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Industry · NAICS 621399 · sector 62 Health care and social assistance

Offices of All Other Miscellaneous Health Practitioners

Federal contract obligations classified under NAICS 621399, the organisations that win them and the agencies that award them.

USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.

Federal agencies obligated $137M in contracts classified under NAICS 621399, Offices of All Other Miscellaneous Health Practitioners, in FY2026, and $677M over the five fiscal years since FY2023; the industry ranks 234 of 526 on this site.

Obligations were down 16% on FY2025 ($163M), with $0 so far in FY2027.

The largest recipient organisations over FY2022–FY2025 were Giacare & Medtrust JV LLC ($131M), Wisestaff, LLC ($50M) and Prairie Quest, Inc. ($45M).

By place of performance, the most money went to TX, AZ and NM.

$137Mcontract obligations, FY2026FY2026 (1 Oct 2025 – 30 Sep 2026) · obligations
$677Mfive-year totalFY2023–FY2027 to date · obligations
$0FY2027 to dateFY2027 · obligations
234 of 526rank among industries on this sitefive-year obligations
123awards of $1.0M+ since FY2023FY2023–FY2027

Contract obligations by fiscal year

$179M
$198M
$163M
$137M
$0
FY2023FY2024FY2025FY2026FY2027*
Contract obligations under NAICS 621399 by fiscal year. *FY2027 runs to the data date and is incomplete.

Compared with the largest industry FY2026

MeasureThis industryAircraft ManufacturingAll contracts
Contract obligations, FY2026$137M$45B$716B
Five-year total$677M$211B$3.0T
Share of all contract obligations, five years0%7.1%100%

Top contractors obligations, FY2022–FY2025

#OrganisationObligations
1Giacare & Medtrust JV LLC$131M
2Wisestaff, LLC$50M
3Prairie Quest, Inc.$45M
4Four Winds Staffing LLC$25M
5Robison Medical Resource Group LLC$19M
6Maat Enterprises Inc$19M
7Akima Global Logistics, LLC$19M
8Reef Systems-FSR LLC$17M
9R Keith Enterprises Inc$17M
10North Shore University Hospital$15M
11Ab Staffing Solutions LLC$13M
12Rosato Associates, Inc.$12M
13Ware River Consulting LLC$11M
14Prairie Band Health Services Inc$11M
15Ajanta Consulting LLC$10M
16DT-Trak Consulting, Inc.$9.6M
17Photon Physics Services$9.5M
18Bliss Pharmacy Services LLC$8.9M
19Wesley Medical Staffing, Inc.$8.5M
20JVRX LLC$8.3M
21Sharestaff LLC$7.9M
22Amg Healthcare Services Inc$7.8M
23Loyal Source Government Services LLC$7.7M
24Aims Locum Tenens LLC$7.5M
25Akicita Cyber LLC$7.2M

Buying agencies $1.0M+ awards

Where the work is performed

Largest awards since FY2023

RecipientAwarding agencyTypeAward valueBegunPlaceRecord
Akima Global Logistics, LLCDepartment of DefenseDepartment of the ArmyContractDefinitive Contract$22M26 Jun 2023TXUSAspending
Reef Systems-FSR LLCDepartment of DefenseDefense Health AgencyContractDelivery Order$13M5 Apr 2023TXUSAspending
Prairie Quest, Inc.Department of DefenseDefense Health AgencyContractDelivery Order$12M5 Apr 2023TXUSAspending
Prairie Quest, Inc.Department of DefenseDefense Health AgencyContractDelivery Order$12M5 Apr 2023TXUSAspending
Giacare & Medtrust JV LLCDepartment of DefenseDepartment of the ArmyContractDelivery Order$9.8M20 Dec 2023TXUSAspending
Giacare & Medtrust JV LLCDepartment of DefenseDepartment of the ArmyContractDelivery Order$9.3M18 Sep 2024TXUSAspending
Giacare & Medtrust JV LLCDepartment of DefenseDepartment of the ArmyContractDelivery Order$9.0M20 Dec 2024TXUSAspending
Giacare & Medtrust JV LLCDepartment of DefenseDepartment of the ArmyContractDelivery Order$8.4M20 Dec 2024TXUSAspending
Prairie Quest, Inc.Department of DefenseDefense Health AgencyContractDelivery Order$7.9M5 Apr 2023TXUSAspending
Maxmed Healthcare IncDepartment of DefenseDepartment of the ArmyContractDefinitive Contract$7.3M29 Mar 2023TXUSAspending

Other industries in sector 62: Health care and social assistance

Questions and answers

How much does the federal government spend on NAICS 621399?

$137M in contract obligations classified under Offices of All Other Miscellaneous Health Practitioners in FY2026, $677M over the five fiscal years since FY2023. Obligations are commitments, not payments.

Who are the top contractors in Offices of All Other Miscellaneous Health Practitioners?

Giacare & Medtrust JV LLC ($131M), Wisestaff, LLC ($50M), Prairie Quest, Inc. ($45M), Four Winds Staffing LLC ($25M), Robison Medical Resource Group LLC ($19M), by contract obligations over FY2022–FY2025.

Which agencies buy in this industry?

By the value of $1.0M-plus contracts since FY2023: Department of Defense ($238M), Department of Health and Human Services ($111M), Department of Veterans Affairs ($61M), Department of Transportation ($16M), Department of Homeland Security ($1.4M).

What is a NAICS code?

In USAspending's words: "NAICS stands for the North American Industrial Classification System. This 6-digit code tells you what industry the work falls into. Each contract record has a NAICS code." Assistance awards (grants, loans, direct payments) carry no NAICS code and are not counted here.

Provenance

Source: USAspending.gov API v2, spending by category (NAICS) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 NAICS list, so small amounts in a state may be missing. See methodology.