Department of Health and Human Services federal obligations in Nevada

What the HHS–Nevada cell actually measures

This page isolates awards that carry awarding agency 075 and Nevada as the place-of-performance state. The $27,768,147,431.41 total is the sum of those matching rows in the USAspending aggregate. Drop the Nevada filter and the agency 075 national profile is larger; drop the agency filter and Nevada’s statewide federal spending includes every awarding department. The join is the overlap, nothing more.

One thousand six hundred sixty-one awards against nearly $27.77 billion is a relatively thick dollars-per-row mix. That ratio does not prove each award is a Medicaid grant, a research contract, or a single hospital payment. It only says the Nevada–075 cell is not a high-volume micro-purchase table. Correlation between a health agency label and a western state tag is not evidence that Nevada’s health outcomes caused the obligations.

Agency 075 without treating HHS as one checkbook

USAspending’s awarding-agency field uses numeric codes. This tie is keyed to 075, the Department of Health and Human Services. Sub-agencies, operating divisions, and assistance listings can sit under that parent code in the source file; this packet does not break them out. Readers who need the department’s awards in every state should open the agency 075 hub rather than stretching $27,768,147,431.41 into a national HHS total.

HHS obligations often mix large assistance awards with smaller procurement. The 1,661-row count is consistent with a table that is not dominated by hundreds of thousands of small contracts, but the packet facts do not name award types. Inventing a split between grants and contracts would go beyond the aggregate.

Nevada as a place-of-performance tag

Nevada in this join is the USAspending state code NV. Recipients with Nevada headquarters, work performed in the state, and awards that simply list NV on the geography field can all land in the same $27,768,147,431.41 sum. The join does not separate those cases. Awards coded to California, Arizona, or Utah stay out even if staff or patients cross the border.

Statewide Nevada federal spending is the parent geography. Agency 075 is one awarding agency inside that parent. Treating this tie as Nevada’s entire federal footprint would ignore Defense, Social Security, Energy, and every other department that also posts NV place-of-performance awards.

Reading 1,661 awards under $27.77 billion

Average obligation is about $16.72 million ($27,768,147,431.41 ÷ 1,661). That mean is a concentration check, not a typical invoice. A few very large assistance awards can pull the average far above the median, and downward modifications in the raw file can shrink a net total without shrinking the award count. This page has no transaction table, so 1,661 is best read as award records in the aggregate.

Compared with Defense-style cells that stack tens or hundreds of thousands of awards, the Nevada–HHS pair is sparse on rows and heavy on dollars. That contrast describes table shape. It does not rank Nevada as a better or worse place to locate federal health spending.

What this pair is not

Sharing a state with an awarding agency does not mean Nevada taxpayers selected these awards, and it does not mean HHS outlays inside the state equal $27,768,147,431.41. Campaign-finance tables and USAspending tables are separate datasets; donations do not fund these obligations. The page is only the state–agency cell.

Continue from Department of Health and Human Services in Nevada for the overlay table, Nevada federal spending for all agencies, Department of Health and Human Services for agency 075 nationally, and All spending ties for other pairs.

How to read the Nevada–HHS numbers

Readers sometimes treat a western-state HHS cell as a proxy for tourism, uninsured rates, or hospital-bed counts. None of those series appear in the facts. The only documented attributes are awarding agency 075, Nevada as NV, $27,768,147,431.41, and 1,661 awards. Anything else — casinos, Medicaid expansion history, or county maps — would have to come from another table. This page does not import those tables. HHS obligations in USAspending can be assistance, contracts, or mixed. The 1,661-row Nevada book does not disclose that mix. A researcher who needs object class, CFDA, or recipient UEI has to leave the tie narrative and open the overlay or a bulk extract. The narrative’s job is to keep $27,768,147,431.41 attached to the two keys that produced it.

Nevada shares borders with California, Arizona, Utah, Oregon, and Idaho. None of those state codes contribute a dollar to this cell. An award that lists CA place of performance is California’s problem, even if the vendor’s warehouse sits in Sparks. Geography in USAspending is a tag, not a commuting model.

Questions

How much HHS funding is obligated in Nevada?

USAspending records $27,768,147,431.41 in obligations for awarding agency 075 (Department of Health and Human Services) with Nevada place of performance, covering 1,661 awards. That is an obligation aggregate for this pair, not an outlay figure and not HHS’s national total.

Does the $27.77 billion include every HHS program in Nevada?

The total includes awards tagged to agency 075 and NV place of performance in the USAspending aggregate. Programs coded to another awarding agency, or to another state, are excluded. The packet does not list CFDA numbers inside this cell.

Why are there only 1,661 awards for so many dollars?

Dividing $27,768,147,431.41 by 1,661 awards yields about $16.72 million per award. HHS tables often concentrate dollars in large assistance awards. The count is award records, not proof of 1,661 separate hospitals or 1,661 equal grants.

Is this the same as Nevada’s total federal spending?

No. This join filters awarding agency 075 only. Nevada’s statewide hub includes every awarding agency. $27,768,147,431.41 is the HHS slice, not the state total.