Kidney dialysis centers (NAICS 621492) federal contract obligations

Two hundred sixty-two awards hold $1.86 billion

Dividing $1,855,684,977.61 by 262 produces about $7.08 million per award. That concentrated book is unlike laboratory codes with thousands of small orders. Dialysis-center contracting here looks like a shorter list of large vehicles. The packet does not name clinics. It supports the obligation sum and the 262-award count.

All other outpatient care centers (621498) is a residual neighbor. Kidney dialysis has its own six digits. If a contracting office used the residual instead, those dollars sit on 621498, not here.

Contract obligations versus ESRD claims

Medicare end-stage renal disease payments are outlays against a benefit program. USAspending.gov NAICS 621492 is procurement: contracts tagged kidney dialysis centers. $1,855,684,977.61 is the second of those. Adding ESRD claims to this total would mix instruments.

Assistance that funds kidney programs may lack NAICS. Those grants would not increment this industry total. Keep 621492 on the contract hub.

What 262 does not count

The 262 awards include modifications that keep the code. They are not 262 clinics and not 262 patients. One dialysis-services vehicle can generate several of those rows. The industry page lists recipients.

Neighboring outpatient codes

Medical laboratories and residual outpatient centers appear elsewhere in this extract. Compare them on the all-industries index. Kidney dialysis centers is the specific 621492 tag, not the entire outpatient sector.

Using the dialysis-centers hub

The Kidney Dialysis Centers industry page lists the USAspending.gov actions behind $1.86 billion. Agencies and vendors belong there. This guide does not invent treatment counts or clinical outcomes.

Citing 621492 without turning it into a patient census

Quote $1,855,684,977.61 as USAspending contract obligations on 262 awards tagged NAICS 621492. Do not convert the total into treatments or patients. Dialysis-center NAICS on contracts record contractor commitments as classified, not CMS dialysis facility reports.

Because 262 is a small denominator, one large vehicle can dominate. That concentration is arithmetic, not a quality finding. Warehouse refreshes can move both dollars and the count. Recoding an award to residual outpatient 621498 would send new actions off this page.

Benefit payments and procurement can both touch dialysis. This table is only the NAICS-tagged contract slice. Keep the sentence on $1.86 billion in obligations.

Assistance without NAICS remains outside. Quote USAspending.gov, quote obligations, quote 262 awards, and open the hub for recipients. Stop before converting kidney dialysis centers into medical advice.

Readers quoting this industry should keep two packet facts in one sentence: $1,855,684,978 in USAspending.gov contract obligations and 262 awards tagged NAICS 621492 (KIDNEY DIALYSIS CENTERS). Dropping either figure hides whether the book is a few large vehicles or many small orders. The rounded obligation used for citation is $1,855,684,978; cents on the source total, if any, do not change the industry identity of the code.

KIDNEY DIALYSIS CENTERS shows a moderate award-record count (262). Individual vehicles can still be large. The count includes modifications that retain the NAICS. Health and social-assistance codes on USAspending.gov record tagged contracts, not benefit claims and not caseloads. KIDNEY DIALYSIS CENTERS is not a clinical directory. Record corrections in the USAspending.gov warehouse can move both the $1,855,684,978 and the 262-award count. Treat the live KIDNEY DIALYSIS CENTERS industry page as current and this file as a reading of the harvested packet.

Internal comparison belongs on the all-industries index, where NAICS 621492 sits beside other six-digit contract totals. Adding neighboring codes by hand creates a new total this packet does not contain; cite each NAICS if you add. Assistance awards that omit NAICS remain outside $1,855,684,978. Outlays remain unpublished here. Quote obligations, quote 262 awards, cite USAspending.gov, and open the overlay hub for recipients rather than inventing agencies, fiscal years, or unit counts the packet does not list.

A second check on language: do not call $1,855,684,978 an appropriation, a budget request, or cash disbursed. It is the recorded contract-obligation stock for KIDNEY DIALYSIS CENTERS (NAICS 621492) in the indexed USAspending.gov extract. Do not call 262 a count of establishments. It is an award-record count. Those two constraints are the whole method of this guide.

Place-of-performance, set-aside, and recipient fields, when needed, live on the KIDNEY DIALYSIS CENTERS industry page rather than in this packet. This guide repeats only NAICS 621492, $1,855,684,978, and 262 awards so that a searcher can land on the correct hub without treating the overlay prose as a substitute for the award table. If a later modification recodes work off 621492, new actions leave this total; historical rows remain until the warehouse restates them.

Questions

How much is obligated under NAICS 621492 kidney dialysis centers?

USAspending.gov contract awards tagged Kidney Dialysis Centers show $1,855,684,977.61 in obligations on 262 awards. That is a procurement commitment total, not Medicare ESRD claims and not a patient count. USAspending.gov is the source for the $1,855,684,978 obligation stock and the 262 contract awards tagged KIDNEY DIALYSIS CENTERS (NAICS 621492). Assistance awards that omit NAICS are outside both figures.

Does this include Medicare dialysis payments?

No. Benefit claims are outlays against insurance programs. This table sums contract obligations tagged 621492. The $1,855,684,977.61 is the procurement slice, not ESRD fee-for-service payments. Keep the citation on contract obligations: $1,855,684,978 on 262 awards coded NAICS 621492. Outlays, grants without NAICS, and unit counts are not in the packet that produced this page.

Why are there only 262 awards?

The indexed file contains 262 contract actions with this NAICS, including modifications that keep the code. Large vehicles can produce this shape. 262 is an award-record count, not 262 clinics. The industry hub lists the underlying USAspending.gov rows. This answer restates only packet facts: NAICS 621492, $1,855,684,978 obligated, and 262 awards for KIDNEY DIALYSIS CENTERS.

Is this the same as all other outpatient care centers?

No. Residual outpatient centers use NAICS 621498 when tagged that way. Only awards reported as 621492 feed the $1,855,684,977.61 on this page. Do not treat 262 as establishments or $1,855,684,978 as cash disbursed. Both numbers describe USAspending.gov contract actions tagged NAICS 621492 (KIDNEY DIALYSIS CENTERS), not assistance and not outlays.