Kidney dialysis centers federal obligations in Massachusetts (NAICS 621492)

What the 621492–Massachusetts join is

NAICS 621492 and geography MA meet here. $944,228,524.56 is the USAspending.gov obligation sum on awards that carry both tags. It is not the nationwide dialysis book, not Massachusetts’s entire federal inflow, and not an outlay. End-stage renal folklore may send a reader here; patient counts are not packet fields.

31 awards is a very short list beside $944,228,524.56. A handful of rows can still hold a large commitment if a few assistance or contract vehicles dominate. The packet does not name Medicare, CMS, or a dialysis chain inside the 31 records. Those labels are ordinary speech, not extra dollars.

Open Massachusetts federal spending for every industry tagged to the state, NAICS 621492 for 621492 without a Massachusetts filter, Massachusetts industries for other Massachusetts NAICS pairs, and All spending ties for joins outside this dialysis cell. Do not add those parents into $944,228,524.56.

A thin award list next to a large dialysis total

Dividing $944,228,524.56 by 31 awards yields about $30.46 million per award. That mean is a ratio of two packet facts, not a typical Boston clinic grant and not a typical Springfield outpatient line. Unique recipients are unpublished. 31 is not a count of chairs, shifts, or patients.

Massachusetts geography invites a one-system story. This extract does not split Boston, Worcester, or Springfield. All share MA inside $944,228,524.56. Treating the cell as a single chain’s Massachusetts budget adds a label the facts do not carry.

Nationwide 621492 without a Massachusetts overlay is a different total

The national industry hub aggregates 621492 across every state. Massachusetts’s statewide hub aggregates every NAICS with an MA tag. Only awards that carry both 621492 and Massachusetts place of performance belong here, which is why this page cites 31 awards and $944,228,524.56.

Place of performance can follow a payee address, in-state work, or a reporting convention. Dialysis awards coded to New Hampshire, Rhode Island, or Connecticut do not enter this sum even if a vendor’s mailroom sits in Boston. The join cannot re-allocate dollars along a New England care chain.

Obligations, not outlays, on the Massachusetts dialysis cell

An obligation is a legal commitment. An outlay is a payment. $944,228,524.56 is the former. This packet has no outlay total, no fiscal-year split, and no de-obligation history. Citing the figure as treatments already delivered in Massachusetts over-reads the field. 31 remains an award-record count, not a session count and not a beneficiary roster.

What the Massachusetts–dialysis pair does not prove

A large kidney-dialysis total in Massachusetts does not mean the code caused the state’s renal caseload, and it does not connect these obligations to campaign contributions. Correlation is not causation. Wait lists, outcomes, and chain ownership are not USAspending columns here.

Keep $944,228,524.56 labeled as NAICS 621492 obligations with Massachusetts place of performance. Massachusetts federal spending still includes other industries that must not be folded into this cell. NAICS 621492 is 621492 without the state filter. Massachusetts industries lists sibling Massachusetts codes without merging hospital NAICS here.

How to cite dialysis centers in Massachusetts

A clean footnote names NAICS 621492 (kidney dialysis centers), Massachusetts place of performance, $944,228,524.56 in obligations, and 31 awards on USAspending.gov. Keep the obligation word. Mean dollars per action remain about $30.46 million. Do not per-clinic the total; a facility census is unpublished. All spending ties indexes other pairs. A later ingest can restate $944,228,524.56 without changing the join of 621492 and MA.

Hospital, physician-office, and home-health NAICS are not this dialysis-center cell. Massachusetts federal spending still mixes every Massachusetts industry; do not quote that parent as 621492. NAICS 621492 is the national dialysis code without the Massachusetts tag. Massachusetts industries keeps sibling Massachusetts health codes unmerged. 31 is a record count, including modifications, not a unique-clinic census. Keep the obligation label on $944,228,524.56 in every reuse. Correlation is not causation.

Questions

How much has NAICS 621492 obligated in Massachusetts?

USAspending.gov records $944,228,524.56 in obligations for NAICS 621492 with Massachusetts place of performance, covering 31 awards. That is an obligation aggregate for the dialysis–Massachusetts pair, not an outlay figure and not the nationwide 621492 total. Original filings remain on USAspending.gov.

Why so few dialysis awards relative to $944M in Massachusetts?

The extract lists 31 award actions totaling $944,228,524.56. A short row list can still hold a large dollar total if a few awards dominate. Average obligation per award is about $30.46 million, a ratio, not a typical clinic grant. Unique recipients are not published on this packet.

Is this Massachusetts Medicare dialysis spending?

The packet does not break 31 awards by program. $944,228,524.56 is the combined obligation sum for NAICS 621492 inside Massachusetts coding. Medicare, Medicaid, and chain folklore are not packet fields. Quote dialysis centers and Massachusetts together and keep the obligation label.

Where are the live Massachusetts and 621492 tables?

Massachusetts federal spending shows all industries in the state. NAICS 621492 shows NAICS 621492 without a state filter. Massachusetts industries lists other Massachusetts industry pairs. All spending ties lists joins outside this cell. Prefer those hubs after later USAspending ingests.