Federal Capture Intelligence

Top VA offices of all other miscellaneous health practitioners contractors (NAICS 621399)

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Veterans Affairs agency guide NAICS 621399 · Offices of All Other Miscellaneous Health Practitioners
Latest 12 months
$34.0M
Net obligations · Up $7.8M vs. $26.2M preceding
Prime contractors
42
With positive obligations in the latest 12 months

Research the VA 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 Veterans Affairs

Federal records show $149.5M in net obligations across 578 awards in Offices of All Other Miscellaneous Health Practitioners at the Department of Veterans Affairs from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.044% of $339.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations increased 29.6% from $26.2M to $34.0M. 14 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Sep 10, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $30.0M versus $27.2M through the same date in FY25 (+10.5%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$27.5M280Complete
FY2023$30.8M240Complete
FY2024$29.9M239Complete
FY2025$31.2M215Complete
FY2026$30.0M202YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$149.5M
578 awards · 135 prime contractors
Latest 12-month movement
+29.6%
$34.0M vs. $26.2M
Leading eight prime share
63.6%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.044% of $339.1B in agency-wide net obligations.
Set-aside share when reported
18.9% of 228 awards with reported set-aside status.
Set-aside reporting
43 set aside · 185 no set-aside · 350 not reported

What changed in the last 12 months?

Sep 11, 2025–Sep 10, 2026, compared with Sep 11, 2024–Sep 10, 2025.

Competitive shifts

ONE STOP RECRUITING LLC climbed the most in the contractor rankings
#19→#2Up 17 places
The contractor accounts for 9.7% of positive obligations across 5 reported actions.
WANDER STAFFING LLC fell the most in the contractor rankings
#1→#6Down 5 places
The contractor accounts for 8.0% of positive obligations across 12 reported actions.
TRANSMEDICS, INC. was the largest newly observed contractor
$1.3MLatest 12-month obligations
First observed in this market on Sep 12, 2025, the contractor now ranks #9 by positive obligations across 12 reported actions.

Buyer demand

Reported obligations through 646-PITTSBURGH (00646)(36C646) increased
$23K→$7.8M+$7.7M
Latest-period activity spans 22 awards across 6 prime contractors.
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 Sep 10, 2026.

22.6% of positive obligations were attributed to 646-PITTSBURGH (00646)(36C646). That represents $7.8M, up $7.7M from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. 646-PITTSBURGH (00646)(36C646)22.6% · $7.8M · up $7.7M
  2. 673-TAMPA(00673)(36C673)10.8% · $3.7M · up $167K
  3. 242-NETWORK CONTRACT OFFICE 02 (36C242)9.4% · $3.2M · up $34K
  4. 261-NETWORK CONTRACT OFFICE 21 (36C261)7.4% · $2.5M · down $346K
  5. 573-NF/SG VETS HOSP(00573)(36C573)4.8% · $1.6M · up $533K
  6. All other reported offices45.1% 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.

  1. Reported funding office

    646-PITTSBURGH (00646)(36C646)

    #1Up 44 from #45

    Latest 12 months

    $7.8M

    22.6% of positive obligations

    Versus preceding 12 months

    +$7.7M

    6 active prime contractors · 22 awards

    View office comparison and evidence

    Reported obligations increased 33304.2% from $23K to $7.8M. The office’s share of positive obligations moved from 0.080% to 22.6%, a change of +22.6 percentage points.

    The latest period contains 29 actions across 22 awards and 1 newly active prime contractor. The preceding period contained 5 active prime contractors and 11 awards.

    Leading award-level changes

  2. Reported funding office

    673-TAMPA(00673)(36C673)

    #2Down 1 from #1

    Latest 12 months

    $3.7M

    10.8% of positive obligations

    Versus preceding 12 months

    +$167K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 4.8% from $3.5M to $3.7M. The office’s share of positive obligations moved from 12.5% to 10.8%, a change of −1.7 percentage points.

    The latest period contains 3 actions across 3 awards. The preceding period contained 1 active prime contractor and 2 awards.

  3. Reported funding office

    242-NETWORK CONTRACT OFFICE 02 (36C242)

    #3Down 1 from #2

    Latest 12 months

    $3.2M

    9.4% of positive obligations

    Versus preceding 12 months

    +$34K

    2 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations increased 1.1% from $3.2M to $3.2M. The office’s share of positive obligations moved from 11.3% to 9.4%, a change of −1.9 percentage points.

