Top HHS offices of all other miscellaneous health practitioners contractors
In the 12 months ending Oct 5, 2026, the Department of Health and Human Services obligated $51.4M in net prime contract dollars under NAICS 621399, up 42.5% from $36.0M in the preceding 12 months. 46 prime contractors received positive obligations, and 15 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Health and Human Services. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top HHS 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 | Maat Enterprises Inc | $8.4M | $1.7M | 14.0% | ▲ 9 |
| 2 | Four Winds Staffing LLC | $6.2M | $4.8M | 10.3% | ▼ 1 |
| 3 | Bay Area Anesthesia LLC | $4.1M | $1.2M | 6.9% | ▲ 13 |
| 4 | Akicita Cyber LLC | $4.1M | $2.3M | 6.8% | ▲ 2 |
| 5 | DT-Trak Consulting, Inc. | $3.9M | $3.1M | 6.5% | ▼ 2 |
| 6 | Indian Health Board of Minneapolis, Inc. | $3.2M | $3.1M | 5.4% | ▼ 2 |
| 7 | Sharestaff LLC | $3.0M | $1.3M | 5.0% | ▲ 7 |
| 8 | Prime Physicians PLLC | $2.7M | $1.7M | 4.5% | ▲ 1 |
| 9 | Gerald L Ignace Indian Health Center Inc | $2.3M | $2.2M | 3.9% | ▼ 2 |
| 10 | Ware River Consulting LLC | $2.3M | $3.8M | 3.8% | ▼ 8 |
| 11 | Sopor, LLC | $2.1M | $2.4M | 3.5% | ▼ 6 |
| 12 | American Indian Health and Family Services of Southeastern MI, Inc. | $2.0M | $1.8M | 3.3% | ▼ 4 |
| 13 | American Indian Health Service of Chicago | $1.8M | $1.7M | 3.0% | ▼ 2 |
| 14 | Jvrx LLC | $1.8M | $1.2M | 3.0% | ▲ 1 |
| 15 | Cherokee Nation Integrated Health, L.L.C. | $1.7M | $1.6M | 2.8% | ▼ 3 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Maat Enterprises Inc$1.7M → $8.4M (+$6.7M) · now #1
- Bay Area Anesthesia LLC$1.2M → $4.1M (+$2.9M) · now #3
- Akicita Cyber LLC$2.3M → $4.1M (+$1.8M) · now #4
Largest declines
- Robison Medical Resource Group LLC−$30K → −$2.8M (−$2.8M) · no latest-period obligations
- Wesley Medical Staffing, Inc.−$160K → −$1.9M (−$1.8M) · no latest-period obligations
- Ware River Consulting LLC$3.8M → $2.3M (−$1.5M) · now #10
New to this market
8 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Shared Mission II, LLC | Dec 5, 2025 | $764K |
| Nativearc II, LLC | Sep 14, 2026 | $613K |
| Consilium Staffing, LLC | Jul 30, 2026 | $550K |
| Tribal Providers PLLC | May 27, 2026 | $157K |
| Bighorn Ridgerunners, LLC | Jun 5, 2026 | $154K |
| Vision Quest Solutions Inc | Aug 20, 2026 | $73K |
| Loyal Source Government Services LLC | Sep 15, 2026 | $63K |
| Complete Pedorthic Solutions LLC | Sep 18, 2026 | $51K |
Where the money comes from
Funding sub-agencies within the Department of Health and Human Services, 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 |
|---|---|---|---|
| Indian Health Service | $50.0M | $34.2M | Up $15.9M (46.4%) |
| Centers for Disease Control and Prevention | $1.4M | $1.9M | Down $489K (26.3%) |
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 |
|---|---|---|---|
| 75H71223C00007 | Maat Enterprises Inc THE CONTRACTOR SHALL PROVIDE LICENSED PRACTICAL NURSES (LPN), CERTIFIED MEDICAL ASSISTANTS (CMA), CERTIFIED SURGICAL TECHNICIANS (CST) AND CERTIFIED NURSING ASSISTANTS (CNA)… | $6.8M | Feb 14, 2027 |
| 75H71223C00006 | Maat Enterprises Inc THE CONTRACTOR SHALL PROVIDE PROFESSIONAL NURSING AND RELATED SERVICES FOR PHOENIX INDIAN MEDICAL CENTER (PIMC) IN PHOENIX, ARIZONA. SHIFT TIMES AND SCHEDULES ARE SUBJECT TO… | $3.8M | Feb 14, 2027 |
| 75H71222C00026 | Four Winds Staffing LLC NURSE PRACTITIONER/PHYSICIAN ASSISTANT SERVICES FOR ER DEPARTMENT AT PIMC | $5.8M | Feb 28, 2027 |
| 75H70724P00078 | DT-Trak Consulting, Inc. SIX (6) REGISTERED NURSES FOR THE SANTA FE INDIAN HEALTH CENTER. | $5.9M | Jul 31, 2027 |
| 75D30124C20016 | Cherokee Nation Integrated Health, L.L.C. NATIONWIDE OCCUPATIONAL HEALTH SUPPORT | $4.7M | Aug 31, 2027 |
| 75H70723P00190 | Lumbee Resource Management Group LLC MEDICAL TECHNOLOGIST/MEDICAL TECHNICIAN NON PERSONAL HEALTHCARE SERVICES AT MSU | $3.7M | Aug 31, 2027 |
| 75H71225C00022 | Maat Enterprises Inc NON-PERSONAL PROFESSIONAL PHARMACY SERVICES - AREA WIDE | $6.7M | Sep 25, 2027 |
| 75H71222C00047 | Maat Enterprises Inc REGISTERED NURSING SERVICES FOR ED & ICU AT PIMC | $9.2M | Sep 27, 2027 |
| 75H71222C00032 | Four Winds Staffing LLC REGISTERED NURSING SERVICES FOR ED & ICU AT PIMC | $8.2M | Sep 27, 2027 |
| 75H71223C00028 | Four Winds Staffing LLC NON-PERSONAL PROFESSIONAL NURSING SERVICES AT WRSU | $6.2M | Sep 27, 2027 |
Common questions
Who are the top HHS contractors for NAICS 621399?
In the latest 12 months, Maat Enterprises Inc ($8.4M), Four Winds Staffing LLC ($6.2M), Bay Area Anesthesia LLC ($4.1M) received the most HHS obligations for offices of all other miscellaneous health practitioners.
How concentrated is this market?
The eight largest primes held 59.3% of positive obligations, and Maat Enterprises Inc alone held 14.0%. 8 contractors won their first obligations in this market during the latest 12 months.
Are any large HHS 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 75H71223C00007 (Maat Enterprises Inc, $6.8M obligated), ending Feb 14, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621399 across all agencies
DoD · NAICS 621399
$47.3MVA · 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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