Kidney Dialysis Centers federal obligations in Tennessee

Tennessee x 621492 is an industry join, not a clinic census

This page pairs NAICS 621492, KIDNEY DIALYSIS CENTERS, with Tennessee place of performance. The code covers kidney dialysis centers, not hospitals and not kidney-disease research grants as a separate CFDA. SpendingVault sums tagged obligations: $78,636,138.45 on 28 awards. The extract does not list clinics, chairs, or patient counts. Treat the pair as a catalog intersection, not a ranking of which state treats more patients, and not a claim that 28 awards equal 28 clinics.

Other related listings — hospitals, other outpatient care, or medical laboratories — sit outside $78,636,138.45 unless they also carry 621492. Mixing dialysis centers with hospital inpatient care would invent a combined kidney-care figure the packet never computed. Correlation between this obligation sum and ESRD patient counts is not causation. ESRD patient counts are not in the packet. Place of performance as Tennessee locates the tagged awards; it does not deposit $78,636,138.45 in a state Medicaid account.

28 awards behind $78.6 million

Award count is a row count of tagged awards, including possible modifications and delivery orders. It is not a census of plants, sites, or contractors. Mean obligation is about $2,808,434 if $78,636,138.45 were divided evenly across 28 lines — a mechanical ratio, not a typical dialysis services award, and not a published unit price. The packet has no in-center-versus-home-support split inside 621492.

Twenty-eight lines are too many to narrate one by one. Sort the Tennessee 621492 overlay by amount to see concentration. This page will not invent contractor names. Open NAICS 621492 for the national listing and Tennessee industries for other codes. Do not convert 28 into a map of job sites. The $78,636,138.45 total remains an obligation rollup on tagged awards.

What NAICS 621492 covers in this extract

The listing title is Kidney Dialysis Centers. This extract does not split in-center from home dialysis support, nor does it split VA from other federal payers. Those cuts would require award documentation beyond dollars, 28 awards, NAICS 621492, and Tennessee. This page will not invent a product-line share.

Obligations are recorded commitments. Outlays are payments from the Treasury. The $78,636,138.45 headline is the obligation sum, not treatments already delivered and not a fiscal-year outlay total. No fiscal year is attached. A health-system press release dated to a particular year is not automatically this join unless it uses NAICS 621492, Tennessee geography, and the obligation metric.

What the Tennessee kidney dialysis table omits

The extract has no employment count, no clinic list, and no chair inventory. Facts remain $78,636,138.45, 28 awards, NAICS 621492, and Tennessee. This page will not invent a ranking against other states' 621492 joins. VA and other federal health buyers can both sit in the file; the extract does not label them.

Tennessee federal spending and Tennessee industries place 621492 among other codes. NAICS 621492 is the national catalog line. All spending ties indexes other industry-by-state pairs. Mixing those shelves would invent a share of Tennessee outpatient care the packet never computed. The $78,636,138.45 figure is the tagged pair only.

Where the 621492 x Tennessee overlay lives

Start with Tennessee federal spending for statewide context and NAICS 621492 for the nationwide industry listing. Tennessee industries lists other codes with Tennessee place of performance. All spending ties is the shelf for other NAICS x state pairs on the same obligation metric. Twenty-eight awards are tagged rows, not a clinics census. Names behind the rows are not in this packet.

Readers who need a different industry or a different state should leave this URL rather than adding numbers by hand. The $78,636,138.45 figure is the tagged NAICS 621492 × Tennessee pair only. USAspending.gov remains the source; SpendingVault republishes the join. Place of performance is a geography tag on awards, not proof that every dollar stayed inside Tennessee after obligation. If a later extract revises the rollup, this page's facts will be stale until the packet is rebuilt. Do not annualize $78,636,138.45 into a per-year run rate: no fiscal year is in the facts.

How to read the Tennessee × NAICS 621492 pair

A ties page exists because two tables meet. One table is the industry code (NAICS 621492). The other is place of performance as Tennessee. The headline $78,636,138.45 is the obligation sum on that intersection. It is not a forecast, not a budget request, and not an outlay. It is also not a claim that NAICS 621492 caused Tennessee's economy to grow, or that Tennessee caused NAICS 621492 awards to exist. Correlation between geography and a catalog code is the join — nothing more.

Use the internal links to step off this pair: the statewide spending shelf, the national industry listing, the state's other industry pages, and the ties index. Each of those pages uses the same obligation metric unless a page says otherwise. If you need award-level names, open the overlay or the stored table rather than treating this narrative as a recipient directory. If you need a different metric — outlays, current-year only, or a different geography — that metric is not in this packet.

Questions

How much federal money is obligated to kidney dialysis centers in Tennessee?

USAspending.gov shows $78,636,138.45 in obligations for NAICS 621492 with Tennessee as place of performance, across 28 awards. The sum is a commitment total, not outlays and not Tennessee's full health-care economy. Hospitals and medical laboratories sit outside this join unless they also carry 621492.

Do 28 awards mean 28 Tennessee dialysis clinics?

No. Award count is a row count of tagged awards and can include modifications and delivery orders. It is not a clinic or chair census. The packet does not name contractors. See NAICS 621492 and Tennessee industries for the stored shelves. Open NAICS 621492 and Tennessee industries for the stored shelves on the same obligation metric.

Is this Tennessee's entire federal health spending?

No. The join is NAICS 621492, Kidney Dialysis Centers, crossed with Tennessee place of performance. Hospitals, labs, and other outpatient care use different listings. Those dollars are not inside $78,636,138.45 unless the award also carries 621492. Open NAICS 621492 and Tennessee industries for the stored shelves on the same obligation metric.

Is $78.6 million already spent on Tennessee dialysis?

Not on this metric. Obligations are recorded commitments. Outlays are payments from the Treasury. The $78,636,138.45 headline is the obligation rollup in SpendingVault's extract. Treatment counts and remaining balances are not published in this packet. No fiscal year is attached to the join.