    The latest period contains 7 actions across 7 awards and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 3 awards.

  4. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #4Down 1 from #3

    Latest 12 months

    $2.5M

    7.4% of positive obligations

    Versus preceding 12 months

    −$346K

    4 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations decreased 12.0% from $2.9M to $2.5M. The office’s share of positive obligations moved from 10.2% to 7.4%, a change of −2.8 percentage points.

    The latest period contains 9 actions across 8 awards. The preceding period contained 6 active prime contractors and 8 awards.

  5. Reported funding office

    573-NF/SG VETS HOSP(00573)(36C573)

    #5Up 5 from #10

    Latest 12 months

    $1.6M

    4.8% of positive obligations

    Versus preceding 12 months

    +$533K

    5 active prime contractors · 9 awards

    View office comparison and evidence

    Reported obligations increased 48.6% from $1.1M to $1.6M. The office’s share of positive obligations moved from 3.9% to 4.8%, a change of +0.9 percentage points.

    The latest period contains 14 actions across 9 awards and 3 newly active prime contractors. The preceding period contained 3 active prime contractors and 3 awards.

  6. Reported funding office

    540-CLARKSBURG (00540)(36C540)

    #6Down 2 from #4

    Latest 12 months

    $1.3M

    3.8% of positive obligations

    Versus preceding 12 months

    −$371K

    2 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 22.3% from $1.7M to $1.3M. The office’s share of positive obligations moved from 5.9% to 3.8%, a change of −2.1 percentage points.

    The latest period contains 7 actions across 5 awards. The preceding period contained 2 active prime contractors and 5 awards.

  7. Reported funding office

    691-VA GREATER LA HLTHCR SYS(00691)

    #7Down 2 from #5

    Latest 12 months

    $1.2M

    3.6% of positive obligations

    Versus preceding 12 months

    −$381K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 23.6% from $1.6M to $1.2M. The office’s share of positive obligations moved from 5.7% to 3.6%, a change of −2.1 percentage points.

    The latest period contains 4 actions across 2 awards. The preceding period contained 3 active prime contractors and 4 awards.

  8. Reported funding office

    VETERANS HEALTH ADMINISTRATION

    #8Rank unchanged

    Latest 12 months

    $1.2M

    3.4% of positive obligations

    Versus preceding 12 months

    +$13K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 1.1% from $1.2M to $1.2M. The office’s share of positive obligations moved from 4.1% to 3.4%, a change of −0.7 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  9. Reported funding office

    679-TUSCALOOSA (00679)(36C679)

    #9Down 2 from #7

    Latest 12 months

    $1.2M

    3.4% of positive obligations

    Versus preceding 12 months

    −$219K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 15.9% from $1.4M to $1.2M. The office’s share of positive obligations moved from 4.9% to 3.4%, a change of −1.5 percentage points.

    The latest period contains 4 actions across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  10. Reported funding office

    674-TEMPLE (00674)

    #10Up 7 from #17

    Latest 12 months

    $886K

    2.6% of positive obligations

    Versus preceding 12 months

    +$322K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 57.2% from $564K to $886K. The office’s share of positive obligations moved from 2.0% to 2.6%, a change of +0.6 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.

  11. Reported funding office

    618-MINNEAPOLIS VA MED CTR (00618)

    #13New to the positive-obligation ranking

    Latest 12 months

    $864K

    2.5% of positive obligations

    Versus preceding 12 months

    +$889K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $25K in net deobligations to $864K in net obligations. The office’s share of positive obligations moved from 0% to 2.5%, a change of +2.5 percentage points.

    The latest period contains 3 actions across 1 award. The preceding period contained 3 active prime contractors and 3 awards.

  12. Reported funding office

    244-NETWORK CONTRACT OFFICE 4 (36C244)

    #16New to the positive-obligation ranking

    Latest 12 months

    $657K

    1.9% of positive obligations

    Versus preceding 12 months

    +$657K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $657K. The office’s share of positive obligations moved from 0% to 1.9%, a change of +1.9 percentage points.

    The latest period contains 3 actions across 3 awards and 2 newly active prime contractors. The preceding period contained 0 active prime contractors and 0 awards.

  13. Reported funding office

    656-ST CLOUD VA MEDICAL CTR (00656)

    #18Down 9 from #9

    Latest 12 months

    $610K

    1.8% of positive obligations

    Versus preceding 12 months

    −$532K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 46.6% from $1.1M to $610K. The office’s share of positive obligations moved from 4.0% to 1.8%, a change of −2.3 percentage points.

