Top DoD offices of all other miscellaneous health practitioners contractors
In the 12 months ending Oct 5, 2026, the Department of Defense obligated $47.3M in net prime contract dollars under NAICS 621399, down 45.7% from $87.2M in the preceding 12 months. 39 prime contractors received positive obligations, and 8 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 621399
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 | Giacare & Medtrust JV LLC | $20.9M | $29.0M | 42.4% | — |
| 2 | Prairie Quest, Inc. | $6.3M | $12.2M | 12.9% | ▲ 1 |
| 3 | Reef Systems-FSR LLC | $3.8M | $3.8M | 7.8% | ▲ 2 |
| 4 | Akima Global Logistics, LLC | $3.3M | $7.4M | 6.7% | — |
| 5 | AMG Healthcare Services Inc | $2.2M | $2.5M | 4.5% | ▲ 1 |
| 6 | Ajanta Consulting LLC | $1.4M | $1.2M | 2.8% | ▲ 5 |
| 7 | Aims-Usgp JV LLC | $1.1M | $486K | 2.3% | ▲ 16 |
| 8 | Chenega Pro Federal Solutions, LLC | $1.0M | $1.3M | 2.1% | ▲ 2 |
| 9 | Laredo Technical Services, Inc. | $1.0M | $1.6M | 2.1% | ▼ 1 |
| 10 | Maxmed Healthcare Inc | $821K | −$678K | 1.7% | New |
| 11 | Eagle Health, LLC | $801K | $739K | 1.6% | ▲ 6 |
| 12 | Myriddian, LLC | $649K | $1.3M | 1.3% | ▼ 3 |
| 13 | Tridant Solutions, Inc. | $647K | $1.7M | 1.3% | ▼ 6 |
| 14 | Prosperitus Solutions LLC | $635K | $566K | 1.3% | ▲ 4 |
| 15 | Decypher Technologies Ltd | $543K | $538K | 1.1% | ▲ 4 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Maxmed Healthcare Inc−$678K → $821K (+$1.5M) · now #10
- Aims-Usgp JV LLC$486K → $1.1M (+$619K) · now #7
- Vortex Solutions, LLC−$389K → $0 (+$389K) · no latest-period obligations
Largest declines
- Wisestaff, LLC$12.3M → −$1.1M (−$13.5M) · no latest-period obligations
- Giacare & Medtrust JV LLC$29.0M → $20.9M (−$8.1M) · now #1
- Prairie Quest, Inc.$12.2M → $6.3M (−$5.8M) · now #2
New to this market
1 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Nelson Enterprise Technology Services LLC | Apr 7, 2026 | $158K |
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 | $44.6M | $48.2M | Down $3.6M (7.5%) |
| Department of the Army | $1.9M | $36.1M | Down $34.2M (94.6%) |
| Department of the Air Force | $1.3M | $2.5M | Down $1.2M (48.7%) |
| Defense Threat Reduction Agency | $30K | $28K | Up $2K (8.7%) |
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 |
|---|---|---|---|
| W91YTZ22C0012 | Lumbee IT Solutions LLC MEDICAL SERVICES- PA, EMT, RN | $4.8M | Oct 31, 2026 |
| FA558723C0003 | Decypher Technologies Ltd AWARD CONSULT APPOINTING AND MANAGEMENT OFFICE (CAMO) CONTRACT | $1.9M | Oct 31, 2026 |
| FA483022C0009 | United Medevac Solutions, Inc. PARAMEDIC SERVICES FOR 23D MEDICAL GROUP, MOODY AFB GA 31699 | $1.5M | Dec 19, 2026 |
| W912LQ25CA002 | Myriddian, LLC THE CONTRACTOR SHALL PROVIDE CASE MANAGEMENT SERVICES TO MEMBERS OF THE VIRGINIA ARMY NATIONAL GUARD DURING THE PERIOD 1 FEBRUARY 2025 - 31 JANUARY 2026 WITH TWO ONE-YEAR OPTION… | $1.3M | Jan 31, 2027 |
| W91YTZ24C0003 | Chenega Pro Federal Solutions, LLC WEST POINT CRNA SERVICES | $3.7M | Feb 28, 2027 |
| W81K0023C0007 | Maxmed Healthcare Inc NURSE CASE MANAGERS (20 FTES) | $7.3M | Mar 31, 2027 |
| W81K0024C0010 | Aims-Usgp JV LLC OUTPATIENT, INPATIENT AND ONCOLOGY PHARMACY TECHNICIAN SESRVICES. | $2.7M | Mar 31, 2027 |
| W912JM23P0027 | Tridant Solutions, Inc. MEDICAL SUPPORT SERVICES | $5.2M | Sep 28, 2027 |
| W81K0022C0008 | Kako'o Services LLC PHYSICIAN ASSISTANTS SERVICES FOR BAMC AT FT. SAM HOUSTON | $2.6M | Sep 30, 2027 |
| W81K0022C0007 | AMG Healthcare Services Inc SERVICES OF 24 FTES CARDIAC MONITOR TECH | $8.9M | Sep 30, 2027 |
Common questions
Who are the top DoD contractors for NAICS 621399?
In the latest 12 months, Giacare & Medtrust JV LLC ($20.9M), Prairie Quest, Inc. ($6.3M), Reef Systems-FSR LLC ($3.8M) received the most DoD obligations for offices of all other miscellaneous health practitioners.
How concentrated is this market?
The eight largest primes held 81.4% of positive obligations, and Giacare & Medtrust JV LLC alone held 42.4%. 1 contractors won their first obligations in this market during the latest 12 months.
Are any large DoD NAICS 621399 contracts ending soon?
10 of the largest awards in this market reach their current end date in the next 18 months. The first is W91YTZ22C0012 (Lumbee IT Solutions LLC, $4.8M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621399 across all agencies
HHS · NAICS 621399
$51.4MVA · NAICS 621399
$30.6MFigures 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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