Veterans Affairs accounts for most Q403 spending at $27.07 billion, while U.S. Customs and Border Protection, the Army, CMS, and the Federal Acquisition Service make up smaller portions of the category. On the vendor side, QTC Medical Services, Loyal Source Government Services, Veterans Evaluation Services, and OptumServe Health Services are the largest recipients in the available data.
PSC Code
PSC Q403 Federal Contract Obligations (Last 5 Years)
PSC Q403 covers medical evaluation and screening obligations over the last 5 years, totaling $28.88 billion across 3,480 award actions.
Totals reflect the last 5 years of FPDS-recorded obligations and award actions for PSC Q403, with annual spending peaking at $13.55 billion in 2025.
PSC Code
Q403
PSC Description
MEDICAL- EVALUATION/SCREENING
Total Obligated
28.88 billion
28,876,101,727.22
Award Actions
3,480
Average Action Value
8,297,730.38
About PSC Q403 federal contract activity
PSC Q403, Medical- Evaluation/Screening, accounts for $28.88 billion in obligations across 3,480 awards over the last 5 years, with an average award value of $8.30 million. The category is highly concentrated, indicating that a small number of large evaluation and screening service contracts drive most spending.
Agency demand and leading federal buyers
The Department of Veterans Affairs dominates the market, with $27.07 billion in obligations and 1,207 awards, representing the clear center of demand for this PSC. U.S. Customs and Border Protection is the second-largest buyer at $1.05 billion, while the Department of the Army, CMS, and the Federal Acquisition Service contribute materially smaller shares.
Vendor concentration and leading contractors
Vendor activity is led by QTC Medical Services, Inc., which appears twice in the dataset under closely related naming variants and associated obligations exceeding $9.72 billion combined. Other major providers include Loyal Source Government Services LLC, Veterans Evaluation Services, Inc., and OptumServe Health Services Inc., showing that the market is concentrated among a limited number of national medical evaluation contractors.
Annual contract trend over the analysis window
Annual obligations increased sharply over the period, rising from $2.82 billion in 2021 to $13.55 billion in 2025. Award counts remained relatively stable year to year, ranging from 653 to 782, which suggests the recent surge in obligations was driven more by larger contract values than by a significant increase in award volume.
How to interpret this page
This summary is based on FPDS obligations and award counts for PSC Q403 over the last 5 years. Agency and vendor rankings are derived from total obligated dollars in the provided dataset, and annual trend figures reflect obligations recorded by fiscal year within the same analysis window.
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 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 | 27,070,133,362.52 | 27.07 billion | 1,207 |
| 7014 | U.S. CUSTOMS AND BORDER PROTECTION | 1,054,803,911.55 | 1.05 billion | 98 |
| 2100 | DEPT OF THE ARMY | 330,835,056.41 | 330.84 million | 604 |
| 7530 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | 234,386,202.46 | 234.39 million | 27 |
| 4732 | FEDERAL ACQUISITION SERVICE | 45,521,580.34 | 45.52 million | 43 |
| 7009 | U.S. SECRET SERVICE | 21,759,523.36 | 21.76 million | 26 |
| 7022 | FEDERAL EMERGENCY MANAGEMENT AGENCY | 15,162,058.51 | 15.16 million | 94 |
| 5700 | DEPT OF THE AIR FORCE | 12,528,700.87 | 12.53 million | 194 |
| 1406 | DEPARTMENTAL OFFICES | 11,596,195.10 | 11.60 million | 55 |
| 1422 | BUREAU OF LAND MANAGEMENT | 10,230,287.40 | 10.23 million | 57 |
Insight
Obligations for PSC Q403 are highly concentrated in the Department of Veterans Affairs, which accounts for 27.07 billion of the 28.88 billion obligated over the last 5 years, or about 94% of total spend. U.S. Customs and Border Protection is a distant second at 1.05 billion, while all other agencies each obligated less than 331 million. Award volume is also concentrated but less extreme than dollars, with VA recording 1,207 of 3,480 awards and the Department of the Army showing a relatively high 604 awards against only 330.84 million obligated, indicating smaller average award values outside 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 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 |
|---|---|---|---|---|
| QTC MEDICAL SERVICES, INC. | 5AR96 | 6,213,782,449.32 | 6.21 billion | 219 |
| LOYAL SOURCE GOVERNMENT SERVICES LLC | 5JN54 | 3,872,655,983.26 | 3.87 billion | 143 |
| VETERANS EVALUATION SERVICES, INC. | 69U26 | 3,755,944,517.84 | 3.76 billion | 179 |
| 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 |
| LOGISTICS HEALTH, INC. | 1RTW6 | 3,123,240,650.87 | 3.12 billion | 111 |
| 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 | 234,280,487.46 | 234.28 million | 24 |
| CHENEGA TRI-SERVICES, LLC | 7NE23 | 155,389,232.79 | 155.39 million | 47 |
Insight
Over the last 5 years, PSC Q403 obligations totaled $28.88 billion across 3,480 awards, with a high average award value of $8.30 million, indicating a concentrated but award-intensive services market. The vendor profile is dominated by a small set of providers: QTC Medical Services, Loyal Source Government Services, Veterans Evaluation Services, OptumServe Health Services, and Logistics Health each received multibillion-dollar obligations, with several vendor name variants appearing under the same CAGE codes and further concentrating spend among a few incumbents. The top 10 vendors account for a substantial share of total obligations, while the remaining obligations are distributed across a long tail of much smaller vendors, including sub-$250 million totals at the bottom of the list.
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 5 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 |
Insight
PSC Q403 obligated amount is highly concentrated in FY 2025, which accounts for 13.55 billion of the 28.88 billion total over the last 5 years, or nearly half of all obligations. Prior years show a lower but still material obligation base, rising from 2.82 billion in FY 2021 to 2.89 billion in FY 2022, 3.53 billion in FY 2023, and 6.09 billion in FY 2024 before the sharp increase in FY 2025. Award counts are relatively stable in FYs 2022-2025, ranging from 653 to 686, with FY 2021 higher at 782, indicating the recent obligation growth is driven more by larger award values than by a sustained increase in award volume.
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