Top HHS offices of all other miscellaneous health practitioners contractors (NAICS 621399)
- Latest 12 months
- $42.8M
- Net obligations · Up $5.7M vs. $37.1M preceding
- Prime contractors
- 44
- With positive obligations in the latest 12 months
Research the HHS federal contracting market for offices of all other miscellaneous health practitioners under NAICS 621399. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, and contract types, competition, and procurement methods.
Contract obligation trends for Offices of All Other Miscellaneous Health Practitioners at the Department of Health and Human Services
Federal records show $274.5M in net obligations across 738 awards in Offices of All Other Miscellaneous Health Practitioners at the Department of Health and Human Services from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.18% of $150.2B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 15.3% from $37.1M to $42.8M. 13 prime contractors accounted for at least 80% of positive obligations in that latest period.
Fiscal-year activity
FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.
View fiscal-year data table
| Fiscal year | Net obligations | Contract actions | Coverage |
|---|---|---|---|
| FY2022 | $75.4M | 418 | Complete |
| FY2023 | $47.4M | 394 | Complete |
| FY2024 | $63.5M | 404 | Complete |
| FY2025 | $36.0M | 413 | Complete |
| FY2026 | $50.6M | 370 | Complete |
Market at a glance
All reported prime contract awards- All-period net obligations
- $274.5M
- 738 awards · 112 prime contractors
- Latest 12-month movement
- +15.3%
- $42.8M vs. $37.1M
- Leading eight prime share
- 66.1%
- Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
- Agency context
- 0.18% of $150.2B in agency-wide net obligations.
- Set-aside share when reported
- 48.5% of 332 awards with reported set-aside status.
- Set-aside reporting
- 161 set aside · 171 no set-aside · 406 not reported
What changed in the last 12 months?
Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.
Competitive shifts
BAY AREA ANESTHESIA LLC climbed the most in the contractor rankings
AMERICAN INDIAN HEALTH SERVICE OF CHICAGO lost the most market share
Buyer demand
Reported obligations through PHOENIX AREA INDIAN HEALTH SVC increased
Reported obligations through BEMIDJI AREA INDIAN HEALTH SERVICE decreased
Market structure
Top-five contractor share increased
View 1 additional material change
Competitive shifts
ROBISON MEDICAL RESOURCE GROUP LLC recorded the largest net deobligation
How these findings are calculated
Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.
Federal contract obligations by funding office
See how positive obligations were attributed across funding offices in the 12 months ending Oct 23, 2026.
30.8% of positive obligations were attributed to PHOENIX AREA INDIAN HEALTH SVC. That represents $16.4M, up $10.0M from the preceding 12 months.
Latest 12-month share of positive obligations; the gray segment represents all other reported offices.
- PHOENIX AREA INDIAN HEALTH SVC30.8% · $16.4M · up $10.0M
- ALBUQUERQUE AREA INDIAN HEALTH SVC28.0% · $15.0M · up $6.3M
- GREAT PLAINS AREA INDIAN HEALTH SVC26.0% · $13.9M · up $4.1M
- NAVAJO AREA INDIAN HEALTH SVC8.4% · $4.5M · up $568K
- BEMIDJI AREA INDIAN HEALTH SERVICE3.5% · $1.9M · down $8.6M
- All other reported offices3.2% of positive obligations
View reported office rankings, comparisons, and evidence
USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.
Reported funding office
PHOENIX AREA INDIAN HEALTH SVC
#1Up 3 from #4Latest 12 months
$16.4M
30.8% of positive obligations
Versus preceding 12 months
+$10.0M
5 active prime contractors · 19 awards
View office comparison and evidence
Reported obligations increased 155.1% from $6.4M to $16.4M. The office’s share of positive obligations moved from 15.0% to 30.8%, a change of +15.8 percentage points.
The latest period contains 31 actions across 19 awards. The preceding period contained 6 active prime contractors and 20 awards.
Leading award-level changes
- FOUR WINDS STAFFING LLC · PIID 75H71222C00026−$4.1M: $2.7M → −$1.4M
- MAAT ENTERPRISES INC · PIID 75H71223C00007+$2.5M: −$741K → $1.7M
Reported funding office
ALBUQUERQUE AREA INDIAN HEALTH SVC
#2Up 1 from #3Latest 12 months
$15.0M
28.0% of positive obligations
Versus preceding 12 months
+$6.3M
17 active prime contractors · 39 awards
View office comparison and evidence
Reported obligations increased 72.1% from $8.7M to $15.0M. The office’s share of positive obligations moved from 20.2% to 28.0%, a change of +7.8 percentage points.
