Federal Capture Intelligence

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

Contract actions: October 1, 2021 – October 4, 2026 Updated October 5, 2026 Department of Veterans Affairs agency guide NAICS 621399 · Offices of All Other Miscellaneous Health Practitioners
Latest 12 months
$27.1M
Net obligations · Down $3.1M vs. $30.2M preceding
Prime contractors
41
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 $149.6M in net obligations across 581 awards in Offices of All Other Miscellaneous Health Practitioners at the Department of Veterans Affairs from Oct 1, 2021 through Oct 4, 2026. This market accounts for 0.043% of $344.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 10.4% from $30.2M to $27.1M. 14 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 4, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $0 versus $3.0M through the same date in FY26 (−100.0%).
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
$149.6M
581 awards · 136 prime contractors
Latest 12-month movement
−10.4%
$27.1M 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 $344.1B 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 · 352 not reported

What changed in the last 12 months?

Oct 5, 2025–Oct 4, 2026, compared with Oct 5, 2024–Oct 4, 2025.

Competitive shifts

RISEN VIDEO PRODUCTION, LLC fell the most in the contractor rankings
#7→#18Down 11 places
The contractor accounts for 1.4% of positive obligations across 16 reported actions.
TRANSMEDICS, INC. gained the most market share
0.7%→3.8%+3.1 percentage points
The contractor now ranks #9 by positive obligations, based on 10 reported actions.

Buyer demand

Reported obligations through 679-TUSCALOOSA (00679)(36C679) decreased
$1.4M→$293K−$1.1M
Latest-period activity spans 1 award across 1 prime contractor.
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 4, 2026.

14.4% of positive obligations were attributed to 646-PITTSBURGH (00646)(36C646). That represents $4.0M, up $317K 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)14.4% · $4.0M · up $317K
  2. 673-TAMPA(00673)(36C673)13.2% · $3.7M · up $167K
  3. 242-NETWORK CONTRACT OFFICE 02 (36C242)11.5% · $3.2M · up $34K
  4. 261-NETWORK CONTRACT OFFICE 21 (36C261)7.3% · $2.0M · down $847K
  5. 540-CLARKSBURG (00540)(36C540)4.8% · $1.4M · down $320K
  6. All other reported offices48.8% 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)

    #1Rank unchanged

    Latest 12 months

    $4.0M

    14.4% of positive obligations

    Versus preceding 12 months

    +$317K

    5 active prime contractors · 17 awards

    View office comparison and evidence

    Reported obligations increased 8.5% from $3.7M to $4.0M. The office’s share of positive obligations moved from 11.9% to 14.4%, a change of +2.5 percentage points.

    The latest period contains 22 actions across 17 awards. The preceding period contained 6 active prime contractors and 18 awards.

  2. Reported funding office

    673-TAMPA(00673)(36C673)

    #2Rank unchanged

    Latest 12 months

    $3.7M

    13.2% 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 13.2%, a change of +1.9 percentage points.

    The latest period contains 4 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)

    #3Rank unchanged

    Latest 12 months

    $3.2M

    11.5% 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 11.5%, a change of +1.3 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)

    #4Rank unchanged

    Latest 12 months

    $2.0M

    7.3% of positive obligations

    Versus preceding 12 months

    −$847K

    4 active prime contractors · 7 awards

    View office comparison and evidence

    Reported obligations decreased 29.3% from $2.9M to $2.0M. The office’s share of positive obligations moved from 9.3% to 7.3%, a change of −2.0 percentage points.

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

  5. Reported funding office

    540-CLARKSBURG (00540)(36C540)

    #5Rank unchanged

    Latest 12 months

    $1.4M

    4.8% of positive obligations

    Versus preceding 12 months

    −$320K

    1 active prime contractor · 4 awards

    View office comparison and evidence

    Reported obligations decreased 19.1% from $1.7M to $1.4M. The office’s share of positive obligations moved from 5.4% to 4.8%, a change of −0.5 percentage points.

