Top DoD offices of physicians (except mental health specialists) contractors
In the 12 months ending Oct 5, 2026, the Department of Defense obligated $366.9M in net prime contract dollars under NAICS 621111, up 89.4% from $193.7M in the preceding 12 months. 91 prime contractors received positive obligations, and 17 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Defense. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
DoD publishes contract data to USAspending with a 90-day delay, so the most recent months understate DoD activity.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top DoD contractors for NAICS 621111
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Decypher Health Services, LLC | $51.0M | $14.9M | 13.9% | ▲ 3 |
| 2 | QTC Medical Services Inc | $35.8M | $0 | 9.7% | New |
| 3 | Aims-Usgp JV LLC | $25.8M | $8.9M | 7.0% | ▲ 3 |
| 4 | Cherokee Nation Integrated Health, L.L.C. | $24.6M | $0 | 6.7% | New |
| 5 | Matrix Providers Inc. | $19.9M | $2.2M | 5.4% | ▲ 13 |
| 6 | Aspire-Luke JV LLC | $16.9M | $961K | 4.6% | ▲ 21 |
| 7 | Chenega TRI-Services, LLC | $16.9M | $36.4M | 4.6% | ▼ 6 |
| 8 | Acmesolv, LLC | $14.5M | $4.8M | 3.9% | — |
| 9 | Magnolia Government Solutions LLC | $13.4M | $3.1M | 3.6% | ▲ 6 |
| 10 | Oneerp Solutions LLC | $13.2M | $3K | 3.6% | ▲ 93 |
| 11 | North American United Healthcare Services JV LLC | $12.0M | $194K | 3.3% | ▲ 43 |
| 12 | Cognito LLC | $12.0M | $411K | 3.3% | ▲ 24 |
| 13 | Compass Arora JV LLC | $11.8M | $178K | 3.2% | ▲ 42 |
| 14 | Global Shield Health Consultants, LLC | $9.5M | $260K | 2.6% | ▲ 31 |
| 15 | Tryfacta Inc | $8.3M | $3K | 2.3% | ▲ 85 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Decypher Health Services, LLC$14.9M → $51.0M (+$36.1M) · now #1
- QTC Medical Services Inc$0 → $35.8M (+$35.8M) · now #2
- Cherokee Nation Integrated Health, L.L.C.$0 → $24.6M (+$24.6M) · now #4
Largest declines
- Luke & Associates, Inc.$27.8M → $5.2M (−$22.6M) · now #19
- Chenega TRI-Services, LLC$36.4M → $16.9M (−$19.5M) · now #7
- Optumserve Health Services, Inc.$21.7M → $5.3M (−$16.4M) · now #18
New to this market
11 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| QTC Medical Services Inc | May 28, 2026 | $35.8M |
| Cherokee Nation Integrated Health, L.L.C. | Dec 18, 2025 | $24.6M |
| Decypher Technologies Ltd | Mar 31, 2026 | $2.6M |
| Uslu Ortak Saglik Guvenlik Birimi Limited Sirketi | Oct 7, 2025 | $69K |
| BIO-Care Inc | Jun 8, 2026 | $57K |
| Laboratorio Clinico Plaza Oasis Inc | Jun 8, 2026 | $40K |
| Healthcare Resource Network LLC | Mar 17, 2026 | $36K |
| CLF Consultants LLC | Jul 1, 2026 | $22K |
Where the money comes from
Funding sub-agencies within the Department of Defense, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Defense Health Agency | $289.9M | $104.8M | Up $185.1M (176.6%) |
| Department of the Army | $70.4M | $78.3M | Down $7.9M (10.2%) |
| Department of the Air Force | $4.1M | $5.3M | Down $1.1M (21.4%) |
| Defense Human Resources Activity | $1.6M | $4.4M | Down $2.8M (63.0%) |
| Defense Logistics Agency | $723K | $675K | Up $47K (7.0%) |
| Defense Information Systems Agency | $197K | $197K | Up $0 (0.0%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| HT001524F0155 | Luke & Associates, Inc. DHA ENTERPRISE-WIDE MEDICAL CODING, EAST REGION | $36.8M | Oct 29, 2026 |
| HT001126FE025 | QTC Medical Services Inc ARMY NATIONAL GUARD (ARNG) MEDICAL READINESS SUPPORT SERVICES | $7.0M | Nov 28, 2026 |
| HT001126FE024 | QTC Medical Services Inc U.S. ARMY RESERVE (USAR) SUPPORT SERVICES | $18.0M | Nov 28, 2026 |
| HT940726FE013 | Decypher Health Services, LLC MEDICAL CODING | $27.1M | Nov 30, 2026 |
| HT940725F0023 | Decypher Health Services, LLC MEDICAL CODER III - INPATIENT MEDICAL CODER AND MEDICAL CODER II - AMBULATORY MEDICAL CODER. | $14.2M | Dec 31, 2026 |
| HT940725F0022 | Decypher Health Services, LLC AMBULATORY PROCEDURE VISIT (APV) | $6.8M | Dec 31, 2026 |
| FA820122C0003 | Chickasaw Business Solutions, LLC OCCUPATIONAL MEDICAL SERVICES CONTRACT BASE + 4 OPTION YEARS OMS | $13.1M | Jan 31, 2027 |
| HT001425F0039 | Decypher Health Services, LLC MEDICAL Q-CODED SERVICES NURSE STAFFING SUPPORT FOR WALTER REED, FORT BELVOIR AND THE PENTAGON MEDICAL TREATMENT CENTERS AND CLINICS. | $13.3M | May 31, 2027 |
| HT941026FE063 | Oneerp Solutions LLC ANCILLARY, PHYSICIANS AND MEDICAL SUPPORT SERVICES | $9.5M | Jun 30, 2027 |
| W81K0022C0003 | Rielcad JV LLC HOSPITALIST AND NOCTURNIST PHYSICIANS IN SUPPORT OF DEPT OF MEDICINE AT BAMC | $15.3M | Oct 31, 2027 |
Common questions
Who are the top DoD contractors for NAICS 621111?
In the latest 12 months, Decypher Health Services, LLC ($51.0M), QTC Medical Services Inc ($35.8M), Aims-Usgp JV LLC ($25.8M) received the most DoD obligations for offices of physicians (except mental health specialists).
How concentrated is this market?
The eight largest primes held 56.0% of positive obligations, and Decypher Health Services, LLC alone held 13.9%. 11 contractors won their first obligations in this market during the latest 12 months.
Are any large DoD NAICS 621111 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is HT001524F0155 (Luke & Associates, Inc., $36.8M obligated), ending Oct 29, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
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$5.4MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
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