The latest period contains 88 actions across 39 awards and 3 newly active prime contractors. The preceding period contained 18 active prime contractors and 43 awards.
Reported funding office
GREAT PLAINS AREA INDIAN HEALTH SVC
#3Down 1 from #2Latest 12 months
$13.9M
26.0% of positive obligations
Versus preceding 12 months
+$4.1M
14 active prime contractors · 48 awards
View office comparison and evidence
Reported obligations increased 42.0% from $9.8M to $13.9M. The office’s share of positive obligations moved from 22.8% to 26.0%, a change of +3.3 percentage points.
The latest period contains 76 actions across 48 awards and 4 newly active prime contractors. The preceding period contained 12 active prime contractors and 64 awards.
Reported funding office
NAVAJO AREA INDIAN HEALTH SVC
#4Up 1 from #5Latest 12 months
$4.5M
8.4% of positive obligations
Versus preceding 12 months
+$568K
8 active prime contractors · 14 awards
View office comparison and evidence
Reported obligations increased 14.4% from $3.9M to $4.5M. The office’s share of positive obligations moved from 9.2% to 8.4%, a change of −0.7 percentage points.
The latest period contains 38 actions across 14 awards and 1 newly active prime contractor. The preceding period contained 7 active prime contractors and 12 awards.
Reported funding office
BEMIDJI AREA INDIAN HEALTH SERVICE
#5Down 4 from #1Latest 12 months
$1.9M
3.5% of positive obligations
Versus preceding 12 months
−$8.6M
5 active prime contractors · 16 awards
View office comparison and evidence
Reported obligations decreased 81.9% from $10.5M to $1.9M. The office’s share of positive obligations moved from 24.4% to 3.5%, a change of −20.8 percentage points.
The latest period contains 17 actions across 16 awards. The preceding period contained 6 active prime contractors and 14 awards.
Leading award-level changes
- INDIAN HEALTH BOARD OF MINNEAPOLIS, INC. · PIID 75H70526F06010−$3.1M: $3.1M → $0
- GERALD L IGNACE INDIAN HEALTH CENTER INC · PIID 75H70526F06008−$2.2M: $2.2M → $0
Reported funding office
CDC OFFICE OF ACQUISITION SERVICES
#6Rank unchangedLatest 12 months
$1.4M
2.6% of positive obligations
Versus preceding 12 months
−$489K
4 active prime contractors · 7 awards
View office comparison and evidence
Reported obligations decreased 26.3% from $1.9M to $1.4M. The office’s share of positive obligations moved from 4.3% to 2.6%, a change of −1.8 percentage points.
The latest period contains 11 actions across 7 awards and 2 newly active prime contractors. The preceding period contained 4 active prime contractors and 5 awards.
Reported funding office
INDIAN HEALTH SERVICE (75H711)
#7Rank unchangedLatest 12 months
$362K
0.68% of positive obligations
Versus preceding 12 months
−$1.2M
13 active prime contractors · 30 awards
View office comparison and evidence
Reported obligations decreased 77.5% from $1.6M to $362K. The office’s share of positive obligations moved from 3.7% to 0.68%, a change of −3.1 percentage points.
The latest period contains 32 actions across 30 awards and 4 newly active prime contractors. The preceding period contained 16 active prime contractors and 25 awards.
Reported funding office
NASHVILLE AREA INDIAN HEALTH SVC
No positive-obligation rankLatest 12 months
−$102K
0% of positive obligations
Versus preceding 12 months
−$284K
4 active prime contractors · 4 awards
View office comparison and evidence
Reported obligations moved from $182K in net obligations to $102K in net deobligations. The office’s share of positive obligations moved from 0.42% to 0%, a change of −0.4 percentage points.
The latest period contains 11 actions across 4 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 5 awards.
Reported funding office
INDIAN HEALTH SERVICE (75H713)
No positive-obligation rankLatest 12 months
−$2.4M
0% of positive obligations
Versus preceding 12 months
+$512K
9 active prime contractors · 41 awards
View office comparison and evidence
Reported obligations narrowed from $2.9M to $2.4M in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.
The latest period contains 42 actions across 41 awards and 3 newly active prime contractors. The preceding period contained 7 active prime contractors and 56 awards.
Reported funding office
BILLINGS AREA INDIAN HEALTH SVC
No positive-obligation rankLatest 12 months
−$8.1M
0% of positive obligations
Versus preceding 12 months
−$5.1M
6 active prime contractors · 15 awards
View office comparison and evidence
Reported obligations widened from $3.0M to $8.1M in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.