    The latest period contains 6 actions across 4 awards. The preceding period contained 2 active prime contractors and 6 awards.

  6. Reported funding office

    691-VA GREATER LA HLTHCR SYS(00691)

    #6Rank unchanged

    Latest 12 months

    $1.2M

    4.4% of positive obligations

    Versus preceding 12 months

    −$363K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations decreased 22.8% from $1.6M to $1.2M. The office’s share of positive obligations moved from 5.1% to 4.4%, a change of −0.7 percentage points.

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

  7. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C516)

    #7Up 2 from #9

    Latest 12 months

    $1.2M

    4.2% 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 4.2%, a change of +0.5 percentage points.

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

  8. Reported funding office

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

    #8Up 8 from #16

    Latest 12 months

    $1.1M

    3.8% of positive obligations

    Versus preceding 12 months

    +$396K

    5 active prime contractors · 8 awards

    View office comparison and evidence

    Reported obligations increased 60.3% from $657K to $1.1M. The office’s share of positive obligations moved from 2.1% to 3.8%, a change of +1.6 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 4 awards.

  9. Reported funding office

    674-TEMPLE (00674)

    #9Up 9 from #18

    Latest 12 months

    $886K

    3.2% 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 3.2%, a change of +1.4 percentage points.

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

  10. Reported funding office

    SAC FREDERICK (36C10X)

    #10Up 4 from #14

    Latest 12 months

    $881K

    3.1% 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 3.1%, a change of +0.9 percentage points.

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

  11. Reported funding office

    618-MINNEAPOLIS VA MED CTR (00618)

    #11New to the positive-obligation ranking

    Latest 12 months

    $864K

    3.1% 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 3.1%, a change of +3.1 percentage points.

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

    Leading award-level changes

  12. Reported funding office

    244-NETWORK CONTRACT OFFICE 4 (36C244)

    #15New to the positive-obligation ranking

    Latest 12 months

    $657K

    2.4% 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 2.4%, a change of +2.4 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

    241-NETWORK CONTRACT OFFICE 01 (36C241)

    #16Up 4 from #20

    Latest 12 months

    $637K

    2.3% of positive obligations

    Versus preceding 12 months

    +$327K

    1 active prime contractor · 8 awards

    View office comparison and evidence

    Reported obligations increased 105.5% from $310K to $637K. The office’s share of positive obligations moved from 1.0% to 2.3%, a change of +1.3 percentage points.

    The latest period contains 8 actions across 8 awards. The preceding period contained 1 active prime contractor and 2 awards.

  14. Reported funding office

    679-TUSCALOOSA (00679)(36C679)

    #18Down 11 from #7

    Latest 12 months

    $293K

    1.1% of positive obligations

    Versus preceding 12 months

    −$1.1M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 78.9% from $1.4M to $293K. The office’s share of positive obligations moved from 4.5% to 1.1%, a change of −3.4 percentage points.

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

  15. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C595)

    #23New to the positive-obligation ranking

    Latest 12 months

    $233K

    0.83% 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 0.83%, a change of +0.8 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

    671-SAN ANTONIO (00671)

    #35Down 18 from #17

    Latest 12 months

    $64K

    0.23% of positive obligations

    Versus preceding 12 months

    −$546K

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 89.5% from $610K to $64K. The office’s share of positive obligations moved from 2.0% to 0.23%, a change of −1.7 percentage points.

    The latest period contains 8 actions across 5 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 5 awards.

  17. Reported funding office

    VETERANS HEALTH ADMINISTRATION (36C558)

    No positive-obligation rank

    Latest 12 months

    −$193K

    0% of positive obligations

    Versus preceding 12 months

    −$730K

    2 active prime contractors · 2 awards

    View office comparison and evidence

    Reported obligations moved from $537K in net obligations to $193K 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 3 actions across 2 awards. The preceding period contained 2 active prime contractors and 3 awards.

  18. 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 4.4% to 0%, a change of −4.4 percentage points.

