PSC Q403 covers medical evaluation and screening services and shows $34.71 billion in obligated spending across 6,469 award actions in the last 10 years, averaging $5.37 million per action. The Veterans Affairs Department accounts for most obligations, with additional activity from U.S. Customs and Border Protection, the Department of the Army, CMS, and the Federal Acquisition Service.
PSC Code
PSC Q403 Federal Contract Obligations (Last 10 Years)
Federal procurement activity for PSC Q403, Medical- Evaluation/Screening, over the last 10 years.
Totals reflect readable FPDS obligations for the last 10 years and may include repeated awards to the same vendor or agency.
PSC Code
Q403
PSC Description
MEDICAL- EVALUATION/SCREENING
Total Obligated
34.71 billion
34,714,211,435.84
Award Actions
6,469
Average Action Value
5,366,240.75
About PSC Q403 federal contract activity
PSC Q403, MEDICAL- EVALUATION/SCREENING, accounts for 34.71 billion in obligations across 6,469 awards over the last 10 years, with an average award value of 5.37 million. The code reflects large-scale acquisition of medical evaluation and screening services, with spending concentrated in a relatively small number of high-dollar awards.
Agency demand and leading federal buyers
The Department of Veterans Affairs is the dominant buyer by a wide margin, accounting for 32.30 billion and 1,991 awards, or the overwhelming share of total obligations in this PSC. U.S. Customs and Border Protection is a distant second at 1.25 billion, while the Department of the Army and CMS contribute smaller but still material volumes, indicating usage across both health-focused and operational agencies.
Vendor concentration and leading contractors
Vendor concentration is also pronounced: QTC Medical Services, Inc. leads with 8.41 billion, followed by Veterans Evaluation Services, Inc. at 5.10 billion, Logistics Health, Inc. at 4.10 billion, and Loyal Source Government Services LLC at 4.07 billion. The presence of both QTC Medical Services, Inc. and QTC Medical Services, Inc. suggests reporting variation in vendor naming, but the underlying entity appears to be a top recipient in this PSC.
Annual contract trend over the analysis window
Annual obligations accelerated sharply in 2025 to 13.55 billion, more than doubling 2024 levels and exceeding each prior year shown. From 2021 through 2024, spending remained in a narrower band between 2.82 billion and 6.09 billion, with award counts relatively stable year to year, suggesting the 2025 increase is driven primarily by larger-dollar actions rather than a sudden expansion in transaction volume.
How to interpret this page
Figures are based on FPDS obligations associated with PSC code Q403 over the last 10 years and reflect obligated dollars, award counts, and average award value computed from the provided totals. Agency, vendor, and annual views are derived from the same PSC-filtered dataset and should be interpreted as concentration patterns within reported federal procurement activity, not as measures of contract performance or delivery outcomes.
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 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 |
|---|---|---|---|---|
| 3600 | VETERANS AFFAIRS, DEPARTMENT OF | 32,296,213,327.42 | 32.30 billion | 1,991 |
| 7014 | U.S. CUSTOMS AND BORDER PROTECTION | 1,247,475,600.35 | 1.25 billion | 140 |
| 2100 | DEPT OF THE ARMY | 506,541,413.89 | 506.54 million | 1,505 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 361,629,698.00 | 361.63 million | 49 |
| 4732 | FEDERAL ACQUISITION SERVICE | 45,535,980.34 | 45.54 million | 46 |
| 7022 | FEDERAL EMERGENCY MANAGEMENT AGENCY | 30,696,966.25 | 30.70 million | 116 |
| 1422 | BUREAU OF LAND MANAGEMENT | 28,492,690.43 | 28.49 million | 135 |
| 7570 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | 26,138,144.82 | 26.14 million | 22 |
| 7009 | U.S. SECRET SERVICE | 22,307,457.53 | 22.31 million | 38 |
| 5700 | DEPT OF THE AIR FORCE | 20,569,183.78 | 20.57 million | 334 |
Insight
Over the last 10 years, PSC Q403 obligations total $34.71 billion across 6,469 awards, and spending is highly concentrated in the Department of Veterans Affairs, which accounts for $32.30 billion, or about 93% of total obligated value. U.S. Customs and Border Protection is a distant second at $1.25 billion, while all other agencies individually remain below $507 million. Award volume is more distributed than dollars obligated, with the Department of the Army posting 1,505 awards against only $506.54 million, indicating materially smaller average award values than 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 = '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 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 |
|---|---|---|---|---|
| QTC MEDICAL SERVICES, INC. | 5AR96 | 8,414,495,966.06 | 8.41 billion | 366 |
| VETERANS EVALUATION SERVICES, INC. | 69U26 | 5,099,628,529.99 | 5.10 billion | 264 |
| LOGISTICS HEALTH, INC. | 1RTW6 | 4,098,568,230.54 | 4.10 billion | 197 |
| LOYAL SOURCE GOVERNMENT SERVICES LLC | 5JN54 | 4,066,773,357.86 | 4.07 billion | 176 |
| QTC MEDICAL SERVICES INC | 5AR96 | 3,505,432,879.34 | 3.51 billion | 28 |
| OPTUMSERVE HEALTH SERVICES INC | 1RTW6 | 3,353,032,866.27 | 3.35 billion | 24 |
| VETERANS EVALUATION SERVICES, INC | 69U26 | 3,019,389,629.68 | 3.02 billion | 25 |
| OPTUMSERVE HEALTH SERVICES, INC. | 1RTW6 | 1,188,354,470.03 | 1.19 billion | 42 |
| NORIDIAN HEALTHCARE SOLUTIONS, LLC | 3EN02 | 370,528,425.46 | 370.53 million | 37 |
| QTC MEDICAL SERVICES, INC. | 302,991,009.96 | 302.99 million | 22 |
Insight
Over the last 10 years, PSC Q403 obligated $34.71 billion across 6,469 awards, with spending concentrated among a small set of vendors. QTC Medical Services, Veterans Evaluation Services, and Logistics Health each received multibillion-dollar obligations, and the top 10 vendor entries collectively account for a substantial share of total obligated dollars. The vendor list also shows repeated entries with different name variations under the same CAGE code, indicating that obligation concentration by vendor entity may be understated if normalized at the CAGE level.
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 10 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 |
| 2024 | 6,087,934,583.05 | 6.09 billion | 686 |
| 2023 | 3,533,088,154.46 | 3.53 billion | 653 |
| 2022 | 2,888,303,475.02 | 2.89 billion | 675 |
| 2021 | 2,817,236,843.67 | 2.82 billion | 782 |
| 2020 | 1,735,491,379.41 | 1.74 billion | 623 |
| 2019 | 1,404,987,747.97 | 1.40 billion | 509 |
| 2018 | 1,149,057,003.40 | 1.15 billion | 531 |
| 2017 | 1,026,199,785.17 | 1.03 billion | 642 |
| 2016 | 522,373,792.67 | 522.37 million | 684 |
Insight
Over the last 10 years, obligations for PSC Q403 (Medical- Evaluation/Screening) totaled $34.71 billion across 6,469 awards, with a high average award value of $5.37 million. Funding is heavily concentrated in the most recent two years, with FY 2025 at $13.55 billion and FY 2024 at $6.09 billion, together representing more than half of the 10-year obligated amount. Prior years were materially lower, rising gradually from $522.37 million in FY 2016 to $3.53 billion in FY 2023, indicating a pronounced recent escalation in spending.
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