Defense Health Agency and the Department of Veterans Affairs account for most Q201 obligations, with 128.10 billion and 87.63 billion respectively. Vendor activity is led by Optum Public Sector Solutions, Humana Government Business, and Health Net Federal Services, while annual obligations have stayed in the 24.09 billion to 35.28 billion range in the years shown.
PSC Code
PSC Q201 Federal Contract Obligations (Last 10 Years)
PSC Q201 covers Medical-General Health Care obligations totaling $225.84 billion across 113,990 award actions over the last 10 years.
Totals reflect readable FPDS obligations for the last 10 years and may include multiple award actions across agencies and vendors.
PSC Code
Q201
PSC Description
MEDICAL- GENERAL HEALTH CARE
Total Obligated
225.84 billion
225,843,566,298.04
Award Actions
113,990
Average Action Value
1,981,257.70
About PSC Q201 federal contract activity
PSC Q201, Medical- General Health Care, accounts for $225.84 billion in obligations across 113,990 awards over the last 10 years, with an average award value of $1.98 million. The scale and award volume indicate a broad medical services category with a mix of large program awards and high-frequency contracting activity.
Agency demand and leading federal buyers
The Defense Health Agency (DHA) is the dominant buyer in this PSC, with $128.10 billion and 7,417 awards, followed by the Department of Veterans Affairs at $87.63 billion and 8,754 awards. Together, these two agencies account for the vast majority of obligations, while the Federal Bureau of Prisons, the Department of the Army, and the Department of the Air Force contribute materially smaller shares.
Vendor concentration and leading contractors
Spend is concentrated among a small number of vendors, led by OPTUM PUBLIC SECTOR SOLUTIONS, INC. at $84.11 billion across 337 awards and HUMANA GOVERNMENT BUSINESS, INC. at $56.89 billion across 866 awards. HEALTH NET FEDERAL SERVICES, LLC, EXPRESS SCRIPTS, INC., and TRIWEST HEALTHCARE ALLIANCE CORP. also represent major incumbents, reinforcing a vendor base centered on large health services and benefits administration contractors.
Annual contract trend over the analysis window
Annual obligations remained above $24.09 billion in each of the last five years shown, rising from $24.09 billion in 2021 to a peak of $35.28 billion in 2024 before easing to $33.83 billion in 2025. Award counts stayed near 9,500 to 10,500 per year over the same period, suggesting stable procurement volume with fluctuations in award value rather than transaction frequency.
How to interpret this page
This page summarizes FPDS-observed obligations and award counts for PSC Q201 over the last 10 years using the provided analysis window. Agency, vendor, and trend views are based on total obligated dollars and award counts in the supplied data and do not infer contract type, scope, or performance outcomes beyond those metrics.
