01 / NAICS Market Profile
NAICS 621492 Kidney Dialysis Centers Federal Contracts
North American Industry Classification System code 621492
Federal contract activity classified under Kidney Dialysis Centers across FY 2019–FY 2025. Net obligations include both new obligations and subsequent deobligations.
02 / Market Size
How large is the NAICS 621492 federal market?
03 / Spending Trend
NAICS 621492 contract spending by fiscal year
Annual obligations, activity, and participation across the same FY 2019–FY 2025 profile window.
Latest closed fiscal year$1.34B
FY 2025| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2019 | $665.32M | 191 | 49 | 5 | — |
| FY 2020 | $726.96M | 151 | 43 | 6 | +9.3% |
| FY 2021 | $639.14M | 155 | 29 | 3 | −12.1% |
| FY 2022 | $654.74M | 131 | 30 | 3 | +2.4% |
| FY 2023 | $692.34M | 93 | 27 | 4 | +5.7% |
| FY 2024 | $6.61M | 90 | 22 | 4 | −99.0% |
| FY 2025 | $1.34B | 158 | 26 | 4 | +20,248.7% |
04 / Top Federal Customers
Which federal agencies buy most in this industry?
Ranked by net obligations during FY 2019–FY 2025.
| Federal customer | Code | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|
| VETERANS AFFAIRS, DEPARTMENT OF | 3600 | $4.70B | 560 | 54 | 99.4% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $24.28M | 351 | 9 | 0.5% |
| OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | 7505 | $4.36M | 12 | 2 | 0.1% |
| DEPT OF THE AIR FORCE | 5700 | $2.05M | 38 | 4 | 0.0% |
| INDIAN HEALTH SERVICE | 7527 | $2.1K | 4 | 2 | 0.0% |
| CENTERS FOR MEDICARE AND MEDICAID SERVICES | 7530 | $0 | 1 | 1 | 0.0% |
| DEPT OF THE ARMY | 2100 | -$99.4K | 3 | 2 | 0.0% |
05 / Contracting Offices
Which contracting offices buy in NAICS 621492?
Ranked by net obligations during FY 2019–FY 2025.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G) | 36C10G | VETERANS AFFAIRS, DEPARTMENT OF | $4.18B | 128 | 16 | 88.4% |
| COMMODITIES & SERVICES ACQUISITION SERVICE (36C791) | 36C791 | VETERANS AFFAIRS, DEPARTMENT OF | $483.84M | 80 | 24 | 10.2% |
| FMC DEVENS | 15B205 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $18.27M | 124 | 1 | 0.4% |
| 261-NETWORK CONTRACT OFFICE 21 (36C261) | 36C261 | VETERANS AFFAIRS, DEPARTMENT OF | $8.66M | 63 | 6 | 0.2% |
| NETWORK CONTRACT OFFICE 19 (36C259) | 36C259 | VETERANS AFFAIRS, DEPARTMENT OF | $5.33M | 22 | 2 | 0.1% |
| BARDA - ASPR / DAAPPO / BARDA DCMA | 75A501 | OFFICE OF ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE | $4.36M | 12 | 2 | 0.1% |
| FMC BUTNER | 15B106 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $3.73M | 68 | 1 | 0.1% |
| 256-NETWORK CONTRACT OFFICE 16 (36C256) | 36C256 | VETERANS AFFAIRS, DEPARTMENT OF | $3.20M | 68 | 5 | 0.1% |
| 255-NETWORK CONTRACT OFFICE 15 (36C255) | 36C255 | VETERANS AFFAIRS, DEPARTMENT OF | $3.16M | 37 | 2 | 0.1% |
| 249-NETWORK CONTRACT OFFICE 9 (36C249) | 36C249 | VETERANS AFFAIRS, DEPARTMENT OF | $2.26M | 15 | 1 | 0.0% |
06 / Top Vendors
Which contractors lead the NAICS 621492 market?
| Vendor | Obligations | Actions | Customers | Market share | Latest activity |
|---|---|---|---|---|---|
| FRESENIUS MEDICAL CARE HOLDINGS INC | $2.13B | 19 | 1 | 45.0% | Sep 17, 2025 |
| DAVITA INC. | $1.97B | 108 | 2 | 41.6% | Sep 17, 2025 |
| DIALYSIS CLINIC, INC. | $193.74M | 46 | 2 | 4.1% | Sep 17, 2025 |
| AMERICAN RENAL ASSOCIATES LLC | $160.83M | 18 | 1 | 3.4% | Sep 17, 2025 |
| U.S. RENAL CARE, INC. | $131.27M | 17 | 1 | 2.8% | Sep 17, 2025 |
| DIALYSIS NEWCO, INC. | $46.94M | 19 | 2 | 1.0% | Sep 17, 2025 |
| CHARDONNAY DIALYSIS, LLC | $21.99M | 192 | 1 | 0.5% | Sep 15, 2025 |
| SATELLITE HEALTHCARE, INC. | $12.41M | 5 | 1 | 0.3% | Sep 30, 2020 |
| RSA - GUAM, LLC | $11.89M | 17 | 1 | 0.3% | Sep 17, 2025 |
| ATLANTIS HEALTHCARE GROUP (PUERTO RICO), INC. | $7.88M | 17 | 1 | 0.2% | Sep 17, 2025 |
07 / Product and Service Mix
What products and services are purchased under NAICS 621492?
| PSC | Description | Obligations | Actions | Vendors | Share |
|---|---|---|---|---|---|
| Q999 | MEDICAL- OTHER | $4.68B | 420 | 45 | 99.0% |
| Q201 | MEDICAL- GENERAL HEALTH CARE | $25.29M | 292 | 12 | 0.5% |
| Q401 | MEDICAL- NURSING | $5.04M | 61 | 7 | 0.1% |
| X1DZ | LEASE/RENTAL OF OTHER HOSPITAL BUILDINGS | $4.36M | 11 | 1 | 0.1% |
| Q509 | MEDICAL- INTERNAL MEDICINE | $4.20M | 85 | 8 | 0.1% |
| Q508 | MEDICAL- HEMATOLOGY | $4.08M | 59 | 8 | 0.1% |
| Q702 | TECHNICAL MEDICAL SUPPORT | $1.65M | 25 | 2 | 0.0% |
| Q101 | MEDICAL- DEPENDENT MEDICARE | $729.4K | 3 | 1 | 0.0% |
| J065 | MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES | $272.0K | 5 | 2 | 0.0% |
| 6630 | CHEMICAL ANALYSIS INSTRUMENTS | $11.8K | 2 | 1 | 0.0% |
08 / Buying Pattern
How does the government buy in NAICS 621492?
| Common action type | Obligations | Actions |
|---|---|---|
| DELIVERY ORDER | $4.23B | 581 |
| PURCHASE ORDER | $490.45M | 305 |
| DEFINITIVE CONTRACT | $10.96M | 77 |
| BPA CALL | $1.18M | 6 |
09 / Recent Contract Awards
What was awarded most recently in NAICS 621492?
10 / Market Interpretation
How should contractors evaluate this market?
Start with the spending direction
Compare annual obligations with actions and vendor participation. Growth driven by only a few large actions represents a different opportunity from broad, recurring demand.
Follow the actual buyers
Move from federal customers to contracting offices. Offices reveal where acquisition responsibility and recurring purchasing activity are concentrated.
Measure accessible demand
Use competition, small-business participation, incumbent vendors, and PSC mix before treating the full $4.73B market as addressable.