    The latest period contains 4 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  14. Reported funding office

    583-INDIANAPOLIS(00583)

    #23Down 8 from #15

    Latest 12 months

    $255K

    0.74% of positive obligations

    Versus preceding 12 months

    −$415K

    2 active prime contractors · 3 awards

    View office comparison and evidence

    Reported obligations decreased 62.0% from $670K to $255K. The office’s share of positive obligations moved from 2.4% to 0.74%, a change of −1.6 percentage points.

    The latest period contains 4 actions across 3 awards. The preceding period contained 2 active prime contractors and 3 awards.

  15. Reported funding office

    648-PORTLAND (00648)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$702K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $702K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 1 award.

  16. Reported funding office

    DEPART OF VETERANS AFFAIRS (3600)

    No positive-obligation rank

    Latest 12 months

    −$57K

    0% of positive obligations

    Versus preceding 12 months

    −$1.6M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $1.5M in net obligations to $57K in net deobligations. The office’s share of positive obligations moved from 5.4% to 0%, a change of −5.4 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 14 awards.

    Leading award-level changes

Contract types, competition, and procurement methods

From Sep 11, 2025 through Sep 10, 2026, 106 awards had positive obligations totaling $36.9M. Simplified Acquisition was the leading reported procedure, accounting for 35.2% of positive obligations. Awards with a reported parent IDV accounted for 68.4%.

Leading award type
68.4%
Delivery Order
Leading reported procedure
35.2%
Simplified Acquisition
Reported parent IDV
68.4%
of positive obligations had a reported parent IDV
Median reported offers
1
51 of 106 awards reported offers

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 106 current awards and 123 preceding awards with positive net obligations.

Multiple-award parent obligation share
18.9%
Up from 1.2% in the preceding period
Reported full-and-open obligation share
14.4%
Up from 2.3% in the preceding period
Median positive award obligations
$118K
Up from $74K 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 25.1 percentage points higher, reported full-and-open obligation share is 12.0 percentage points higher, delivery-order obligation share is 25.8 percentage points higher, and median positive award obligations are 60.0% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share68.4%43.3%+25.1 pts
Reported full-and-open obligation share14.4%2.4%+12.0 pts
Delivery-order obligation share68.4%42.6%+25.8 pts
Median positive award obligations$118K$295K-60.0%
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 valueAwardsPositive obligationsShare
Delivery Order(C)62$25.3M68.4%
Definitive Contract(D)15$7.8M21.1%
Purchase Order(B)29$3.9M10.5%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)62$25.3M68.4%
Not reported44$11.7M31.6%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)55$18.3M49.5%
Multiple Award(M)7$7.0M18.9%
Not reported44$11.7M31.6%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Simplified Acquisition(SP1)62$13.0M35.2%
Negotiated Proposal/Quote(NP)8$6.4M17.2%
Subject to Multiple Award Fair Opportunity(MAFO)6$5.3M14.3%
Only One Source(SSS)11$5.1M13.9%
Sss(ONLY ONE SOURCE)2$1.8M4.8%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)1$1.7M4.6%
Other reported values16$3.7M10.0%