The latest period contains 15 actions across 15 awards and 2 newly active prime contractors. The preceding period contained 4 active prime contractors and 11 awards.
Contract types, competition, and procurement methods
From Oct 24, 2025 through Oct 23, 2026, 136 awards had positive obligations totaling $58.5M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 28.9% of positive obligations. Awards with a reported parent IDV accounted for 23.3%.
- Leading award type
- 42.1%
- Purchase Order
- Leading reported procedure
- 28.9%
- Negotiated Proposal/Quote
- Reported parent IDV
- 23.3%
- of positive obligations had a reported parent IDV
- Median reported offers
- 4
- 92 of 136 awards reported offers
Buying method changes
Compared with Oct 24, 2024–Oct 23, 2025. Based on 136 current awards and 149 preceding awards with positive net obligations.
- Parent-IDV obligation share
- 23.3%
- Down from 40.3% in the preceding period
- Median positive award obligations
- $253K
- Up from $145K in the preceding period
How to read these changes
Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.
Same-NAICS comparison
Compared with the NAICS 621399 peer median, parent-IDV obligation share is 39.5 percentage points lower, reported full-and-open obligation share is 5.2 percentage points higher, delivery-order obligation share is 40.9 percentage points lower, and median positive award obligations are 0.7% higher.
| Measure | This market | Peer median | Difference |
|---|---|---|---|
| Parent-IDV obligation share | 23.3% | 62.8% | -39.5 pts |
| Reported full-and-open obligation share | 5.8% | 0.70% | +5.2 pts |
| Delivery-order obligation share | 21.9% | 62.8% | -40.9 pts |
| Median positive award obligations | $253K | $251K | +0.7% |
Peer cohort and comparison limits
The peer median gives each of the 2 eligible agency markets equal weight. The included agency markets are:
Agency mission, scale, and acquisition context can differ. Peer position does not establish market attractiveness or predict a future procurement method.
View buying-method details and data coverage
Award types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Purchase Order(B) | 60 | $24.6M | 42.1% |
| Definitive Contract(D) | 20 | $20.3M | 34.6% |
| Delivery Order(C) | 44 | $12.8M | 21.9% |
| BPA Call(A) | 12 | $803K | 1.4% |
Reported parent-award types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| IDC(B) | 44 | $12.8M | 21.9% |
| BPA(E) | 12 | $803K | 1.4% |
| Not reported | 80 | $44.9M | 76.7% |
Single- or multiple-award parent structure
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Single Award(S) | 55 | $13.6M | 23.1% |
| Multiple Award(M) | 1 | $73K | 0.12% |
| Not reported | 80 | $44.9M | 76.7% |
Solicitation procedures
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Negotiated Proposal/Quote(NP) | 22 | $16.9M | 28.9% |
| Simplified Acquisition(SP1) | 43 | $14.7M | 25.1% |
| Sp1(SIMPLIFIED ACQUISITION) | 36 | $12.1M | 20.7% |
| Np(NEGOTIATED PROPOSAL/QUOTE) | 12 | $7.5M | 12.7% |
| Sss(ONLY ONE SOURCE) | 14 | $4.9M | 8.4% |
| Only One Source(SSS) | 9 | $2.5M | 4.2% |
Extent competed
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Competed Under SAP(F) | 43 | $14.7M | 25.1% |
| Full and Open Competition After Exclusion of Sources(D) | 16 | $13.5M | 23.1% |
| F(COMPETED UNDER SAP) | 34 | $11.4M | 19.5% |
| D(FULL AND OPEN COMPETITION AFTER EXCLUSION OF SOURCES) | 11 | $6.9M | 11.7% |
| Full and Open Competition(A) | 6 | $3.4M | 5.8% |
| B(NOT AVAILABLE FOR COMPETITION) | 11 | $3.1M | 5.3% |
| Other reported values | 15 | $5.5M | 9.5% |