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

    Leading award-level changes

Contract types, competition, and procurement methods

From Oct 5, 2025 through Oct 4, 2026, 92 awards had positive obligations totaling $30.7M. Simplified Acquisition was the leading reported procedure, accounting for 34.6% of positive obligations. Awards with a reported parent IDV accounted for 66.5%.

Leading award type
66.5%
Delivery Order
Leading reported procedure
34.6%
Simplified Acquisition
Reported parent IDV
66.5%
of positive obligations had a reported parent IDV
Median reported offers
1
43 of 92 awards reported offers

Buying method changes

Compared with Oct 5, 2024–Oct 4, 2025. Based on 92 current awards and 125 preceding awards with positive net obligations.

Reported full-and-open obligation share
1.3%
Down from 12.2% 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 21.1 percentage points higher, reported full-and-open obligation share is 1.3 percentage points lower, delivery-order obligation share is 21.9 percentage points higher, and median positive award obligations are 62.7% lower.

MeasureThis marketPeer medianDifference
Parent-IDV obligation share66.5%45.4%+21.1 pts
Reported full-and-open obligation share1.3%2.6%-1.3 pts
Delivery-order obligation share66.5%44.6%+21.9 pts
Median positive award obligations$117K$313K-62.7%
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 valueAwardsPositive obligationsShare
Delivery Order(C)53$20.4M66.5%
Definitive Contract(D)15$7.6M24.8%
Purchase Order(B)24$2.7M8.7%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)53$20.4M66.5%
Not reported39$10.3M33.5%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)49$17.0M55.2%
Multiple Award(M)4$3.5M11.3%
Not reported39$10.3M33.5%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Simplified Acquisition(SP1)47$10.6M34.6%
Negotiated Proposal/Quote(NP)8$6.3M20.7%
Only One Source(SSS)7$4.3M14.2%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)2$3.1M10.1%
Sss(ONLY ONE SOURCE)4$2.6M8.3%
Sp1(SIMPLIFIED ACQUISITION)13$2.1M6.8%
Other reported values11$1.6M5.3%

Extent competed

Reported valueAwardsPositive obligationsShare
Competed Under SAP(F)31$9.1M29.7%
Full and Open Competition After Exclusion of Sources(D)14$6.9M22.5%
Not Competed(C)7$4.3M14.2%
A(FULL AND OPEN COMPETITION)2$3.1M10.1%
F(COMPETED UNDER SAP)12$2.0M6.6%
Not Competed Under SAP(G)17$1.8M5.8%
Other reported values9$3.4M11.1%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Competitive Set Aside(CSA)3$2.1M6.7%
Fair Opportunity Given(FAIR)1$1.4M4.6%
Not reported88$27.3M88.8%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)6$4.5M14.6%
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)10$1.5M4.8%
SAP Non-Competition (FAR 13)(SP2)9$1.3M4.3%
Urgency (FAR 6.302-2)(URG)2$1.0M3.4%
Follow-on Contract (FAR 6.302-1(A)(2)(Ii/Iii))(FOC)1$461K1.5%
Unique Source (FAR 6.302-1(B)(1))(UNQ)1$13K0.040%
Not reported63$22.0M71.5%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)71$22.6M73.5%
J(FIRM FIXED PRICE)21$8.2M26.6%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Surgery(Q523)19$4.0M13.0%
Medical- Pulmonary(Q521)2$3.7M12.1%
Pharmacy Services(Q517)19$3.2M10.5%
Medical- Nuclear Medicine(Q527)3$3.2M10.5%
Medical- Nursing(Q401)3$3.2M10.3%
Medical- Radiology(Q522)6$3.2M10.3%
Other reported values40$10.2M33.3%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of Veterans Affairs(3600)92$30.7M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
248-Network Contract Office 8 (36c248)(36C248)12$6.8M22.2%
244-Network Contract Office 4 (36c244)(36C244)21$6.2M20.1%
242-Network Contract Office 02 (36c242)(36C242)6$3.4M10.9%
257-Network Contract Office 17 (36c257)(36C257)6$2.2M7.1%
261-Network Contract Office 21 (36c261)(36C261)6$2.0M6.7%
245-Network Contract Office 5 (36c245)(36C245)5$1.7M5.5%
Other reported values36$8.5M27.5%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
36C24823D0091(3600)2$3.7M12.1%
36C24421D0086(3600)2$1.8M5.8%
36C24223D0008(3600)1$1.6M5.3%
36C25724D0029(3600)1$1.5M5.0%
36C26122D0014(3600)1$1.5M5.0%
36C24421D0082(3600)1$1.4M4.6%
36C24924D0017(3600)1$1.2M3.8%
36C24426D0049(3600)7$903K2.9%
Other reported values37$6.7M21.9%
Not reported39$10.3M33.5%