Extent competed

Reported valueAwardsPositive obligationsShare
Competed Under SAP(F)41$11.2M30.3%
Full and Open Competition After Exclusion of Sources(D)14$6.9M18.7%
Full and Open Competition(A)6$5.3M14.4%
Not Competed(C)10$5.1M13.7%
Not Competed Under SAP(G)22$2.1M5.7%
A(FULL AND OPEN COMPETITION)1$1.7M4.6%
Other reported values12$4.6M12.6%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Competitive Set Aside(CSA)3$3.7M10.0%
Fair Opportunity Given(FAIR)4$3.3M8.9%
Not reported99$30.0M81.1%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)6$4.3M11.8%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)13$1.6M4.3%
SAP Non-Competition (FAR 13)(SP2)11$1.5M4.1%
Urgency (FAR 6.302-2)(URG)2$1.0M2.8%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)1$461K1.3%
Unique Source (FAR 6.302-1(B)(1))(UNQ)2$82K0.22%
Not reported71$27.9M75.6%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)94$30.7M83.0%
J(FIRM FIXED PRICE)12$6.3M17.0%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Nursing(Q401)6$6.7M18.1%
Medical- Surgery(Q523)23$4.8M13.0%
Medical- Pulmonary(Q521)3$3.8M10.2%
Pharmacy Services(Q517)21$3.6M9.7%
Medical- Radiology(Q522)7$3.2M8.7%
Medical- Nuclear Medicine(Q527)3$3.2M8.7%
Other reported values43$11.7M31.5%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)106$36.9M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
244-Network Contract Office 4 (36c244)(36C244)26$9.9M26.7%
248-Network Contract Office 8 (36c248)(36C248)16$7.4M20.0%
242-Network Contract Office 02 (36c242)(36C242)6$3.4M9.1%
257-Network Contract Office 17 (36c257)(36C257)8$2.6M7.0%
261-Network Contract Office 21 (36c261)(36C261)7$2.5M6.8%
245-Network Contract Office 5 (36c245)(36C245)6$1.6M4.5%
Other reported values37$9.6M25.9%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24823D0091(3600)2$3.7M10.0%
36C24421D0086(3600)2$3.4M9.3%
36C24421D0082(3600)4$3.3M8.9%
36C24223D0008(3600)1$1.6M4.5%
36C25724D0029(3600)1$1.5M4.2%
36C26122D0014(3600)1$1.5M4.1%
36C24924D0017(3600)1$1.2M3.2%
36C24122D0012(3600)7$890K2.4%
Other reported values43$8.1M21.9%
Not reported44$11.7M31.6%

Offers, award size, and timing

Median reported offers
1 median
51 reported · 55 not reported
Positive award obligations
$118K median
$52K–$335K middle 50%
Reported performance period
364 days (~12 months) median
106 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 Sep 10, 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
14 of 42prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
10.9%of positive obligations in the last 12 months
Leading four prime contractors
39.2%of positive obligations in the last 12 months
Leading eight prime contractors
63.6%of positive obligations in the last 12 months

Based on $34.4M in positive obligations during the 12 months ending Sep 10, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Sep 11, 2024–Sep 10, 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.

15 leading contractors
  1. #1

    Last 12mo obligations

    $3.8M

    10.9%

    Dollar movement

    +$167K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    5 actions

    Historical and award details for R KEITH ENTERPRISES INC
    Obligations: prior → latest
    $3.6M → $3.8M
    +4.7%
    Share: prior → latest
    12.2% → 10.9%
    −1.3 percentage points
    All-period obligations
    $20.3M
    13.2% of all-period positive obligations · 10 awards
    Recorded activity
    Since Feb 1, 2022
    through Jul 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported53
    Reported small business53
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $3.3M

    9.7%

    Dollar movement

    +$2.9M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    5 actions

    Historical and award details for ONE STOP RECRUITING LLC
    Obligations: prior → latest
    $413K → $3.3M
    +711.0%
    Share: prior → latest
    1.4% → 9.7%
    +8.3 percentage points
    All-period obligations
    $8.8M
    5.7% of all-period positive obligations · 13 awards
    Recorded activity
    Since Dec 14, 2021
    through Aug 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside22
    Reported no set-aside00
    Not reported12
    Reported small business34
    All-period set-aside types
    • 8 · SDVOSB set-aside
  3. #3

    Last 12mo obligations

    $3.2M

    9.3%

    Dollar movement

    +$192K

    vs. prior 12 months

    Last 12mo awards

    6 awards

    6 actions

    Historical and award details for ROSATO ASSOCIATES, INC.
    Obligations: prior → latest
    $3.0M → $3.2M
    +6.4%
    Share: prior → latest
    10.2% → 9.3%
    −1.0 percentage points
    All-period obligations
    $15.2M
    9.9% of all-period positive obligations · 14 awards
    Recorded activity
    Since Oct 19, 2021
    through Jan 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported66
    Reported small business66
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $3.2M

    9.3%

    Dollar movement

    +$3.2M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    6 actions

    Historical and award details for LOYAL SOURCE GOVERNMENT SERVICES LLC
    Obligations: prior → latest
    $0 → $3.2M
    Not comparable
    Share: prior → latest
    0% → 9.3%
    +9.3 percentage points
    All-period obligations
    $8.4M
    5.5% of all-period positive obligations · 9 awards
    Recorded activity
    Since Oct 21, 2021
    through Jun 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported51
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $2.8M