Fair-opportunity and limited-source reporting
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Not reported | 136 | $58.5M | 100.0% |
Other-than-full-and-open reasons
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH) | 16 | $3.5M | 6.1% |
| Urgency (FAR 6.302-2)(URG) | 6 | $3.4M | 5.9% |
| SAP Non-Competition (FAR 13)(SP2) | 2 | $669K | 1.1% |
| Only One Source-Other (FAR 6.302-1 Other)(ONE) | 1 | $388K | 0.66% |
| Not reported | 111 | $50.5M | 86.3% |
Contract pricing types
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Firm Fixed Price(J) | 73 | $33.9M | 57.9% |
| J(FIRM FIXED PRICE) | 61 | $23.6M | 40.4% |
| K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT) | 1 | $834K | 1.4% |
| Fixed Price with Economic Price Adjustment(K) | 1 | $206K | 0.35% |
Product or Service Codes
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Medical- Nursing(Q401) | 44 | $26.9M | 46.0% |
| Pharmacy Services(Q517) | 14 | $9.1M | 15.6% |
| Medical- Managed Healthcare(Q201) | 33 | $8.4M | 14.4% |
| Medical- Other(Q999) | 23 | $5.6M | 9.6% |
| Medical and Surgical Instruments, Equipment, and Supplies(6515) | 3 | $2.5M | 4.3% |
| Medical- Anesthesiology(Q501) | 6 | $2.4M | 4.1% |
| Other reported values | 13 | $3.6M | 6.1% |
Awarding subagencies
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Indian Health Service(7527) | 133 | $56.1M | 95.8% |
| Centers for Disease Control and Prevention(7523) | 2 | $2.0M | 3.5% |
| Office of the Assistant Secretary for Financial Resources(7571) | 1 | $400K | 0.68% |
Awarding offices
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| Phoenix Area Indian Health Svc(75H712) | 17 | $17.9M | 30.6% |
| Albuquerque Area Indian Health Svc(75H707) | 33 | $15.7M | 26.9% |
| Great Plains Area Indian Health Svc(75H706) | 36 | $14.4M | 24.6% |
| Navajo Area Indian Health Svc(75H710) | 11 | $4.6M | 7.9% |
| Cdc Office of Acquisition Services(75D301) | 2 | $2.0M | 3.5% |
| Bemidji Area Indian Health Service(75H705) | 15 | $1.9M | 3.2% |
| Other reported values | 22 | $2.0M | 3.4% |
Reported parent IDVs
| Reported value | Awards | Positive obligations | Share |
|---|---|---|---|
| 75H70623D00022(7527) | 6 | $2.4M | 4.1% |
| 75H70621D00024(7527) | 5 | $2.1M | 3.6% |
| 75H70623D00012(7527) | 5 | $1.6M | 2.8% |
| 75H70623D00029(7527) | 2 | $1.6M | 2.7% |
| 75H70624D00013(7527) | 2 | $1.2M | 2.0% |
| 75H70524D00002(7527) | 4 | $952K | 1.6% |
| 75H70624D00003(7527) | 4 | $830K | 1.4% |
| 75H70624D00012(7527) | 2 | $663K | 1.1% |
| Other reported values | 26 | $2.3M | 3.9% |
| Not reported | 80 | $44.9M | 76.7% |
Offers, award size, and timing
- Median reported offers
- 4 median
- 92 reported · 44 not reported
- Positive award obligations
- $253K median
- $107K–$504K middle 50%
- Reported performance period
- 364 days (~12 months) median
- 136 reported · 0 not reported
Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Oct 23, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.
Top federal contractors
Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.
- Prime contractor concentration
- 13 of 44prime contractors account for at least 80% of positive obligations in the last 12 months
- Largest prime contractor
- 16.3%of positive obligations in the last 12 months
- Leading four prime contractors
- 43.2%of positive obligations in the last 12 months
- Leading eight prime contractors
- 66.1%of positive obligations in the last 12 months
Based on $51.6M in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 2025.
Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.
