This page summarizes federal procurement for PSC Q201, including annual obligations, award volume, and the largest buying agencies and vendors. The data shows sustained annual spending above $24 billion, led by the Department of Veterans Affairs and the Defense Health Agency.
PSC Code
PSC Q201 Federal Contract Obligations (Last 5 Years)
PSC Q201 covers medical general health care awards with 49,268 actions totaling $158.22 billion over the last 5 years.
Totals reflect the last 5 years of readable obligations and award counts for PSC Q201, and agency and vendor rankings are based on obligated dollars.
PSC Code
Q201
PSC Description
MEDICAL- GENERAL HEALTH CARE
Total Obligated
158.22 billion
158,220,016,388.60
Award Actions
49,268
Average Action Value
3,211,415.44
About PSC Q201 federal contract activity
PSC Q201, MEDICAL- GENERAL HEALTH CARE, accounted for $158.22 billion in obligations across 49,268 awards over the last 5 years, with an average award value of $3.21 million. The profile indicates a large, recurring services category with substantial concentration in a small number of high-dollar awards.
Agency demand and leading federal buyers
VETERANS AFFAIRS, DEPARTMENT OF led all agencies with $84.00 billion across 3,611 awards, followed by DEFENSE HEALTH AGENCY (DHA) with $69.10 billion across 4,337 awards. Together, these two agencies represent the dominant share of obligations in this PSC, while the Federal Prison System/Bureau of Prisons, Department of the Army, and CDC account for materially smaller totals.
Vendor concentration and leading contractors
Vendor obligations are heavily concentrated. OPTUM PUBLIC SECTOR SOLUTIONS, INC. received $82.11 billion, HUMANA GOVERNMENT BUSINESS, INC. $36.99 billion, and HEALTH NET FEDERAL SERVICES, LLC $14.28 billion; these three vendors alone account for most of the category’s obligated dollars.
Annual contract trend over the analysis window
Annual obligations remained elevated throughout the period, ranging from $24.09 billion in 2021 to a peak of $35.28 billion in 2024. Spending was strong in 2022 and 2023 at $32.31 billion and $32.71 billion, respectively, with 2025 at $33.83 billion through the analysis window.
How to interpret this page
This summary is based on FPDS award records classified under PSC Q201 for the last 5 years. Obligations, award counts, and average award value are derived from the reported totals in the analysis window; agency, vendor, and annual trend views reflect the same dataset and should be interpreted as obligations recorded in FPDS, not necessarily outlays or final program costs.
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 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 | 83,995,900,273.08 | 84.00 billion | 3,611 |
| 97DH | DEFENSE HEALTH AGENCY (DHA) | 69,104,386,651.44 | 69.10 billion | 4,337 |
| 1540 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1,397,952,236.66 | 1.40 billion | 26,612 |
| 2100 | DEPT OF THE ARMY | 938,729,807.33 | 938.73 million | 2,238 |
| 7523 | CENTERS FOR DISEASE CONTROL AND PREVENTION | 594,720,718.20 | 594.72 million | 157 |
| 7527 | INDIAN HEALTH SERVICE | 532,518,686.16 | 532.52 million | 3,387 |
| 7012 | U.S. IMMIGRATION AND CUSTOMS ENFORCEMENT | 522,866,698.04 | 522.87 million | 97 |
| 5700 | DEPT OF THE AIR FORCE | 389,967,596.38 | 389.97 million | 3,981 |
| 1900 | STATE, DEPARTMENT OF | 129,679,272.32 | 129.68 million | 791 |
| 1700 | DEPT OF THE NAVY | 90,055,791.95 | 90.06 million | 805 |
Insight
Over the last 5 years, PSC Q201 obligations totaled $158.22 billion across 49,268 awards, with spending highly concentrated in two agencies: the Department of Veterans Affairs ($84.00 billion) and the Defense Health Agency ($69.10 billion), which together account for the vast majority of obligations. After these two, obligations drop sharply to the Federal Prison System/Bureau of Prisons at $1.40 billion, indicating a steep long-tail distribution among the remaining agencies. Award volume is less concentrated than dollars, with the Bureau of Prisons reporting 26,612 awards despite relatively low obligated dollars, suggesting smaller average award values than the top two agencies.
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 5 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 | 82,106,400,556.92 | 82.11 billion | 259 |
| HUMANA GOVERNMENT BUSINESS, INC. | 050S0 | 36,991,105,006.61 | 36.99 billion | 516 |
| HEALTH NET FEDERAL SERVICES, LLC | 3TJW0 | 14,283,991,692.39 | 14.28 billion | 349 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | 07TQ3 | 5,199,618,099.00 | 5.20 billion | 171 |
| EXPRESS SCRIPTS, INC. | 1WPW1 | 2,989,277,083.02 | 2.99 billion | 183 |
| JOHNS HOPKINS MEDICAL SERVICES CORP | 1NXX2 | 1,213,484,181.65 | 1.21 billion | 18 |
| THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION | 1NXX2 | 1,164,550,000.00 | 1.16 billion | 20 |
| MARTIN'S POINT HEALTH CARE, INC. | 1NFZ9 | 1,075,974,075.38 | 1.08 billion | 18 |
| MARTINS POINT HEALTH CARE INC | 1NFZ9 | 1,018,900,000.00 | 1.02 billion | 21 |
| PACMED CLINICS | 1PXF3 | 886,828,871.53 | 886.83 million | 39 |
Insight
Over the last 5 years, PSC Q201 obligated $158.22 billion across 49,268 awards, with spending highly concentrated among a small set of vendors. OPTUM PUBLIC SECTOR SOLUTIONS, INC. alone accounts for $82.11 billion, or about 52% of total obligations, followed by HUMANA GOVERNMENT BUSINESS, INC. at $36.99 billion and HEALTH NET FEDERAL SERVICES, LLC at $14.28 billion; the top three vendors together represent roughly 84% of obligated dollars. Award volume is more dispersed than dollars, with the top ten vendors including several duplicate legal-name entries under the same CAGE code, indicating repeated obligations to a limited contractor base rather than broad vendor distribution.
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 5 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 |
Insight
PSC Q201 (Medical- General Health Care) recorded $158.22 billion in obligations across 49,268 awards over the last 5 years, with an average award value of $3.21 million. Annual obligations increased from $24.09 billion in 2021 to a peak of $35.28 billion in 2024, then edged down to $33.83 billion in 2025, indicating a generally elevated and stable funding profile after 2021. Award counts remained tightly clustered between 9,557 and 10,493 per year, suggesting consistent transaction volume with moderate year-to-year fluctuation.
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