Industries › NAICS 621492
Industry · NAICS 621492 · sector 62 Health care and social assistance
Kidney Dialysis Centers
Federal contract obligations classified under NAICS 621492, 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 $537M in contracts classified under NAICS 621492, Kidney Dialysis Centers, in FY2026, and $2.6B over the five fiscal years since FY2023; the industry ranks 121 of 526 on this site.
Obligations were down 60% on FY2025 ($1.3B), with $0 so far in FY2027.
The largest recipient organisations over FY2022–FY2025 were Fresenius Medical Care Holdings Inc ($1.3B), Davita Inc. ($1.1B) and Dialysis Clinic, Inc. ($115M).
By place of performance, the most money went to CO, MA and TN.
Contract obligations by fiscal year
Compared with the largest industry FY2026
| Measure | This industry | Aircraft Manufacturing | All contracts |
|---|---|---|---|
| Contract obligations, FY2026 | $537M | $45B | $716B |
| Five-year total | $2.6B | $211B | $3.0T |
| Share of all contract obligations, five years | 0.1% | 7.1% | 100% |
Top contractors obligations, FY2022–FY2025
| # | Organisation | Obligations |
|---|---|---|
| 1 | Fresenius Medical Care Holdings Inc | $1.3B |
| 2 | Davita Inc. | $1.1B |
| 3 | Dialysis Clinic, Inc. | $115M |
| 4 | American Renal Associates LLC | $94M |
| 5 | US Renal Care Inc | $85M |
| 6 | Dialysis Newco, LLC | $24M |
| 7 | Correctional Dialysis Services LLC | $12M |
| 8 | Rsa - Guam LLC | $6.8M |
| 9 | Atlantis Healthcare Group (puerto Rico), Inc. | $4.8M |
| 10 | Central Florida Kidney Centers, Inc | $3.2M |
| 11 | Renal Treatment Centers - West, Inc | $2.1M |
| 12 | Total Renal Care Inc | $1.5M |
| 13 | University Kidney Center, LLC | $1.3M |
| 14 | Renal Treatment Centers-West, Inc. | $1.2M |
| 15 | Renal Treatment Centers-Mid-Atlantic Inc | $917K |
| 16 | Total Renal Care, Inc | $835K |
| 17 | Alam Shamsul | $778K |
| 18 | RCG Mercy des Moines, LLC | $759K |
| 19 | Renal Treatment Centers-California, Inc. | $733K |
| 20 | Renal Treatment Centers - Southeast LP | $475K |
| 21 | Liberty Dialysis - Nevada Acutes LLC | $377K |
| 22 | Dva Renal Healthcare Inc | $376K |
| 23 | Bio-Medical Applications of Louisiana, LLC | $374K |
| 24 | Fresenius Usa, Inc | $268K |
| 25 | Sanford Medical Center | $255K |
Buying agencies $1.0M+ awards
Where the work is performed
Largest awards since FY2023
Other industries in sector 62: Health care and social assistance
- 621111 Offices of Physicians (except Mental Health Specialists) $25B
- 622110 General Medical and Surgical Hospitals $6.0B
- 623110 Nursing Care Facilities (Skilled Nursing Facilities) $2.9B
- 624190 Other Individual and Family Services $2.8B
- 621498 All Other Outpatient Care Centers $2.3B
- 621999 All Other Miscellaneous Ambulatory Health Care Services $1.8B
- 623990 Other Residential Care Facilities $1.8B
- 621511 Medical Laboratories $1.5B
- 621910 Ambulance Services $1.4B
- 621112 Offices of Physicians, Mental Health Specialists $795M
- 624230 Emergency and Other Relief Services $792M
- 624310 Vocational Rehabilitation Services $685M
- 621399 Offices of All Other Miscellaneous Health Practitioners $677M
- 621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists $626M
- 621991 Blood and Organ Banks $430M
- 624110 Child and Youth Services $368M
- 621512 Diagnostic Imaging Centers $356M
- 624221 Temporary Shelters $268M
- 621610 Home Health Care Services $229M
- 624229 Other Community Housing Services $215M
- 621420 Outpatient Mental Health and Substance Abuse Centers $190M
- 621210 Offices of Dentists $171M
- 623220 Residential Mental Health and Substance Abuse Facilities $171M
- 621330 Offices of Mental Health Practitioners (except Physicians) $71M
Questions and answers
How much does the federal government spend on NAICS 621492?
$537M in contract obligations classified under Kidney Dialysis Centers in FY2026, $2.6B over the five fiscal years since FY2023. Obligations are commitments, not payments.
Who are the top contractors in Kidney Dialysis Centers?
Fresenius Medical Care Holdings Inc ($1.3B), Davita Inc. ($1.1B), Dialysis Clinic, Inc. ($115M), American Renal Associates LLC ($94M), US Renal Care Inc ($85M), by contract obligations over FY2022–FY2025.
Which agencies buy in this industry?
By the value of $1.0M-plus contracts since FY2023: Department of Veterans Affairs ($2.5B).
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.