- #1
Last 12mo obligations
$8.4M
16.3%
Dollar movement
+$6.7M
vs. prior 12 months
Last 12mo awards
7 awards
13 actions
Historical and award details for MAAT ENTERPRISES INC
- Obligations: prior → latest
- $1.7M → $8.4M
- +395.5%
- Share: prior → latest
- 4.0% → 16.3%
- +12.3 percentage points
- All-period obligations
- $27.7M
- 10.0% of all-period positive obligations · 11 awards
- Recorded activity
- Since Sep 28, 2022
- through Sep 17, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 4 4 Reported no set-aside 0 0 Not reported 3 4 Reported small business 7 8 All-period set-aside types
- 2 · BUY INDIAN
- 1 · Indian small business
- 1 · Total small business
- #2
Last 12mo obligations
$5.7M
11.0%
Dollar movement
+$868K
vs. prior 12 months
Last 12mo awards
11 awards
19 actions
Historical and award details for FOUR WINDS STAFFING LLC
- Obligations: prior → latest
- $4.8M → $5.7M
- +18.1%
- Share: prior → latest
- 11.1% → 11.0%
- −0.2 percentage points
- All-period obligations
- $31.1M
- 11.2% of all-period positive obligations · 18 awards
- Recorded activity
- Since Aug 24, 2022
- through Aug 24, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 10 9 Reported no set-aside 1 2 Not reported 0 0 Reported small business 11 10 All-period set-aside types
- 9 · BUY INDIAN
- 5 · Indian small business
- 1 · Total small business
- #3
Last 12mo obligations
$4.1M
8.0%
Dollar movement
+$2.9M
vs. prior 12 months
Last 12mo awards
14 awards
21 actions
Historical and award details for BAY AREA ANESTHESIA LLC
- Obligations: prior → latest
- $1.2M → $4.1M
- +243.3%
- Share: prior → latest
- 2.8% → 8.0%
- +5.2 percentage points
- All-period obligations
- $9.8M
- 3.5% of all-period positive obligations · 21 awards
- Recorded activity
- Since Oct 6, 2023
- through Sep 21, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 5 7 Reported no set-aside 3 1 Not reported 6 6 Reported small business 14 14 All-period set-aside types
- 6 · Indian small business
- 1 · SDVOSB set-aside
- #4
Last 12mo obligations
$4.1M
7.9%
Dollar movement
+$1.8M
vs. prior 12 months
Last 12mo awards
11 awards
21 actions
Historical and award details for AKICITA CYBER LLC
- Obligations: prior → latest
- $2.3M → $4.1M
- +79.8%
- Share: prior → latest
- 5.3% → 7.9%
- +2.6 percentage points
- All-period obligations
- $11.3M
- 4.1% of all-period positive obligations · 13 awards
- Recorded activity
- Since Jul 27, 2023
- through Oct 20, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 10 9 Reported no set-aside 1 2 Not reported 0 0 Reported small business 11 11 All-period set-aside types
- 5 · Indian small business
- 3 · Total small business
- 2 · BUY INDIAN
- +1 more types
- #5
Last 12mo obligations
$3.9M
7.5%
Dollar movement
+$764K
vs. prior 12 months
Last 12mo awards
7 awards
19 actions
Historical and award details for DT-TRAK CONSULTING, INC.
- Obligations: prior → latest
- $3.1M → $3.9M
- +24.5%
- Share: prior → latest
- 7.3% → 7.5%
- +0.3 percentage points
- All-period obligations
- $13.5M
- 4.9% of all-period positive obligations · 17 awards
- Recorded activity
- Since Oct 20, 2021
- through Oct 7, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 7 7 Reported no set-aside 0 2 Not reported 0 0 Reported small business 7 9 All-period set-aside types
- 5 · BUY INDIAN
- 4 · Indian small business
- 2 · INDIAN ECONOMIC ENTERPRISE
- +1 more types
- #6
Last 12mo obligations
$3.0M
5.7%
Dollar movement
+$1.7M
vs. prior 12 months
Last 12mo awards
11 awards
22 actions
Historical and award details for SHARESTAFF LLC
- Obligations: prior → latest
- $1.2M → $3.0M
- +139.0%
- Share: prior → latest
- 2.9% → 5.7%
- +2.9 percentage points
- All-period obligations
- $10.9M
- 3.9% of all-period positive obligations · 47 awards
- Recorded activity
- Since Feb 8, 2023
- through Sep 17, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 2 2 Reported no set-aside 2 0 Not reported 7 18 Reported small business 9 20 All-period set-aside types
- 3 · Indian small business
- 2 · BUY INDIAN
- 1 · Total small business
- #7
Last 12mo obligations
$2.7M
5.2%
Dollar movement
+$948K
vs. prior 12 months
Last 12mo awards
12 awards
15 actions
Historical and award details for PRIME PHYSICIANS PLLC
- Obligations: prior → latest
- $1.7M → $2.7M
- +54.7%
- Share: prior → latest
- 4.0% → 5.2%
- +1.2 percentage points
- All-period obligations
- $7.6M
- 2.8% of all-period positive obligations · 39 awards
- Recorded activity
- Since Jun 27, 2022
- through Sep 1, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 2 0 Reported no set-aside 0 0 Not reported 10 10 Reported small business 12 10 All-period set-aside types
- 4 · Total small business
- #8
Last 12mo obligations
$2.3M
4.5%
Dollar movement
−$1.5M
vs. prior 12 months
Last 12mo awards
8 awards
24 actions
Historical and award details for WARE RIVER CONSULTING LLC
- Obligations: prior → latest
- $3.8M → $2.3M
- −39.8%
- Share: prior → latest
- 8.9% → 4.5%
- −4.5 percentage points
- All-period obligations
- $13.7M
- 4.9% of all-period positive obligations · 8 awards
- Recorded activity
- Since May 4, 2023
- through Sep 11, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 7 7 Reported no set-aside 1 1 Not reported 0 0 Reported small business 8 8 All-period set-aside types
- 3 · Total small business
- 2 · BUY INDIAN
- 2 · Indian small business
- #9
Last 12mo obligations
$2.2M
4.3%
Dollar movement
−$98K
vs. prior 12 months
Last 12mo awards
8 awards
17 actions
Historical and award details for SOPOR, LLC
- Obligations: prior → latest
- $2.3M → $2.2M
- −4.2%
- Share: prior → latest
- 5.4% → 4.3%
- −1.1 percentage points
- All-period obligations
- $8.6M
- 3.1% of all-period positive obligations · 46 awards
- Recorded activity
- Since Jan 19, 2022
- through Oct 17, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 8 14 Reported small business 8 14 All-period set-aside types
None reported.
