Federal Capture Intelligence

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

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Veterans Affairs agency guide NAICS 621399 · Offices of All Other Miscellaneous Health Practitioners
Latest 12 months
$24.0M
Net obligations · Down $6.2M vs. $30.2M preceding
Prime contractors
39
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 583 awards in Offices of All Other Miscellaneous Health Practitioners at the Department of Veterans Affairs from Oct 1, 2021 through Oct 23, 2026. This market accounts for 0.043% of $349.8B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 20.4% from $30.2M to $24.0M. 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.

FY27 year-to-date: −$77K versus $6.0M through the same date in FY26 (Not comparable).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$27.5M280Complete
FY2023$30.8M240Complete
FY2024$29.9M239Complete
FY2025$31.2M215Complete
FY2026$30.1M224Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$149.5M
583 awards · 136 prime contractors
Latest 12-month movement
−20.4%
$24.0M vs. $30.2M
Leading eight prime share
63.0%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.043% of $349.8B in agency-wide net obligations.
Set-aside share when reported
19.2% of 229 awards with reported set-aside status.
Set-aside reporting
44 set aside · 185 no set-aside · 354 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

WANDER STAFFING LLC lost the most market share
12.1%→6.8%−5.3 percentage points
The contractor now ranks #5 by positive obligations, based on 10 reported actions.
TRANSMEDICS, INC. gained the most market share
0.7%→4.2%+3.5 percentage points
The contractor now ranks #7 by positive obligations, based on 10 reported actions.

Buyer demand

Reported obligations through 261-NETWORK CONTRACT OFFICE 21 (36C261) decreased
$2.9M→$277K−$2.7M
Latest-period activity spans 7 awards across 4 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 Oct 23, 2026.

14.5% of positive obligations were attributed to 673-TAMPA(00673)(36C673). That represents $3.7M, up $167K from the preceding 12 months.

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

  1. 673-TAMPA(00673)(36C673)14.5% · $3.7M · up $167K
  2. 646-PITTSBURGH (00646)(36C646)14.3% · $3.6M · down $78K
  3. 242-NETWORK CONTRACT OFFICE 02 (36C242)12.6% · $3.2M · up $34K
  4. 691-VA GREATER LA HLTHCR SYS(00691)5.8% · $1.5M · down $124K
  5. 540-CLARKSBURG (00540)(36C540)5.4% · $1.4M · down $261K
  6. All other reported offices47.3% 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

    673-TAMPA(00673)(36C673)

    #1Up 1 from #2

    Latest 12 months

    $3.7M

    14.5% of positive obligations

    Versus preceding 12 months

    +$167K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations increased 4.7% from $3.5M to $3.7M. The office’s share of positive obligations moved from 11.3% to 14.5%, a change of +3.2 percentage points.

    The latest period contains 4 actions across 3 awards. The preceding period contained 1 active prime contractor and 2 awards.

  2. Reported funding office

    646-PITTSBURGH (00646)(36C646)

    #2Down 1 from #1

    Latest 12 months

    $3.6M

    14.3% of positive obligations

    Versus preceding 12 months

    −$78K

    5 active prime contractors · 18 awards

    View office comparison and evidence

    Reported obligations decreased 2.1% from $3.7M to $3.6M. The office’s share of positive obligations moved from 11.9% to 14.3%, a change of +2.4 percentage points.

    The latest period contains 23 actions across 18 awards. The preceding period contained 6 active prime contractors and 18 awards.

  3. Reported funding office

    242-NETWORK CONTRACT OFFICE 02 (36C242)

    #3Rank unchanged

    Latest 12 months

    $3.2M

    12.6% 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 10.2% to 12.6%, a change of +2.5 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

    691-VA GREATER LA HLTHCR SYS(00691)

    #4Up 2 from #6

    Latest 12 months

    $1.5M

    5.8% of positive obligations

    Versus preceding 12 months

    −$124K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 7.8% from $1.6M to $1.5M. The office’s share of positive obligations moved from 5.1% to 5.8%, a change of +0.7 percentage points.