    8.2%

    Dollar movement

    +$255K

    vs. prior 12 months

    Last 12mo awards

    24 awards

    31 actions

    Historical and award details for BLISS PHARMACY SERVICES LLC
    Obligations: prior → latest
    $2.6M → $2.8M
    +10.0%
    Share: prior → latest
    8.7% → 8.2%
    −0.6 percentage points
    All-period obligations
    $11.7M
    7.7% of all-period positive obligations · 53 awards
    Recorded activity
    Since Oct 1, 2021
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported2318
    Reported small business2419
    All-period set-aside types
    • 1 · SDVOSB set-aside
  6. #6

    Last 12mo obligations

    $2.7M

    8.0%

    Dollar movement

    −$1.2M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    12 actions

    Historical and award details for WANDER STAFFING LLC
    Obligations: prior → latest
    $3.9M → $2.7M
    −29.9%
    Share: prior → latest
    13.3% → 8.0%
    −5.4 percentage points
    All-period obligations
    $9.3M
    6.1% of all-period positive obligations · 7 awards
    Recorded activity
    Since Aug 18, 2023
    through Jul 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside34
    Reported no set-aside32
    Not reported00
    Reported small business56
    All-period set-aside types
    • 4 · SDVOSB set-aside
  7. #7

    Last 12mo obligations

    $1.5M

    4.4%

    Dollar movement

    +$37K

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for PALO ALTO PERFUSION SERVICES INC
    Obligations: prior → latest
    $1.5M → $1.5M
    +2.5%
    Share: prior → latest
    5.1% → 4.4%
    −0.6 percentage points
    All-period obligations
    $5.7M
    3.7% of all-period positive obligations · 6 awards
    Recorded activity
    Since Oct 22, 2021
    through Oct 21, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported12
    Reported small business12
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $1.3M

    3.9%

    Dollar movement

    +$315K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for CIRCULATORY SERVICES INC
    Obligations: prior → latest
    $1.0M → $1.3M
    +31.0%
    Share: prior → latest
    3.5% → 3.9%
    +0.4 percentage points
    All-period obligations
    $5.4M
    3.5% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Jul 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside10
    Not reported00
    Reported small business21
    All-period set-aside types
    • 1 · Total small business
  9. #9

    Last 12mo obligations

    $1.3M

    3.6%

    Dollar movement

    +$1.3M

    vs. prior 12 months

    Last 12mo awards

    9 awards

    12 actions

    Historical and award details for TRANSMEDICS, INC.
    Obligations: prior → latest
    $0 → $1.3M
    Not comparable
    Share: prior → latest
    0% → 3.6%
    +3.6 percentage points
    All-period obligations
    $1.3M
    0.82% of all-period positive obligations · 9 awards
    Recorded activity
    Since Sep 12, 2025
    through Aug 5, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside90
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $1.2M

    3.4%

    Dollar movement

    +$13K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for SUNCOAST PHYSICS LLC
    Obligations: prior → latest
    $1.2M → $1.2M
    +1.1%
    Share: prior → latest
    4.0% → 3.4%
    −0.6 percentage points
    All-period obligations
    $4.6M
    3.0% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 30, 2021
    through Jun 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business11
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $1.1M

    3.0%

    Dollar movement

    −$375K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    18 actions

    Historical and award details for RISEN VIDEO PRODUCTION, LLC
    Obligations: prior → latest
    $1.4M → $1.1M
    −26.3%
    Share: prior → latest
    4.9% → 3.0%
    −1.8 percentage points
    All-period obligations
    $4.9M
    3.2% of all-period positive obligations · 28 awards
    Recorded activity
    Since Dec 8, 2021
    through Aug 18, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside11
    Not reported1110
    Reported small business1312
    All-period set-aside types
    • 1 · Total small business
  12. #12

    Last 12mo obligations

    $953K

    2.8%

    Dollar movement

    −$512K

    vs. prior 12 months

    Last 12mo awards

    1 award

    3 actions

    Historical and award details for PHOTON PHYSICS SERVICES
    Obligations: prior → latest
    $1.5M → $953K
    −35.0%
    Share: prior → latest
    5.0% → 2.8%
    −2.2 percentage points
    All-period obligations
    $10.5M
    6.8% of all-period positive obligations · 9 awards
    Recorded activity
    Since Oct 25, 2021
    through Aug 7, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside12
    Reported no set-aside01
    Not reported00
    Reported small business13
    All-period set-aside types
    • 3 · Total small business
  13. #13