- #10
Last 12mo obligations
$1.8M
3.5%
Dollar movement
+$605K
vs. prior 12 months
Last 12mo awards
1 award
3 actions
Historical and award details for JVRX LLC
- Obligations: prior → latest
- $1.2M → $1.8M
- +50.0%
- Share: prior → latest
- 2.8% → 3.5%
- +0.7 percentage points
- All-period obligations
- $10.2M
- 3.7% of all-period positive obligations · 1 award
- Recorded activity
- Since May 25, 2022
- through Jun 23, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 1 1 Not reported 0 0 Reported small business 1 1 All-period set-aside types
None reported.
- #11
Last 12mo obligations
$1.7M
3.2%
Dollar movement
+$92K
vs. prior 12 months
Last 12mo awards
1 award
2 actions
Historical and award details for CHEROKEE NATION INTEGRATED HEALTH, L.L.C.
- Obligations: prior → latest
- $1.6M → $1.7M
- +5.9%
- Share: prior → latest
- 3.6% → 3.2%
- −0.4 percentage points
- All-period obligations
- $4.7M
- 1.7% of all-period positive obligations · 1 award
- Recorded activity
- Since Sep 9, 2024
- through Aug 31, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 1 1 Reported no set-aside 0 0 Not reported 0 0 Reported small business 1 1 All-period set-aside types
- 1 · 8(a) sole source
- #12
Last 12mo obligations
$1.3M
2.5%
Dollar movement
+$960K
vs. prior 12 months
Last 12mo awards
5 awards
8 actions
Historical and award details for CHLOETA HOLDINGS LLC
- Obligations: prior → latest
- $328K → $1.3M
- +293.2%
- Share: prior → latest
- 0.76% → 2.5%
- +1.7 percentage points
- All-period obligations
- $7.0M
- 2.5% of all-period positive obligations · 12 awards
- Recorded activity
- Since Oct 21, 2021
- through Sep 9, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 4 4 Reported no set-aside 1 0 Not reported 0 0 Reported small business 4 4 All-period set-aside types
- 6 · Total small business
- 4 · BUY INDIAN
- #13
Last 12mo obligations
$1.2M
2.3%
Dollar movement
+$307K
vs. prior 12 months
Last 12mo awards
2 awards
2 actions
Historical and award details for STERLING MEDICAL ASSOCIATES, INC
- Obligations: prior → latest
- $856K → $1.2M
- +35.8%
- Share: prior → latest
- 2.0% → 2.3%
- +0.3 percentage points
- All-period obligations
- $2.5M
- 0.90% of all-period positive obligations · 5 awards
- Recorded activity
- Since Aug 22, 2024
- through Aug 7, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 2 3 Reported small business 0 0 All-period set-aside types
None reported.
- #14
Last 12mo obligations
$952K
1.9%
Dollar movement
−$2.2M
vs. prior 12 months
Last 12mo awards
4 awards
4 actions
Historical and award details for INDIAN HEALTH BOARD OF MINNEAPOLIS, INC.
- Obligations: prior → latest
- $3.2M → $952K
- −70.1%
- Share: prior → latest
- 7.4% → 1.9%
- −5.6 percentage points
- All-period obligations
- $10.2M
- 3.7% of all-period positive obligations · 12 awards
- Recorded activity
- Since Oct 12, 2023
- through Oct 15, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 0 0 Reported no set-aside 0 0 Not reported 4 5 Reported small business 0 0 All-period set-aside types
None reported.
