Federal obligations under PSC Q201 were concentrated in large health care and medical service awards, led by the Department of Veterans Affairs and the Defense Health Agency. The vendor mix was similarly concentrated, with Optum Public Sector Solutions, Humana Government Business, and TriWest Healthcare Alliance accounting for most of the obligated value.
PSC Code
PSC Q201 Federal Contract Obligations (Last Year)
PSC Q201 covers medical general health care, with $33.83 billion obligated across 9,630 award actions in the last full year.
Annual trend and summary figures reflect the last full year and may include rounding differences versus exact totals.
PSC Code
Q201
PSC Description
MEDICAL- GENERAL HEALTH CARE
Total Obligated
33.83 billion
33,830,125,091.62
Award Actions
9,630
Average Action Value
3,512,993.25
About PSC Q201 federal contract activity
PSC Q201 (Medical- General Health Care) recorded 33.83 billion in obligations across 9,630 awards during the last full year, with an average award value of 3.51 million. The category is highly concentrated, with a small number of large awards driving total spend.
Agency demand and leading federal buyers
The Department of Veterans Affairs led obligations at 19.15 billion across 566 awards, followed by the Defense Health Agency at 13.66 billion across 1,017 awards. The Federal Prison System/Bureau of Prisons, Department of the Army, and CDC were much smaller by comparison, indicating that this PSC is primarily used by VA and defense health buyers.
Vendor concentration and leading contractors
Optum Public Sector Solutions, Inc. was the dominant vendor with 18.80 billion obligated across 40 awards, far exceeding all other vendors. Humana Government Business, Inc. and TriWest Healthcare Alliance Corp. were the next largest suppliers at 5.94 billion and 4.78 billion, respectively, showing a vendor base concentrated around major managed-care and healthcare service providers.
Annual contract trend over the analysis window
Annual activity for 2025 was essentially flat relative to the overall last-full-year total, with 33.83 billion obligated across 9,655 awards. The year-end totals are nearly identical to the overview metrics, indicating no material divergence between the annual trend and the reported period.
How to interpret this page
This page summarizes FPDS award records classified under PSC Q201 for the last full year, using obligated dollars and award counts as reported in the dataset. Agency and vendor rankings reflect total obligated amount within the analysis window; annual trend reflects the yearly aggregation provided in the source data.
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__productOrServiceCode = 'Q201'
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 | 19,152,583,062.80 | 19.15 billion | 566 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 13,658,918,413.11 | 13.66 billion | 1,017 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 353,799,500.74 | 353.80 million | 6,061 |
| 2100 | DEPT OF THE ARMY | 222,271,542.18 | 222.27 million | 413 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 125,222,564.80 | 125.22 million | 22 |
| 7012 | U.S. IMMIGRATION AND CUSTOMS ENFORCEMENT | 96,682,407.44 | 96.68 million | 23 |
| 7527 | INDIAN HEALTH SERVICE | 82,351,101.78 | 82.35 million | 556 |
| 1900 | STATE, DEPARTMENT OF | 47,835,692.33 | 47.84 million | 175 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 20,131,682.95 | 20.13 million | 12 |
| 5700 | DEPT OF THE AIR FORCE | 17,326,307.70 | 17.33 million | 340 |
Insight
Obligations for PSC Q201 are highly concentrated in two agencies: the Department of Veterans Affairs accounted for $19.15 billion and the Defense Health Agency for $13.66 billion, together representing the clear majority of the $33.83 billion obligated in the last full year. The remaining agencies were significantly smaller by obligation value, with the Federal Prison System/Bureau of Prisons next at $353.80 million despite the highest award count among the listed agencies (6,061). This pattern indicates a split between a few very large health care buying agencies and several agencies with lower-dollar, higher-volume 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,
ifNull(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__productOrServiceCode = 'Q201'
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,
content__award__vendor__vendorSiteDetails__entityIdentifiers__cageCode
)
ORDER BY total_obligated DESC
LIMIT 10| Vendor | CAGE Code | Total Obligated | Readable | Award Actions |
|---|---|---|---|---|
| OPTUM PUBLIC SECTOR SOLUTIONS, INC. | 4KU58 | 18,795,539,552.04 | 18.80 billion | 40 |
| HUMANA GOVERNMENT BUSINESS, INC. | 050S0 | 5,943,521,994.18 | 5.94 billion | 106 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 4,780,125,952.00 | 4.78 billion | 83 |
| THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION | 1NXX2 | 509,000,000.00 | 509.00 million | 10 |
| MARTINS POINT HEALTH CARE INC | 1NFZ9 | 450,100,000.00 | 450.10 million | 11 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 425,230,044.76 | 425.23 million | 24 |
| EXPRESS SCRIPTS, INC. | 1WPW1 | 323,608,120.97 | 323.61 million | 37 |
| PACMED CLINICS | 1PXF3 | 181,430,175.14 | 181.43 million | 13 |
| INTERNATIONAL SOS GOVERNMENT SERVICES, INC. | 6YF97 | 172,086,998.52 | 172.09 million | 19 |
| BRIGHTON MARINE, INC. | 4TQP0 | 161,300,000.00 | 161.30 million | 11 |
Insight
Top vendors in PSC Q201 account for a highly concentrated share of obligations in the last full year, led by OPTUM PUBLIC SECTOR SOLUTIONS, INC. at $18.80 billion across 40 awards, followed by HUMANA GOVERNMENT BUSINESS, INC. at $5.94 billion and TRIWEST HEALTHCARE ALLIANCE CORP. at $4.78 billion. The top three vendors together represent about $29.52 billion, or roughly 87% of the $33.83 billion obligated under this PSC. Obligations then drop sharply to a much smaller second tier, with the remaining listed vendors each below $0.51 billion despite award counts ranging from 10 to 37.
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__productOrServiceCode = 'Q201'
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 | 33,834,466,068.26 | 33.83 billion | 9,655 |
Insight
For the last full year, PSC Q201 obligated $33.83 billion across 9,655 awards, with an average award value of $3.51 million. Obligations are highly concentrated in a single annual period, indicating a stable one-year funding profile rather than a multi-year trend. The volume of awards relative to total obligations suggests a distributed award base with moderate average transaction size.
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