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 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 |
|---|---|---|---|---|
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 128,103,427,162.02 | 128.10 billion | 7,417 |
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 87,631,976,780.92 | 87.63 billion | 8,754 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 2,983,763,024.38 | 2.98 billion | 60,242 |
| 2100 | DEPT OF THE ARMY | 1,378,309,511.10 | 1.38 billion | 5,009 |
| 5700 | DEPT OF THE AIR FORCE | 1,340,244,564.91 | 1.34 billion | 13,871 |
| 7012 | U.S. IMMIGRATION AND CUSTOMS ENFORCEMENT | 1,001,373,426.69 | 1.00 billion | 216 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 911,536,745.92 | 911.54 million | 327 |
| 7527 | INDIAN HEALTH SERVICE | 801,045,794.34 | 801.05 million | 7,334 |
| 1700 | DEPT OF THE NAVY | 596,694,193.24 | 596.69 million | 4,194 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 284,121,660.49 | 284.12 million | 235 |
Insight
Over the last 10 years, PSC Q201 obligations are highly concentrated in two agencies: Defense Health Agency (DHA) at 128.10 billion and the Department of Veterans Affairs at 87.63 billion, together accounting for about 95.7% of the 225.84 billion obligated under this PSC. The remaining agencies contribute much smaller totals, with the Federal Prison System/Bureau of Prisons a distant third at 2.98 billion. Award volume is less concentrated than obligation value, led by Bureau of Prisons with 60,242 awards despite relatively low obligated dollars, indicating many smaller awards alongside a few very large health care obligations at DHA and 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,
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 10 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 | 84,106,495,524.87 | 84.11 billion | 337 |
| HUMANA GOVERNMENT BUSINESS, INC. | 050S0 | 56,891,735,058.65 | 56.89 billion | 866 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 26,034,966,586.44 | 26.03 billion | 904 |
| EXPRESS SCRIPTS, INC. | 1WPW1 | 5,521,756,487.00 | 5.52 billion | 315 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 5,199,618,099.00 | 5.20 billion | 171 |
| HUMANA MILITARY HEALTHCARE SERVICES, INC. | 4,048,858,664.58 | 4.05 billion | 248 | |
| HUMANA MILITARY HEALTHCARE SERVICES, INC. | 050S0 | 3,293,301,652.63 | 3.29 billion | 195 |
| HEALTH NET FEDERAL SERVICES, LLC | 3,282,348,047.67 | 3.28 billion | 183 | |
| UNITEDHEALTH MILITARY & VETERANS SERVICES, LLC | 3,168,943,585.25 | 3.17 billion | 227 | |
| JOHNS HOPKINS MEDICAL SERVICES CORP | 1NXX2 | 2,821,634,458.04 | 2.82 billion | 61 |
Insight
PSC Q201 obligations are highly concentrated over the last 10 years: OPTUM PUBLIC SECTOR SOLUTIONS, INC. alone received $84.11 billion, followed by HUMANA GOVERNMENT BUSINESS, INC. at $56.89 billion and HEALTH NET FEDERAL SERVICES, LLC at $26.03 billion. The top three vendors account for $167.03 billion of the $225.84 billion total, indicating that a small number of contractors capture most of the spend in this PSC. Award volume is more distributed than dollars, with HEALTH NET FEDERAL SERVICES, LLC (904 awards) and HUMANA GOVERNMENT BUSINESS, INC. (866 awards) each receiving far more awards than OPTUM (337 awards), suggesting larger award values for the leading dollar recipients.
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 10 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 |
| 2024 | 35,277,484,276.97 | 35.28 billion | 10,493 |
| 2023 | 32,714,714,437.11 | 32.71 billion | 9,591 |
| 2022 | 32,307,316,098.59 | 32.31 billion | 9,557 |
| 2021 | 24,086,035,507.67 | 24.09 billion | 9,972 |
| 2020 | 14,987,831,951.89 | 14.99 billion | 10,733 |
| 2019 | 9,782,219,461.91 | 9.78 billion | 10,820 |
| 2018 | 17,446,734,837.42 | 17.45 billion | 13,524 |
| 2017 | 11,417,972,652.28 | 11.42 billion | 14,731 |
| 2016 | 13,988,791,005.94 | 13.99 billion | 14,914 |
Insight
Over the last 10 years, PSC Q201 obligated spending totaled $225.84 billion across 113,990 awards, with an average award value of $1.98 million. Obligations were relatively elevated and stable in 2021–2025, ranging from $24.09 billion to $35.28 billion annually, with the highest level in 2024. Earlier years were lower and more variable, including a peak in award volume in 2016–2017 and a low point in obligations in 2019 at $9.78 billion, indicating a shift toward substantially higher annual spending in the most recent five years.
Use FPDS Query for deeper PSC analysis
Explore federal procurement data with custom SQL, fast filtering, and deeper PSC analysis across agencies, vendors, and annual trends.
Continue from this last 10 years view into full FPDS Query workflows with deeper filtering, custom SQL, saved queries, and broader market comparison.