- #15
Last 12mo obligations
$924K
1.8%
Dollar movement
+$115K
vs. prior 12 months
Last 12mo awards
2 awards
6 actions
Historical and award details for LUMBEE RESOURCE MANAGEMENT GROUP LLC
- Obligations: prior → latest
- $809K → $924K
- +14.2%
- Share: prior → latest
- 1.9% → 1.8%
- −0.1 percentage points
- All-period obligations
- $4.0M
- 1.5% of all-period positive obligations · 4 awards
- Recorded activity
- Since Jul 17, 2023
- through Aug 7, 2026
Award reporting
Latest and prior 12-month award reporting Reported award evidence Latest Prior Reported set-aside 2 3 Reported no set-aside 0 0 Not reported 0 0 Reported small business 2 3 All-period set-aside types
- 2 · 8(a) sole source
- 1 · Indian small business
- 1 · Total small business
Recent federal contract award activity
Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.
This action
+$4.0M
MAAT ENTERPRISES INC
PHOENIX AREA INDIAN HEALTH SVC
EXERCISE OY (1) & AMEND CLAUSES FOR NON-PERSONAL PROFESSIONAL PHARMACY SERVICES - AREA WIDE
Why it stands out
The contractor climbed 10 positions in this market.
It now ranks #1 by positive obligations over the latest 12 months.
- Award net obligations
- $6.7M
- Share of 12-month positive obligations
- 7.8%
Supporting data
- Prime contractor
- #1 · 16.3% share
- up 10 ranks · +12.3 percentage points · $6.7M net increase; action accounted for 59.8%
- Funding office
- #1 · 30.8% attributed share
- up 3 ranks · +15.8 percentage points · $10.0M net increase; action accounted for 40.2%
This action
+$3.9M
MAAT ENTERPRISES INC
PHOENIX AREA INDIAN HEALTH SVC
EXERCISE OY (3) FOR CST, LPN AND CMA SERVICES
Why it stands out
The contractor climbed 10 positions in this market.
It now ranks #1 by positive obligations over the latest 12 months.
- Award net obligations
- $6.8M
- Share of 12-month positive obligations
- 7.5%
This action
+$1.2M
JVRX LLC
NAVAJO AREA INDIAN HEALTH SVC
CONTRACTOR SHALL PROVIDE THE NURSE TRIAGE/NURSE ADVICE LINE SERVICES TO THE GALLUP INDIAN MEDICAL CENTER.
Why it stands out
The contractor climbed 5 positions in this market.
It now ranks #10 by positive obligations over the latest 12 months.
- Award net obligations
- $10.2M
- Share of 12-month positive obligations
- 2.4%
Supporting data
- Funding office
- #4 · 8.4% attributed share
- up 1 rank · −0.7 percentage points · $568K net increase; action exceeded it by $642K
This action
+$2.6M
DT-TRAK CONSULTING, INC.
ALBUQUERQUE AREA INDIAN HEALTH SVC
MOD P00013 - EXERCISE NEXT OPTION PERIOD TO PROVIDE REGISTERED NURSES FOR SERVICES AT THE SANTA FE SERVICE UNIT.
Why it stands out
The award grew alongside stronger office-attributed spending.
The modification added $2.6M while office-attributed obligations rose $6.3M overall.
- Award net obligations
- $5.9M
- Share of 12-month positive obligations
- 5.1%
Supporting data
- Funding office
- #2 · 28.0% attributed share
- up 1 rank · +7.8 percentage points · $6.3M net increase; action accounted for 42.1%
This action
−$1.6M
ROBISON MEDICAL RESOURCE GROUP LLC
BILLINGS AREA INDIAN HEALTH SVC
DEOB REGISTERED NURSING SERVICES - AREA WIDE: IDIQ - ROBISON MEDICAL; EXTENSION & FUNDING FOR CONTINUITY OF SERVICES
Why it stands out
This award recorded a material contraction.
The action removed $1.6M. A deobligation does not by itself show lower requirement demand.
- Award net obligations
- $5.3M
- Share of 12-month positive obligations
- 3.1%
Supporting data
- Prime contractor
- 0% share
- $2.8M net decline; action accounted for 56.7%
This action
−$2.2M
AB STAFFING SOLUTIONS LLC
BILLINGS AREA INDIAN HEALTH SVC
MOD P00005 FY26 UDO INITIATIVE, DEOBLIGATION AND CLOSE OUT MOD P0004 BEING ISSUED TASK-ORDER TO INITIATE RN SERVICES AT CROW/NORTHERN CHEYENNE HOSPITAL; END DATE CHANGE TO MATCH BASE CONTRACT END DATE 11/30/2022; ADD FUNDING $1,652,601.60.
