc. led vendor obligations with $1.52 billion across 68 awards, followed by Fresenius Medical Care Holdings, Inc. at $1.11 billion across 5 awards and a separate Fresenius Medical Care Holdings Inc. entry at $676.76 million across 10 awards. Other notable vendors included Dialysis Clinic, Inc. at $159.33 million and American Renal Associates LLC at $142.46 million, reinforcing a market dominated by a few large dialysis providers.
Annual contract trend over the analysis window
Annual obligations peaked in 2025 at $1.46 billion across 172 awards, well above the prior four years. Spending was lower but still substantial in 2021 through 2024, ranging from $371.57 million to $691.32 million, with 2024 showing the lowest annual obligation in the window.
How to interpret this page
This summary is based on FPDS obligations tied to NAICS 621492 for the last 5 years, using total obligated dollars, award counts, and annual totals. Vendor names are reported as recorded in the source data, so duplicate or near-duplicate entries may reflect distinct award records or naming variations rather than separate corporate entities.
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 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 | 3,802,789,315.95 | 3.80 billion | 359 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 15,839,301.57 | 15.84 million | 246 |
| 5700 | DEPT OF THE AIR FORCE | 1,771,810.06 | 1.77 million | 31 |
| 7527 | INDIAN HEALTH SERVICE | -7,892.96 | -7.89 thousand | 2 |
| 7505 | OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | -39,499.90 | -39.50 thousand | 2 |
Insight
Over the last 5 years, NAICS 621492 obligations totaled $3.82 billion across 640 awards, with average award value of $5.97 million. The activity is overwhelmingly concentrated in the Department of Veterans Affairs, which accounted for $3.80 billion and 359 awards, or nearly all obligated dollars in this NAICS. The Federal Prison System/Bureau of Prisons was a distant second at $15.84 million across 246 awards, while the remaining agencies contributed only small amounts, including two minor negative obligation entries.
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 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 |
|---|---|---|---|---|
| DAVITA INC. | 45JM2 | 1,522,227,791.58 | 1.52 billion | 68 |
| FRESENIUS MEDICAL CARE HOLDINGS, INC. | 3MGP1 | 1,106,032,658.12 | 1.11 billion | 5 |
| FRESENIUS MEDICAL CARE HOLDINGS INC | 3MGP1 | 676,755,682.18 | 676.76 million | 10 |
| DIALYSIS CLINIC, INC. | 383R4 | 159,326,830.90 | 159.33 million | 42 |
| AMERICAN RENAL ASSOCIATES LLC | 6U4V6 | 142,459,621.18 | 142.46 million | 15 |
| U.S. RENAL CARE, INC. | 608C2 | 82,854,761.44 | 82.85 million | 6 |
| US RENAL CARE INC | 608C2 | 43,833,351.46 | 43.83 million | 9 |
| DIALYSIS NEWCO, INC. | 6TPH5 | 27,569,724.64 | 27.57 million | 7 |
| DIALYSIS NEWCO, LLC | 6TPH5 | 10,063,841.22 | 10.06 million | 9 |
| CHARDONNAY DIALYSIS, LLC | 319S8 | 8,926,784.67 | 8.93 million | 95 |
Insight
Over the last 5 years, NAICS 621492 recorded $3.82 billion across 640 awards, with obligations heavily concentrated among a small number of vendors. DAVITA INC. leads with $1.52 billion, and the two FRESENIUS entries together account for about $1.78 billion, indicating substantial spend concentration among a few large dialysis providers. The remaining top vendors are materially smaller, with obligations dropping below $160 million after the top four, while award counts vary widely, including relatively high counts for CHARDONNAY DIALYSIS, LLC despite comparatively low obligated value.
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 5 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 |
Insight
Over the last 5 years, obligations under NAICS 621492 totaled $3.82 billion across 640 awards, with an average award value of $5.97 million. Funding is highly concentrated in 2025, which accounts for $1.46 billion, or about 38% of total obligations, and 172 awards. The remaining years are comparatively stable, ranging from $371.57 million to $691.32 million annually, with award counts between 89 and 158, indicating a step-up in both obligated dollars and award volume in the most recent year.
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