Offers, award size, and timing

Median reported offers
1 median
43 reported · 49 not reported
Positive award obligations
$117K median
$51K–$293K middle 50%
Reported performance period
364 days (~12 months) median
92 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 4, 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 41prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
13.2%of positive obligations in the last 12 months
Leading four prime contractors
42.2%of positive obligations in the last 12 months
Leading eight prime contractors
63.0%of positive obligations in the last 12 months

Based on $27.8M in positive obligations during the 12 months ending Oct 4, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 5, 2024–Oct 4, 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

    13.2%

    Dollar movement

    +$29K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    5 actions

    Historical and award details for R KEITH ENTERPRISES INC
    Obligations: prior → latest
    $3.7M → $3.7M
    +0.8%
    Share: prior → latest
    11.3% → 13.2%
    +1.9 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 reported44
    Reported small business44
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $3.2M

    11.5%

    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% → 11.5%
    +2.2 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

    $2.9M

    10.3%

    Dollar movement

    −$1.0M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    12 actions

    Historical and award details for WANDER STAFFING LLC
    Obligations: prior → latest
    $3.9M → $2.9M
    −26.8%
    Share: prior → latest
    12.1% → 10.3%
    −1.8 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-aside32
    Not reported00
    Reported small business56
    All-period set-aside types
    • 4 · SDVOSB set-aside
  4. #4

    Last 12mo obligations

    $2.0M

    7.2%

    Dollar movement

    −$507K

    vs. prior 12 months

    Last 12mo awards

    25 awards

    32 actions

    Historical and award details for BLISS PHARMACY SERVICES LLC
    Obligations: prior → latest
    $2.5M → $2.0M
    −20.3%
    Share: prior → latest
    7.7% → 7.2%
    −0.6 percentage points
    All-period obligations
    $11.8M
    7.7% of all-period positive obligations · 53 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside11
    Reported no set-aside00
    Not reported2417
    Reported small business2518
    All-period set-aside types
    • 1 · SDVOSB set-aside
  5. #5

    Last 12mo obligations

    $1.7M

    6.1%

    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% → 6.1%
    −0.1 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
  6. #6

    Last 12mo obligations

    $1.5M

    5.5%

    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
    4.6% → 5.5%
    +0.9 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.

  7. #7

    Last 12mo obligations

    $1.4M

    5.0%

    Dollar movement

    −$474K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    3 actions

    Historical and award details for LOYAL SOURCE GOVERNMENT SERVICES LLC
    Obligations: prior → latest
    $1.9M → $1.4M
    −25.5%
    Share: prior → latest
    5.8% → 5.0%
    −0.8 percentage points
    All-period obligations
    $8.5M
    5.5% of all-period positive obligations · 9 awards
    Recorded activity
    Since Oct 21, 2021
    through Sep 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported24
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $1.2M

    4.2%

    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% → 4.2%
    +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.

  9. #9

    Last 12mo obligations

    $1.0M

    3.8%

    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
    0.65% → 3.8%
    +3.1 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.

  10. #10

    Last 12mo obligations

    $953K

    3.4%

    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% → 3.4%
    −1.1 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
  11. #11

    Last 12mo obligations

    $886K

    3.2%

    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% → 3.2%
    +1.4 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.