Why it stands out
This award recorded a material contraction.
The action removed $2.2M. A deobligation does not by itself show lower requirement demand.
- Award net obligations
- $2.6M
- Share of 12-month positive obligations
- 4.2%
Supporting data
- Funding office
- 0% attributed share
- $5.1M net decline; action accounted for 42.5%
View recent award activity by date (10)
- Action+$480KAward net obligations$480K
- Action−$28KAward net obligations$122K
- Action−$7KAward net obligations$91K
- Action−$4KAward net obligations$79K
- Action+$292KAward net obligations$1.2M
- Action+$798KAward net obligations$798K
- Action+$141KAward net obligations$141K
- Action+$233KAward net obligations$699K
- Action+$51KAward net obligations$51K
- Action+$27KAward net obligations$27K
HHS offices of all other miscellaneous health practitioners market FAQs
Answers based on reported federal contract data.
Who are the top HHS offices of all other miscellaneous health practitioners contractors?
In the 12 months through October 23, 2026, MAAT ENTERPRISES INC, FOUR WINDS STAFFING LLC, and BAY AREA ANESTHESIA LLC were the leading HHS offices of all other miscellaneous health practitioners prime contractors by positive obligations.
- #1
$8,399,328 in positive obligations
- #2
$5,654,340 in positive obligations
- #3
$4,137,100 in positive obligations
Rankings use reported USAspending award data.
Did HHS contract obligations increase in the offices of all other miscellaneous health practitioners market?
Yes. Measured by net prime contract obligations, reported HHS activity in the offices of all other miscellaneous health practitioners market increased 15.3% from $37,141,042 in the preceding 12 months to $42,827,355 in the 12 months through October 23, 2026.
- Latest 12 months
- $42,827,355
- Net prime contract obligations
- Preceding 12 months
- $37,141,042
- Net prime contract obligations
- Change
- +15.3%
- Between matched 12-month periods
Reported contract actions, not outlays or a forecast.
What recent HHS contract award activity was reported under NAICS 621399?
Recent HHS contract award activity reported in the offices of all other miscellaneous health practitioners market included actions for MAAT ENTERPRISES INC, JVRX LLC, and DT-TRAK CONSULTING, INC. during the 12 months through October 23, 2026.
-
MAAT ENTERPRISES INC · PIID 75H71225C00022
Modification P00002 · June 3, 2026 · Action obligation: +$4,010,686
-
MAAT ENTERPRISES INC · PIID 75H71223C00007
Modification P00005 · February 5, 2026 · Action obligation: +$3,863,471
-
JVRX LLC · PIID 75H71022P01144
Modification P00009 · December 11, 2025 · Action obligation: +$1,210,269
-
DT-TRAK CONSULTING, INC. · PIID 75H70724P00078
Modification P00013 · February 19, 2026 · Action obligation: +$2,639,062
-
ROBISON MEDICAL RESOURCE GROUP LLC · PIID 75H70921F07002
Deobligation P00006 · December 10, 2025 · Action obligation: -$1,576,514
-
AB STAFFING SOLUTIONS LLC · PIID 75H70921F07006
Deobligation P00005 · May 13, 2026 · Action obligation: -$2,173,041
Action obligations are transaction-level amounts, not current award-level obligations.
Which procurement methods were reported for HHS contracts under NAICS 621399?
From October 24, 2025 through October 23, 2026, HHS reported 136 positive-obligation awards for offices of all other miscellaneous health practitioners under NAICS 621399. The leading award type was purchase order. The leading reported procedure was negotiated proposal/quote.
- Positive-obligation awards
- 136
- Leading reported procedure
- Negotiated Proposal/Quote
- 28.9% of positive obligations
- Leading award type
- Purchase Order
- 42.1% of positive obligations
- Full and open
- 5.9%
- of positive obligations
- Reported parent IDV
- 23.3%
- of positive obligations
Percentages use positive obligations as the denominator.
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Related market research
Complete market indexes:
Same NAICS at other agencies:
Nearby NAICS at this agency:
Markets sharing leading prime records:
Leading-prime vehicle memberships:
Company memberships do not establish award-channel use.Reported obligations include contract actions from October 1, 2021 through October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.
Review data methodology