Top VA offices of physicians (except mental health specialists) contractors
In the 12 months ending Oct 5, 2026, the Department of Veterans Affairs obligated $7.8B in net prime contract dollars under NAICS 621111, down 4.5% from $8.1B in the preceding 12 months. 86 prime contractors received positive obligations, and 4 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Veterans Affairs. 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 VA 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 | QTC Medical Services Inc | $2.3B | $2.8B | 29.5% | — |
| 2 | Optumserve Health Services, Inc. | $1.9B | $2.5B | 24.3% | — |
| 3 | Loyal Source Government Services LLC | $1.8B | $757.7M | 23.6% | ▲ 1 |
| 4 | Veterans Evaluation Services, Inc | $1.7B | $2.0B | 21.4% | ▼ 1 |
| 5 | Valor Network, Inc. | $10.2M | $0 | 0.1% | New |
| 6 | Wander Staffing LLC | $9.1M | −$444K | 0.1% | New |
| 7 | Fedhealth Systems Alliance, LLC | $4.8M | $5.6M | 0.1% | ▼ 2 |
| 8 | Call Solutions, LLC | $4.5M | $2.2M | 0.1% | ▲ 8 |
| 9 | Jade Wolf Operations, LLC | $4.1M | $3.9M | 0.1% | ▼ 1 |
| 10 | University of Maryland Diagnostic Imaging Specialists, P. a. | $3.9M | −$381K | 0.1% | New |
| 11 | Polaris Imaging LLC | $3.6M | $0 | 0.1% | New |
| 12 | Assurgent Medical Staffing LLC | $3.6M | $3.3M | 0.1% | — |
| 13 | Central Kentucky Radiology, PLLC | $3.2M | $0 | 0.0% | New |
| 14 | DAX Safety & Staffing Solutions, LLC | $3.2M | $4.8M | 0.0% | ▼ 8 |
| 15 | Progressive Radiology LLC | $3.0M | $1.8M | 0.0% | ▲ 3 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Loyal Source Government Services LLC$757.7M → $1.8B (+$1.1B) · now #3
- Valor Network, Inc.$0 → $10.2M (+$10.2M) · now #5
- Wander Staffing LLC−$444K → $9.1M (+$9.5M) · now #6
Largest declines
- Optumserve Health Services, Inc.$2.5B → $1.9B (−$614.5M) · now #2
- QTC Medical Services Inc$2.8B → $2.3B (−$483.6M) · now #1
- Veterans Evaluation Services, Inc$2.0B → $1.7B (−$370.7M) · now #4
New to this market
12 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Valor Network, Inc. | Jul 6, 2026 | $10.2M |
| Polaris Imaging LLC | Jul 8, 2026 | $3.6M |
| Central Kentucky Radiology, PLLC | Jun 10, 2026 | $3.2M |
| Adelphi Staffing, LLC | Apr 16, 2026 | $2.1M |
| Ananra, LLC | Jul 14, 2026 | $2.1M |
| University of Maryland Eye Associates PA | Jan 1, 2026 | $950K |
| Astarita Associates, Inc. | Dec 19, 2025 | $313K |
| Jessica Oswald | Jul 30, 2026 | $150K |
Where the money comes from
Funding sub-agencies within the Department of Veterans Affairs, 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 |
|---|---|---|---|
| Department of Veterans Affairs | $7.8B | $8.1B | Down $369.8M (4.5%) |
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 |
|---|---|---|---|
| 36C10X26N0043 | Optumserve Health Services, Inc. FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $362.2M | Dec 31, 2026 |
| 36C10X26N0045 | Optumserve Health Services, Inc. FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $356.6M | Dec 31, 2026 |
| 36C10X26N0044 | Optumserve Health Services, Inc. FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $714.1M | Dec 31, 2026 |
| 36C10X26N0036 | Veterans Evaluation Services, Inc FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $566.2M | Dec 31, 2026 |
| 36C10X26N0032 | QTC Medical Services Inc FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $770.3M | Dec 31, 2026 |
| 36C10X26N0037 | Veterans Evaluation Services, Inc FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $388.5M | Dec 31, 2026 |
| 36C10X26N0031 | QTC Medical Services Inc FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $378.7M | Dec 31, 2026 |
| 36C10X26N0040 | Loyal Source Government Services LLC MEDICAL DISABILITY EXAMINATIONS - TO FY26 FUNDING | $760.3M | Dec 31, 2026 |
| 36C10X26N0033 | QTC Medical Services Inc FY26 FUNDING MEDICAL DISABILITY EXAMINATIONS | $392.7M | Dec 31, 2026 |
| 36C10X26N0041 | Loyal Source Government Services LLC MEDICAL DISABILITY EXAMINATIONS - TO FY26 FUNDING | $392.7M | Dec 31, 2026 |
Common questions
Who are the top VA contractors for NAICS 621111?
In the latest 12 months, QTC Medical Services Inc ($2.3B), Optumserve Health Services, Inc. ($1.9B), Loyal Source Government Services LLC ($1.8B) received the most VA obligations for offices of physicians (except mental health specialists).
How concentrated is this market?
The eight largest primes held 99.2% of positive obligations, and QTC Medical Services Inc alone held 29.5%. 12 contractors won their first obligations in this market during the latest 12 months.
Are any large VA 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 36C10X26N0043 (Optumserve Health Services, Inc., $362.2M obligated), ending Dec 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 621111 across all agencies
DoD · NAICS 621111
$366.9MHHS · NAICS 621111
$102.6MDHS · NAICS 621111
$36.8MSSA · NAICS 621111
$28.6MDOJ · NAICS 621111
$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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