Specialized outpatient health services including pain management and sleep disorder centers. Find active federal and state all other outpatient care centers contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 621498 is estimated at $300–$500 million, driven primarily by the VA (pain management, sleep clinics), DoD (TRICARE network clinics), and IHS (rural outpatient care). Contracts are mostly regional IDIQs and BPAs with fixed-price or cost-reimbursement structures. Demand spikes with military readiness requirements and veteran healthcare backlogs. Competition is moderate; many small, specialized clinics compete alongside larger health systems. Set-asides for SDVOSB, 8(a), and HUBZone are common.
These agencies are the largest buyers of all other outpatient care centers services and products in the federal government. Each awards contracts under NAICS 621498 regularly — build relationships with their small business offices first.
To win under 621498, target VA VISN-level IDIQs and TRICARE network expansions. The highest-leverage move is obtaining VA CVE verification (SDVOSB/VOSB) or 8(a) certification, then bidding on set-aside contracts. Most awards use LPTA, so past performance and competitive pricing are critical. Avoid bidding on large, consolidated contracts; instead, pursue single-award BPAs for specific services (e.g., sleep studies, pain injections).
Most 621498 work is bought via GSA Schedule 621I (Health Care Services) or VA-specific IDIQs (e.g., VHA Community Care Network). DoD uses TRICARE network contracts and local BPAs. Best-value tradeoffs are rare; LPTA dominates. Evaluation focuses on licensure, past performance, and price. Agency-specific vehicles like IHS' 638 contracts also apply.
State licensure as an outpatient clinic is mandatory. For VA contracts, you need CVE verification if claiming SDVOSB/VOSB status. Medicare/TRICARE certification is often required for reimbursement. No federal clinic license exists; state-level accreditation (e.g., AAAHC) may be needed.
Awards range from $500,000 to $5 million annually. Most are 1-year base with 4 option years. IDIQ ceilings can reach $20 million, but individual task orders rarely exceed $2 million.
Rarely. Most contracts are services-based and don't require bid bonds or performance bonds. However, if the contract includes construction of a clinic facility, Miller Act bonds may apply. For pure care services, no bonding is typical.
Less competitive than 621111 (physician offices) but more than 622110 (hospitals). Average 3-5 bidders per solicitation. Set-asides reduce competition significantly; SDVOSB contracts average 2-3 bidders.
Yes, but prime contractors typically require you to be a licensed provider. Subcontracting as a staffing firm or administrative support is possible, but the prime must perform at least 50% of the work if it's a small business set-aside.