    The latest period contains 6 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  5. Reported funding office

    540-CLARKSBURG (00540)(36C540)

    #5Rank unchanged

    Latest 12 months

    $1.4M

    5.4% of positive obligations

    Versus preceding 12 months

    −$261K

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations decreased 15.9% from $1.6M to $1.4M. The office’s share of positive obligations moved from 5.3% to 5.4%, a change of +0.2 percentage points.

    The latest period contains 5 actions across 3 awards. The preceding period contained 2 active prime contractors and 6 awards.

  6. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C516)

    #6Up 4 from #10

    Latest 12 months

    $1.2M

    4.6% 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 3.7% to 4.6%, a change of +0.9 percentage points.

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

  7. Reported funding office

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

    #7Up 10 from #17

    Latest 12 months

    $1.1M

    4.1% of positive obligations

    Versus preceding 12 months

    +$462K

    5 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations increased 78.1% from $591K to $1.1M. The office’s share of positive obligations moved from 1.9% to 4.1%, a change of +2.3 percentage points.

    The latest period contains 13 actions across 8 awards and 3 newly active prime contractors. The preceding period contained 3 active prime contractors and 3 awards.

  8. Reported funding office

    674-TEMPLE (00674)

    #8Up 10 from #18

    Latest 12 months

    $886K

    3.5% 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 1.8% to 3.5%, a change of +1.7 percentage points.

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

  9. Reported funding office

    SAC FREDERICK (36C10X)

    #9Up 5 from #14

    Latest 12 months

    $881K

    3.5% of positive obligations

    Versus preceding 12 months

    +$171K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 24.1% from $710K to $881K. The office’s share of positive obligations moved from 2.3% to 3.5%, a change of +1.2 percentage points.

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

  10. Reported funding office

    241-NETWORK CONTRACT OFFICE 01 (36C241)

    #10Up 12 from #22

    Latest 12 months

    $712K

    2.8% of positive obligations

    Versus preceding 12 months

    +$476K

    1 active prime contractor · 6 awards

    View office comparison and evidence

    Reported obligations increased 202.3% from $235K to $712K. The office’s share of positive obligations moved from 0.75% to 2.8%, a change of +2.0 percentage points.

    The latest period contains 6 actions across 6 awards. The preceding period contained 1 active prime contractor and 4 awards.

  11. Reported funding office

    244-NETWORK CONTRACT OFFICE 4 (36C244)

    #13New to the positive-obligation ranking

    Latest 12 months

    $657K

    2.6% 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 2.6%, a change of +2.6 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.

    Leading award-level changes

  12. Reported funding office

    679-TUSCALOOSA (00679)(36C679)

    #16Down 7 from #9

    Latest 12 months

    $476K

    1.9% of positive obligations

    Versus preceding 12 months

    −$729K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 60.5% from $1.2M to $476K. The office’s share of positive obligations moved from 3.9% to 1.9%, a change of −2.0 percentage points.

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

  13. Reported funding office

    554-DENVER (00554)

    #17Down 9 from #8

    Latest 12 months

    $415K

    1.6% of positive obligations

    Versus preceding 12 months

    −$836K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 66.8% from $1.3M to $415K. The office’s share of positive obligations moved from 4.0% to 1.6%, a change of −2.4 percentage points.

    The latest period contains 5 actions across 2 awards. The preceding period contained 4 active prime contractors and 4 awards.

  14. Reported funding office

    261-NETWORK CONTRACT OFFICE 21 (36C261)

    #18Down 14 from #4

    Latest 12 months

    $277K

    1.1% of positive obligations

    Versus preceding 12 months

    −$2.7M

    4 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 90.6% from $2.9M to $277K. The office’s share of positive obligations moved from 9.4% to 1.1%, a change of −8.3 percentage points.

    The latest period contains 8 actions across 7 awards. The preceding period contained 5 active prime contractors and 7 awards.

    Leading award-level changes

  15. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C595)

    #22New to the positive-obligation ranking

    Latest 12 months

    $233K

    0.92% of positive obligations

    Versus preceding 12 months

    +$448K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $215K in net deobligations to $233K in net obligations. The office’s share of positive obligations moved from 0% to 0.92%, a change of +0.9 percentage points.

