In the last full year, federal activity under PSC Q403, Medical-Evaluation/Screening, was heavily concentrated in the Department of Veterans Affairs, which accounted for 13.29 billion of the 13.55 billion obligated. Major vendors included QTC Medical Services Inc, OptumServe Health Services Inc, Veterans Evaluation Services, Inc, and Loyal Source Government Services LLC.
PSC Code
PSC Q403 Federal Contract Obligations (Last Year)
PSC Q403 covers medical evaluation and screening obligations, totaling 13.55 billion across 684 award actions in the last full year.
Figures reflect the last full year and may include multiple award actions to the same vendor or agency; totals are based on obligated dollars.
PSC Code
Q403
PSC Description
MEDICAL- EVALUATION/SCREENING
Total Obligated
13.55 billion
13,549,538,671.02
Award Actions
684
Average Action Value
19,809,267.06
About PSC Q403 federal contract activity
PSC Q403 (MEDICAL- EVALUATION/SCREENING) accounted for $13.55 billion in obligations across 684 awards in the last full year, with an average award value of $19.81 million. The category is highly concentrated, indicating that a relatively small number of large service contracts drove most of the spending.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominated activity in this PSC, obligating $13.29 billion across 271 awards and accounting for the vast majority of total spend. The next largest agencies were U.S. Customs and Border Protection, the Department of the Army, the Centers for Medicare and Medicaid Services, and the Federal Acquisition Service, each at a materially lower obligation level.
Vendor concentration and leading contractors
Vendor concentration was similarly strong. QTC Medical Services Inc, OptumServe Health Services Inc, and Veterans Evaluation Services, Inc each captured multi-billion-dollar obligations, while Loyal Source Government Services LLC also ranked among the largest award recipients. QTC Medical Services appears in the data in two naming variants tied to the same CAGE code, which should be considered when interpreting vendor totals.
Annual contract trend over the analysis window
The annual trend shows $13.55 billion obligated across 684 awards in 2025, which is the full analysis period available here. Because only one year is provided, this dataset supports a point-in-time assessment rather than a multi-year growth or decline comparison.
How to interpret this page
This summary is based on FPDS obligations reported under PSC Q403 for the last full year. Agency and vendor rankings reflect total obligated dollars and award counts as provided; vendor naming was retained as reported, including exact variants where present. No adjustments were made for inflation, de-duplication, or parent-subsidiary consolidation beyond the source data supplied.
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 = 'Q403'
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 | 13,289,698,510.11 | 13.29 billion | 271 |
| 7014 | U.S. CUSTOMS AND BORDER PROTECTION | 115,767,628.24 | 115.77 million | 18 |
| 2100 | DEPT OF THE ARMY | 77,335,787.34 | 77.34 million | 120 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 39,715,316.59 | 39.72 million | 4 |
| 4732 | FEDERAL ACQUISITION SERVICE | 11,860,318.28 | 11.86 million | 15 |
| 1406 | DEPARTMENTAL OFFICES | 4,226,606.61 | 4.23 million | 7 |
| 7009 | U.S. SECRET SERVICE | 3,087,981.64 | 3.09 million | 7 |
| 5700 | DEPT OF THE AIR FORCE | 2,095,178.74 | 2.10 million | 41 |
| 1422 | BUREAU OF LAND MANAGEMENT | 1,574,499.27 | 1.57 million | 8 |
| 7527 | INDIAN HEALTH SERVICE | 1,483,951.62 | 1.48 million | 19 |
Insight
For PSC Q403, obligations are highly concentrated in the Department of Veterans Affairs, which accounted for 13.29 billion of the 13.55 billion obligated over the last full year, representing the vast majority of activity across 271 awards. The remaining agencies each obligated less than 116 million, with the next largest volumes at U.S. Customs and Border Protection, the Department of the Army, and CMS, indicating a steep drop-off after VA. Award volume is more dispersed than dollars, with several agencies issuing smaller numbers of awards at materially lower obligation levels, suggesting a purchase pattern dominated by a single large user with limited secondary demand.
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 = 'Q403'
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 |
|---|---|---|---|---|
| QTC MEDICAL SERVICES INC | 5AR96 | 3,294,296,432.46 | 3.29 billion | 24 |
| OPTUMSERVE HEALTH SERVICES INC | 1RTW6 | 3,141,896,419.39 | 3.14 billion | 20 |
| VETERANS EVALUATION SERVICES, INC | 69U26 | 2,808,253,182.80 | 2.81 billion | 21 |
| LOYAL SOURCE GOVERNMENT SERVICES LLC | 5JN54 | 2,319,818,050.35 | 2.32 billion | 36 |
| QTC MEDICAL SERVICES, INC. | 5AR96 | 938,467,479.02 | 938.47 million | 26 |
| VETERANS EVALUATION SERVICES, INC. | 69U26 | 416,480,973.36 | 416.48 million | 25 |
| LOGISTICS HEALTH, INC. | 1RTW6 | 246,715,363.93 | 246.72 million | 16 |
| OPTUMSERVE HEALTH SERVICES, INC. | 1RTW6 | 225,867,028.83 | 225.87 million | 8 |
| CHENEGA TRI-SERVICES, LLC | 7NE23 | 40,784,471.36 | 40.78 million | 11 |
| NORIDIAN HEALTHCARE SOLUTIONS, LLC | 3EN02 | 39,679,246.59 | 39.68 million | 3 |
Insight
Top vendors for PSC Q403 are highly concentrated: the top three vendors—QTC Medical Services Inc (CAGE 5AR96), OptumServe Health Services Inc (CAGE 1RTW6), and Veterans Evaluation Services, Inc. (CAGE 69U26)—account for 9.24 billion of 13.55 billion obligated in the last full year, or about 68 percent of total obligations. The distribution also shows duplicate vendor/CAGE entries with varying punctuation, indicating obligations are spread across multiple awards under the same entities rather than a broad vendor base. Award volume is moderate relative to dollars, with 684 awards averaging 19.81 million each, suggesting a few large, recurring contracts dominate this PSC.
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 = 'Q403'
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 | 13,549,538,671.02 | 13.55 billion | 684 |
Insight
Over the last full year, PSC Q403 obligated $13.55 billion across 684 awards, yielding an average award value of $19.81 million. Because only one annual period is provided, no year-over-year trend can be assessed in this window. The obligation volume is substantial and indicates a high-dollar, moderately distributed award base within medical evaluation/screening activities.
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