    Last 12mo obligations

    $886K

    2.6%

    Dollar movement

    +$322K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for LAREDO TECHNICAL SERVICES, INC.
    Obligations: prior → latest
    $564K → $886K
    +57.2%
    Share: prior → latest
    1.9% → 2.6%
    +0.7 percentage points
    All-period obligations
    $3.0M
    1.9% of all-period positive obligations · 3 awards
    Recorded activity
    Since Nov 6, 2023
    through Apr 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported22
    Reported small business22
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $881K

    2.6%

    Dollar movement

    +$171K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for EMERGE SOLUTIONS GROUP LLC
    Obligations: prior → latest
    $710K → $881K
    +24.1%
    Share: prior → latest
    2.4% → 2.6%
    +0.1 percentage points
    All-period obligations
    $5.7M
    3.7% of all-period positive obligations · 2 awards
    Recorded activity
    Since Aug 4, 2022
    through Aug 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside10
    Reported no set-aside11
    Not reported00
    Reported small business21
    All-period set-aside types
    • 1 · SDVOSB sole source
  15. #15

    Last 12mo obligations

    $731K

    2.1%

    Dollar movement

    −$205K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    6 actions

    Historical and award details for TESTUDO LOGISTICS LLC
    Obligations: prior → latest
    $936K → $731K
    −21.9%
    Share: prior → latest
    3.2% → 2.1%
    −1.1 percentage points
    All-period obligations
    $3.0M
    2.0% of all-period positive obligations · 4 awards
    Recorded activity
    Since May 26, 2023
    through Jul 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported22
    Reported small business33
    All-period set-aside types
    • 1 · SDVOSB set-aside

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Base award

This action

+$3.6M

R KEITH ENTERPRISES INC

673-TAMPA(00673)(36C673)

RESPIRATORY THERAPY SERVICES

Why it stands out

One action represented 10.4% of the market’s latest 12-month positive obligations.

At $3.6M, the action was large enough to materially affect the latest 12-month market picture.

Award net obligations
$3.6M
Share of 12-month positive obligations
10.4%
PIID 36C24826N0619
Base award

This action

+$1.5M

LAREDO TECHNICAL SERVICES, INC.

674-TEMPLE (00674)

OY2 TASK ORDER - MEDICAL LAB TECHNICIANS FOR THE TEMPLE, TX, VETERANS AFFAIRS.

Why it stands out

The contractor climbed 3 positions in this market.

It now ranks #13 by positive obligations over the latest 12 months.

Award net obligations
$1.5M
Share of 12-month positive obligations
4.5%
Supporting data
Prime contractor
#13 · 2.6% share
up 3 ranks · +0.7 percentage points · $322K net increase; action exceeded it by $1.2M
PIID 36C25726N0110
Base award

This action

+$1.6M

LOYAL SOURCE GOVERNMENT SERVICES LLC

646-PITTSBURGH (00646)(36C646)

MULTI-SPECIALTY NURSING & MEDICAL STAFFING SERVICES - VAPHS

Why it stands out

The funding office climbed 44 positions in attributed spending.

It now ranks #1 in attributed spending.

Award net obligations
$1.6M
Share of 12-month positive obligations
4.8%
Supporting data
Prime contractor
#4 · 9.3% share
+9.3 percentage points · $3.2M net increase; action accounted for 51.8%
Funding office
#1 · 22.6% attributed share
up 44 ranks · +22.6 percentage points · $7.7M net increase; action accounted for 21.3%
Related:Largest share gainFunding office gain
PIID 36C24425N1262
Modification

This action

+$1.2M

WANDER STAFFING LLC

618-MINNEAPOLIS VA MED CTR (00618)

CRNA SERVICES - MINNEAPOLIS VA HEALTH CARE SYSTEM - OY1

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $1.2M while office-attributed obligations rose $889K overall.

Award net obligations
$2.1M
Share of 12-month positive obligations
3.5%
Supporting data
Prime contractor
#6 · 8.0% share
$1.2M net decline despite this positive action
Funding office
#13 · 2.5% attributed share
+2.5 percentage points · $889K net increase; action exceeded it by $319K
PIID 36C26325C0002 · Mod P00001
Base award

This action

+$1.6M

ONE STOP RECRUITING LLC

646-PITTSBURGH (00646)(36C646)

EO14042 - MULTI-SPECIALTY NURSING & MEDICAL STAFFING VA PITTSBURGH HEALTHCARE SYSTEM

Why it stands out

The contractor climbed 17 positions in this market.