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

  16. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C558)

    No positive-obligation rank

    Latest 12 months

    −$276K

    0% of positive obligations

    Versus preceding 12 months

    −$814K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations moved from $537K in net obligations to $276K in net deobligations. The office’s share of positive obligations moved from 1.7% to 0%, a change of −1.7 percentage points.

    The latest period contains 5 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  17. Reported funding office

    DEPART OF VETERANS AFFAIRS (3600)

    No positive-obligation rank

    Latest 12 months

    −$479K

    0% of positive obligations

    Versus preceding 12 months

    −$1.8M

    1 active prime contractor · 9 awards

    View office comparison and evidence

    Reported obligations moved from $1.4M in net obligations to $479K in net deobligations. The office’s share of positive obligations moved from 4.3% to 0%, a change of −4.3 percentage points.

    The latest period contains 9 actions across 9 awards. The preceding period contained 1 active prime contractor and 12 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 88 awards had positive obligations totaling $28.6M. Simplified Acquisition was the leading reported procedure, accounting for 29.7% of positive obligations. Awards with a reported parent IDV accounted for 67.0%.

Leading award type
67.0%
Delivery Order
Leading reported procedure
29.7%
Simplified Acquisition
Reported parent IDV
67.0%
of positive obligations had a reported parent IDV
Median reported offers
1
39 of 88 awards reported offers

Buying method changes

Compared with Oct 24, 2024–Oct 23, 2025. Based on 88 current awards and 127 preceding awards with positive net obligations.

Median positive award obligations
$131K
Up from $80K in the preceding period
Simplified Acquisition obligation share
29.7%
Down from 40.6% 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 26.0 percentage points higher, reported full-and-open obligation share is 1.5 percentage points lower, delivery-order obligation share is 26.7 percentage points higher, and median positive award obligations are 58.1% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share67.0%40.9%+26.0 pts
Reported full-and-open obligation share1.4%2.9%-1.5 pts
Delivery-order obligation share67.0%40.2%+26.7 pts
Median positive award obligations$131K$313K-58.1%
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)53$19.2M67.0%
Definitive Contract(D)14$6.8M23.6%
Purchase Order(B)21$2.7M9.5%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)53$19.2M67.0%
Not reported35$9.5M33.1%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)49$15.5M54.1%
Multiple Award(M)4$3.7M12.9%
Not reported35$9.5M33.1%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Simplified Acquisition(SP1)42$8.5M29.7%
Negotiated Proposal/Quote(NP)7$5.5M19.1%
Only One Source(SSS)7$4.3M15.2%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)3$3.6M12.7%
Sp1(SIMPLIFIED ACQUISITION)15$2.6M9.0%
Sss(ONLY ONE SOURCE)4$2.6M8.9%
Other reported values10$1.5M5.3%

Extent competed

Reported valueAwardsPositive obligationsShare
Competed Under SAP(F)28$6.9M24.0%
Full and Open Competition After Exclusion of Sources(D)13$6.0M21.1%
Not Competed(C)7$4.3M15.2%
A(FULL AND OPEN COMPETITION)2$3.1M10.9%
F(COMPETED UNDER SAP)15$3.0M10.6%
C(NOT COMPETED)3$1.6M5.7%
Other reported values20$3.6M12.5%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Competitive Set Aside(CSA)3$2.3M8.0%
Fair Opportunity Given(FAIR)1$1.4M4.9%
Not reported84$24.9M87.1%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)6$4.5M15.6%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)7$1.3M4.6%
SAP Non-Competition (FAR 13)(SP2)9$1.3M4.6%
Urgency (FAR 6.302-2)(URG)2$1.0M3.6%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)1$461K1.6%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$13K0.050%
Not reported62$20.0M70.0%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)64$19.3M67.4%
J(FIRM FIXED PRICE)24$9.3M32.6%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Pulmonary(Q521)2$3.7M12.9%
Medical- Radiology(Q522)6$3.4M11.9%
Pharmacy Services(Q517)19$3.2M11.3%
Medical- Nuclear Medicine(Q527)3$3.2M11.2%
Medical- Nursing(Q401)3$3.2M11.1%
Medical- Surgery(Q523)19$2.8M9.7%
Other reported values36$9.1M31.9%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)88$28.6M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
248-Network Contract Office 8 (36c248)(36C248)9$6.7M23.3%
244-Network Contract Office 4 (36c244)(36C244)21$6.2M21.5%
242-Network Contract Office 02 (36c242)(36C242)6$3.4M11.7%
257-Network Contract Office 17 (36c257)(36C257)6$2.2M7.6%
262-Network Contract Office 22 (36c262)(36C262)9$1.8M6.2%
245-Network Contract Office 5 (36c245)(36C245)5$1.7M6.0%
Other reported values32$6.8M23.8%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24823D0091(3600)2$3.7M12.9%
36C24421D0086(3600)2$1.8M6.2%
36C24223D0008(3600)1$1.6M5.7%
36C25724D0029(3600)1$1.5M5.4%
36C24421D0082(3600)1$1.4M4.9%
36C24924D0017(3600)1$1.2M4.1%
36C24426D0049(3600)7$903K3.1%
36C24122D0012(3600)7$890K3.1%
Other reported values31$6.1M21.4%
Not reported35$9.5M33.1%

Offers, award size, and timing

Median reported offers
1 median
39 reported · 49 not reported
Positive award obligations
$131K median
$52K–$312K middle 50%
Reported performance period
364 days (~12 months) median
88 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 39prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
14.8%of positive obligations in the last 12 months
Leading four prime contractors
43.4%of positive obligations in the last 12 months
Leading eight prime contractors
63.0%of positive obligations in the last 12 months

Based on $25.0M 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.

15 leading contractors
  1. #1

    Last 12mo obligations

    $3.7M

    14.8%

    Dollar movement

    +$95K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for R KEITH ENTERPRISES INC
    Obligations: prior → latest
    $3.6M → $3.7M
    +2.6%
    Share: prior → latest
    11.1% → 14.8%
    +3.6 percentage points
    All-period obligations
    $20.3M
    13.2% of all-period positive obligations · 10 awards
    Recorded activity
    Since Feb 1, 2022
    through Sep 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported43
    Reported small business43
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $3.2M

    12.8%

    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
    9.3% → 12.8%
    +3.5 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.

  3. #3

    Last 12mo obligations

    $2.3M

    9.0%

    Dollar movement

    +$7K

    vs. prior 12 months

    Last 12mo awards

    23 awards

    30 actions

    Historical and award details for BLISS PHARMACY SERVICES LLC
    Obligations: prior → latest
    $2.2M → $2.3M
    +0.3%
    Share: prior → latest
    6.9% → 9.0%
    +2.1 percentage points
    All-period obligations
    $11.8M
    7.7% of all-period positive obligations · 53 awards
    Recorded activity
    Since Oct 1, 2021
    through Oct 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported2219
    Reported small business2320
    All-period set-aside types
    • 1 · SDVOSB set-aside
  4. #4

    Last 12mo obligations

    $1.7M

    6.8%

    Dollar movement

    −$321K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for ONE STOP RECRUITING LLC
    Obligations: prior → latest
    $2.0M → $1.7M
    −15.9%
    Share: prior → latest
    6.3% → 6.8%
    +0.6 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-aside23
    Reported no set-aside00
    Not reported12
    Reported small business35
    All-period set-aside types
    • 8 · SDVOSB set-aside
  5. #5

    Last 12mo obligations

    $1.7M

    6.8%

    Dollar movement

    −$2.2M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    10 actions

    Historical and award details for WANDER STAFFING LLC
    Obligations: prior → latest
    $3.9M → $1.7M
    −56.6%
    Share: prior → latest
    12.1% → 6.8%
    −5.3 percentage points
    All-period obligations
    $9.4M
    6.2% of all-period positive obligations · 7 awards
    Recorded activity
    Since Aug 18, 2023
    through Sep 28, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside34
    Reported no set-aside22
    Not reported00
    Reported small business46
    All-period set-aside types
    • 4 · SDVOSB set-aside
  6. #6

    Last 12mo obligations

    $1.2M

    4.7%

    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
    3.6% → 4.7%
    +1.1 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.

  7. #7

    Last 12mo obligations

    $1.0M

    4.2%

    Dollar movement

    +$831K

    vs. prior 12 months

    Last 12mo awards

    9 awards

    10 actions

    Historical and award details for TRANSMEDICS, INC.
    Obligations: prior → latest
    $212K → $1.0M
    +392.3%
    Share: prior → latest
    0.66% → 4.2%
    +3.5 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-aside92
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $992K

    4.0%

    Dollar movement

    −$869K

    vs. prior 12 months

    Last 12mo awards

    3 awards

    4 actions

    Historical and award details for LOYAL SOURCE GOVERNMENT SERVICES LLC
    Obligations: prior → latest
    $1.9M → $992K
    −46.7%
    Share: prior → latest
    5.8% → 4.0%
    −1.8 percentage points
    All-period obligations
    $8.1M
    5.3% of all-period positive obligations · 9 awards
    Recorded activity
    Since Oct 21, 2021
    through Oct 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported34
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $953K

    3.8%

    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
    4.5% → 3.8%
    −0.7 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
  10. #10

    Last 12mo obligations

    $886K

    3.5%

    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
    1.7% → 3.5%
    +1.8 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.

  11. #11

    Last 12mo obligations

    $881K

    3.5%

    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
    2.2% → 3.5%
    +1.3 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
  12. #12

    Last 12mo obligations

    $823K

    3.3%

    Dollar movement

    +$315K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for CIRCULATORY SERVICES INC
    Obligations: prior → latest
    $509K → $823K
    +61.9%
    Share: prior → latest
    1.6% → 3.3%
    +1.7 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
  13. #13

    Last 12mo obligations

    $731K

    2.9%

    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
    2.9% → 2.9%
    0.0 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
  14. #14

    Last 12mo obligations

    $666K

    2.7%

    Dollar movement

    −$120K

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for QUINTANILLA MEDICAL PHYSICS SERVICES, INC.
    Obligations: prior → latest
    $786K → $666K
    −15.3%
    Share: prior → latest
    2.4% → 2.7%
    +0.2 percentage points
    All-period obligations
    $3.8M
    2.5% of all-period positive obligations · 1 award
    Recorded activity
    Since Jan 15, 2022
    through Apr 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported00
    Reported small business11
    All-period set-aside types
    • 1 · Total small business
  15. #15

    Last 12mo obligations

    $610K

    2.5%

    Dollar movement

    −$940K

    vs. prior 12 months

    Last 12mo awards

    14 awards

    20 actions

    Historical and award details for RISEN VIDEO PRODUCTION, LLC
    Obligations: prior → latest
    $1.6M → $610K
    −60.6%
    Share: prior → latest
    4.8% → 2.5%
    −2.4 percentage points
    All-period obligations
    $5.3M
    3.4% of all-period positive obligations · 30 awards
    Recorded activity
    Since Dec 8, 2021
    through Oct 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside11
    Not reported1211
    Reported small business1413
    All-period set-aside types
    • 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.

Base award

This action

+$3.6M

R KEITH ENTERPRISES INC

673-TAMPA(00673)(36C673)

RESPIRATORY THERAPY 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
$3.6M
Share of 12-month positive obligations
14.3%
PIID 36C24826N0619
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 climbed 6 positions in this market.

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

Award net obligations
$867K
Share of 12-month positive obligations
3.5%
Supporting data
Funding office
#7 · 4.1% attributed share
up 10 ranks · +2.3 percentage points · $462K net increase; action exceeded it by $405K
PIID 36C24826C0015
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

A new award added obligations despite weaker contractor activity.

The action represented 6.6% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $321K overall.

Award net obligations
$1.7M
Share of 12-month positive obligations
6.6%
Supporting data
Prime contractor
#4 · 6.8% share
$321K net decline despite this positive action
Funding office
#2 · 14.3% attributed share
$78K net decline despite this positive action
PIID 36C24426N0857
Base award

This action

+$1.6M

ROSATO ASSOCIATES, INC.

242-NETWORK CONTRACT OFFICE 02 (36C242)

RADIATION THERAPY TECHNOLOGISTS

Why it stands out

One action represented 6.6% of the market’s latest 12-month positive obligations.

At $1.6M, the action was large enough to materially affect the latest 12-month market picture.

Award net obligations
$1.6M
Share of 12-month positive obligations
6.6%
PIID 36C24226N0264
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 7 positions in this market.

It now ranks #10 by positive obligations over the latest 12 months.

Award net obligations
$1.5M
Share of 12-month positive obligations
6.2%
PIID 36C25726N0110
Modification

This action

+$1.2M

SUNCOAST PHYSICS LLC

VETERANS HEALTH ADMINISTRATION

THERAPUTIC MEDICAL PHYSICIST

Why it stands out

The contractor climbed 4 positions in this market.

It now ranks #6 by positive obligations over the latest 12 months.

Award net obligations
$4.6M
Share of 12-month positive obligations
4.7%
PIID 36C24823C0011 · Mod P00006
View recent award activity by date (10)
  1. RISEN VIDEO PRODUCTION, LLCDeobligation · PIID 36C24225N0651
    Action−$90K
    Award net obligations$12K
  2. LOYAL SOURCE GOVERNMENT SERVICES LLCDeobligation · PIID 36C24425N1262
    Action−$395K
    Award net obligations$1.3M
  3. TECH62 INCModification · PIID 36C26223N0379
    Action+$290K
    Award net obligations$1.2M
  4. PALO ALTO PERFUSION SERVICES INCDeobligation · PIID 36C26125N0146
    Action−$243K
    Award net obligations$1.2M
  5. RISEN VIDEO PRODUCTION, LLCBase award · PIID 36C25027N0027
    Action+$312K
    Award net obligations$312K
  6. RISEN VIDEO PRODUCTION, LLCBase award · PIID 36C25527N0013
    Action+$182K
    Award net obligations$182K
  7. TECH62 INCDeobligation · PIID 36C26223N0379
    Action−$51K
    Award net obligations$1.2M
  8. RISEN VIDEO PRODUCTION, LLCDeobligation · PIID 36C24624P0011
    Action−$83K
    Award net obligations$798K
  9. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1017
    Action−$135K
    Award net obligations$348K
  10. WANDER STAFFING LLCModification · PIID 36C24526C0060
    Action+$121K
    Award net obligations$642K

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 October 23, 2026, R KEITH ENTERPRISES INC, ROSATO ASSOCIATES, INC., and BLISS PHARMACY SERVICES LLC were the leading VA offices of all other miscellaneous health practitioners prime contractors by positive obligations.

  1. #1

    R KEITH ENTERPRISES INC

    $3,684,027 in positive obligations

  2. #2

    ROSATO ASSOCIATES, INC.

    $3,191,735 in positive obligations

  3. #3

    BLISS PHARMACY SERVICES LLC

    $2,250,346 in positive obligations

Rankings use reported USAspending award data.

Did VA contract obligations decrease 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 decreased 20.4% from $30,208,404 in the preceding 12 months to $24,039,665 in the 12 months through October 23, 2026.

Latest 12 months
$24,039,665
Net prime contract obligations
Preceding 12 months
$30,208,404
Net prime contract obligations
Change
−20.4%
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, CIRCULATORY SERVICES INC, and ONE STOP RECRUITING LLC during the 12 months through October 23, 2026.

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

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

From October 24, 2025 through October 23, 2026, VA reported 88 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
88
Leading reported procedure
Simplified Acquisition
29.7% of positive obligations
Leading award type
Delivery Order
67% of positive obligations
Full and open
1.4%
of positive obligations
Reported parent IDV
67%
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