  12. #12

    Last 12mo obligations

    $881K

    3.2%

    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% → 3.2%
    +1.0 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
  13. #13

    Last 12mo obligations

    $823K

    3.0%

    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% → 3.0%
    +1.4 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
  14. #14

    Last 12mo obligations

    $731K

    2.6%

    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% → 2.6%
    −0.3 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
  15. #15

    Last 12mo obligations

    $707K

    2.5%

    Dollar movement

    +$12K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for DELTA 22 SOLUTIONS LLC
    Obligations: prior → latest
    $696K → $707K
    +1.7%
    Share: prior → latest
    2.1% → 2.5%
    +0.4 percentage points
    All-period obligations
    $1.4M
    0.92% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 26, 2024
    through Jun 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported21
    Reported small business21
    All-period set-aside types

    None reported.

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 12.8% 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
12.8%
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 6 positions in this market.

It now ranks #11 by positive obligations over the latest 12 months.

Award net obligations
$1.5M
Share of 12-month positive obligations
5.5%
Supporting data
Prime contractor
#11 · 3.2% share
up 6 ranks · +1.4 percentage points · $322K net increase; action exceeded it by $1.2M
PIID 36C25726N0110
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
4.3%
Supporting data
Prime contractor
#3 · 10.3% share
$1.0M net decline despite this positive action
Funding office
#11 · 3.1% attributed share
+3.1 percentage points · $889K net increase; action exceeded it by $319K
PIID 36C26325C0002 · Mod P00001
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 5 positions in this market.

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

Award net obligations
$867K
Share of 12-month positive obligations
3.1%
Supporting data
Prime contractor
#13 · 3.0% share
up 5 ranks · +1.4 percentage points · $315K net increase; action exceeded it by $552K
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 5.9% 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
5.9%
Supporting data
Prime contractor
#5 · 6.1% share
$321K 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 5.9% 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
5.9%
PIID 36C24226N0264
View recent award activity by date (10)
  1. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1017
    Action−$135K
    Award net obligations$348K
  2. WANDER STAFFING LLCModification · PIID 36C24526C0060
    Action+$121K
    Award net obligations$642K
  3. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1018
    Action−$55K
    Award net obligations$45K
  4. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N0994
    Action−$20K
    Award net obligations$1K
  5. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1016
    Action−$18K
    Award net obligations$60K
  6. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N1022
    Action−$16K
    Award net obligations$54K
  7. PALISADE-HERITAGE JV LLCDeobligation · PIID 36C24425N0993
    Action−$3K
    Award net obligations$26K
  8. LOYAL SOURCE GOVERNMENT SERVICES LLCModification · PIID 36C24426N0852
    Action+$62K
    Award net obligations$1.4M
  9. BLISS PHARMACY SERVICES LLCModification · PIID 36C24426N0527
    Action+$47K
    Award net obligations$67K
  10. OZARK MEDICAL INCBase award · PIID 36C25926C0085
    Action+$175K
    Award net obligations$175K

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 4, 2026, R KEITH ENTERPRISES INC, ROSATO ASSOCIATES, INC., and WANDER STAFFING 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

    WANDER STAFFING LLC

    $2,867,952 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 10.4% from $30,238,754 in the preceding 12 months to $27,105,986 in the 12 months through October 4, 2026.

Latest 12 months
$27,105,986
Net prime contract obligations
Preceding 12 months
$30,238,754
Net prime contract obligations
Change
−10.4%
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, LAREDO TECHNICAL SERVICES, INC., and WANDER STAFFING LLC during the 12 months through October 4, 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 5, 2025 through October 4, 2026, VA reported 92 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
92
Leading reported procedure
Simplified Acquisition
34.6% of positive obligations
Leading award type
Delivery Order
66.5% of positive obligations
Full and open
1.3%
of positive obligations
Reported parent IDV
66.5%
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 4, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility.

Review data methodology