It now ranks #2 by positive obligations over the latest 12 months.

Award net obligations
$1.7M
Share of 12-month positive obligations
4.8%
Supporting data
Prime contractor
#2 · 9.7% share
up 17 ranks · +8.3 percentage points · $2.9M net increase; action accounted for 56.1%
Related:Largest rank gain
PIID 36C24426N0857
Base award

This action

+$867K

CIRCULATORY SERVICES INC

573-NF/SG VETS HOSP(00573)(36C573)

PERFUSION AND AUTOTRANSFUSION SERVICES

Why it stands out

The contractor and funding office both climbed their market rankings.

Both rank changes are shown in the supporting movement data.

Award net obligations
$867K
Share of 12-month positive obligations
2.5%
Supporting data
Funding office
#5 · 4.8% attributed share
up 5 ranks · +0.9 percentage points · $533K net increase; action exceeded it by $334K
PIID 36C24826C0015
View recent award activity by date (10)
  1. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1014
    Action−$57K
    Award net obligations$93K
  2. ARBOR ENVIRONMENTAL LLCBase award · PIID 36C26226F0384
    Action+$56K
    Award net obligations$56K
  3. ARBOR ENVIRONMENTAL LLCBase award · PIID 36C26226F0385
    Action+$51K
    Award net obligations$51K
  4. BLISS PHARMACY SERVICES LLCModification · PIID 36C24426N0531
    Action+$161K
    Award net obligations$233K
  5. EVT, INC.Deobligation · PIID 36C25726N0057
    Action−$80K
    Award net obligations$178K
  6. BLISS PHARMACY SERVICES LLCModification · PIID 36C24722P0008
    Action+$131K
    Award net obligations$5.8M
  7. ONE STOP RECRUITING LLCModification · PIID 36C24426N0857
    Action+$63K
    Award net obligations$1.7M
  8. BREMER BRACE OF FLORIDA INCDeobligation · PIID 36C24826P0435
    Action−$23K
    Award net obligations$0
  9. RISEN VIDEO PRODUCTION, LLCModification · PIID 36C25924C0065
    Action+$114K
    Award net obligations$282K
  10. BREMER BRACE OF FLORIDA INCDeobligation · PIID 36C24826P0437
    Action−$16K
    Award net obligations$0

VA offices of all other miscellaneous health practitioners market FAQs

Answers based on reported federal contract data.

Who are the top VA offices of all other miscellaneous health practitioners contractors?

In the 12 months through September 10, 2026, R KEITH ENTERPRISES INC, ONE STOP RECRUITING LLC, and ROSATO ASSOCIATES, INC. were the leading VA offices of all other miscellaneous health practitioners prime contractors by positive obligations.

  1. #1

    R KEITH ENTERPRISES INC

    $3,753,210 in positive obligations

  2. #2

    ONE STOP RECRUITING LLC

    $3,349,255 in positive obligations

  3. #3

    ROSATO ASSOCIATES, INC.

    $3,191,735 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations increase in the offices of all other miscellaneous health practitioners market?

Yes. Measured by net prime contract obligations, reported VA activity in the offices of all other miscellaneous health practitioners market increased 29.6% from $26,236,828 in the preceding 12 months to $34,001,548 in the 12 months through September 10, 2026.

Latest 12 months
$34,001,548
Net prime contract obligations
Preceding 12 months
$26,236,828
Net prime contract obligations
Change
+29.6%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent VA contract award activity was reported under NAICS 621399?

Recent VA contract award activity reported in the offices of all other miscellaneous health practitioners market included actions for R KEITH ENTERPRISES INC, LAREDO TECHNICAL SERVICES, INC., and LOYAL SOURCE GOVERNMENT SERVICES LLC during the 12 months through September 10, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for VA contracts under NAICS 621399?

From September 11, 2025 through September 10, 2026, VA reported 106 positive-obligation awards for offices of all other miscellaneous health practitioners under NAICS 621399. The leading award type was delivery order. The leading reported procedure was simplified acquisition.

Positive-obligation awards
106
Leading reported procedure
Simplified Acquisition
35.2% of positive obligations
Leading award type
Delivery Order
68.4% of positive obligations
Full and open
14.4%
of positive obligations
Reported parent IDV
68.4%
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 September 10, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology