Federal obligations in all other miscellaneous ambulatory health care services (NAICS 621999)

Residual outpatient services, not physician-office NAICS

NAICS 621999 is the catch-all inside ambulatory health care services. Outpatient work that contracting officers will not put on physician offices or other named 621 lines can land here. The $2,914,892,456.14 total is that residual tag, not a hospital census and not surgical-appliance manufacturing (339113).

A physician-office award tagged 621111 will not raise this residual row. A miscellaneous ambulatory-care vehicle tagged 621999 will. SpendingVault reports the USAspending award tag, not an NPI roster and not an FEC employer string such as “doctor.”

1,426 awards on a $2.91 billion obligation stock

One thousand four hundred twenty-six awards produced $2,914,892,456.14 in obligations. That action count is thinner than catalog medical-supply codes. Large residual outpatient vehicles can dominate; the packet does not name them. The table shows tagged dollars and the 1,426-award count.

Obligations move with new awards, options, and modifications, including deobligations. Outlays are payments and are not this $2,914,892,456.14 rollup. A multi-year vehicle can show a large commitment while invoices follow performance. The industry page does not convert obligations into a cash calendar.

How USAspending attaches this NAICS

USAspending.gov stores NAICS on contract actions. public-health grants and many community-clinic assistance awards often have no NAICS field. Those dollars will not add to the 1,426 awards. Open program pages for grant-funded activity in this industry.

The label is a Census NAICS classification. It is not an NPI provider census and not campaign-finance text. Cite USAspending.gov via SpendingVault for $2,914,892,456.14 and the 1,426-award count.

What the 621999 table is and is not

The hub lists recipients and awards that share this NAICS tag. A large obligation is a disclosed commitment. It is not a finding that a clinic failed inspection, that a patient was harmed, or that a small business was excluded. SpendingVault does not score outcomes from the dollar total.

Use award IDs, not the $2,914,892,456.14 headline, to separate two companies. Subcontractors may be missing if the prime coded 621999. UEI and name changes are ordinary in the file.

Neighboring 621 ambulatory codes

Offices of physicians except mental health (621111) and other named 621 lines are separate pages. Adding them to $2,914,892,456.14 would mix named outpatient classes with this residual. That recode is not this page. Surgical appliance manufacturing (339113) is also separate.

Assistance without NAICS remains outside the 1,426-award count. For a recipient that also holds grants, open the recipient record. This guide stays on contract NAICS 621999 from USAspending.gov. Keep obligations distinct from outlays.

Residual ambulatory care versus named offices and supplies

A physician-office award tagged 621111 will not raise the 1,426-award count. A residual ambulatory vehicle tagged 621999 sits in $2,914,892,456.14 even if the same prime also holds a 339113 supplies contract. SpendingVault does not merge those rows.

Searchers who want “all federal outpatient care” must add named 621 lines and will still miss Medicare/Medicaid entitlements and grants. This page does not perform that recode. Cite contract NAICS 621999 only. Do not treat the row as an FEC occupation called doctor. The $2,914,892,456.14 figure remains an obligation stock on USAspending.gov. Modifications that end a clinic task will lower the running total without publishing a visit statistic on this hub. Open award rows for service descriptions. Neighboring 621 lines stay on their own pages unless those awards were tagged 621999.

A residual outpatient task tagged 621999 still sits in $2,914,892,456.14; a physician-office award tagged 621111 does not. The 1,426 awards remain an action count, not a clinic census. Keep 339113 surgical appliances on their own page. Cite USAspending.gov contract NAICS 621999 only. The headline is still obligations, not outlays. Community-clinic grants without NAICS stay outside this contract rollup. Do not add 621111 or 339113 into $2,914,892,456.14 without documenting a recode. The 1,426 awards stay an action file, not an NPI roster. Open award rows for CLIN-level descriptions the NAICS hub does not publish. Neighboring codes stay on their own SpendingVault industry pages unless those awards were tagged 621999. Keep obligations distinct from outlays on this rollup. Assistance awards without NAICS remain outside the contract tag. The packet reports only this NAICS tag from USAspending.gov contract actions, not outlays and not assistance without a NAICS field. Do not treat this industry total as an FEC employer string or as a cash-outlay extract from Treasury.

Questions

How much has the federal government obligated under NAICS 621999?

USAspending.gov contract aggregates on SpendingVault show $2,914,892,456.14 in obligations across 1,426 awards tagged all other miscellaneous ambulatory health care services. The number is obligations, not outlays. Assistance awards without NAICS are omitted. It is not an FEC employer string and not a combined total of neighboring NAICS codes.

Does this include offices of physicians?

Offices of physicians except mental health are NAICS 621111. Those awards will not add to the $2,914,892,456.14 total unless tagged 621999. The 1,426 awards are the residual miscellaneous ambulatory health care services contract tag from USAspending.gov via SpendingVault. Adding 621111 is a recode you must document on this page.

Does this include Medicare clinic payments?

Medicare and Medicaid are typically entitlement flows, not this contract NAICS rollup. They often lack NAICS and do not add to the 1,426 awards or $2,914,892,456.14. Open program pages for those dollars. This industry page reports only contract actions tagged 621999 in USAspending.gov.

Are these figures outlays or obligations?

They are obligations: legally binding commitments on contract actions. Outlays are payments and are not this $2,914,892,456.14 rollup. Modifications can change obligations without a same-day payment. SpendingVault cites USAspending.gov contract NAICS for the 1,426 awards, not a Treasury cash extract.