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NAICS Code· 621492

NAICS 621492: Kidney Dialysis Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services. Show more

NAICS 621492 – Kidney Dialysis Centers encompasses outpatient facilities that provide chronic and acute renal dialysis services to patients with end-stage renal disease. These centers deliver medically supervised hemodialysis and peritoneal dialysis treatments using specialized equipment and licensed clinical staff, including nephrologists, dialysis technicians, and registered nurses.

2
Active Contracts
$468.7M
Total Obligations (12mo)
69
Awarded Contracts (12mo)
18
Contractors Awarded (12mo)
1
Median Bidders per Award
-54.5%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 621492.

AI Industry Description

NAICS 621492 – Kidney Dialysis Centers encompasses outpatient facilities that provide chronic and acute renal dialysis services to patients with end-stage renal disease. These centers deliver medically supervised hemodialysis and peritoneal dialysis treatments using specialized equipment and license...

NAICS 621492 – Kidney Dialysis Centers encompasses outpatient facilities that provide chronic and acute renal dialysis services to patients with end-stage renal disease. These centers deliver medically supervised hemodialysis and peritoneal dialysis treatments using specialized equipment and licensed clinical staff, including nephrologists, dialysis technicians, and registered nurses. Services are typically delivered under protocols established by the Centers for Medicare & Medicaid Services and aligned with National Kidney Foundation guidelines. In the government contracting landscape, this NAICS code supports healthcare delivery for eligible veterans, active-duty military personnel, and beneficiaries under the TRICARE and Medicare programs, often through long-term service agreements with federal health systems. No contractor data is available for this NAICS code, indicating a lack of publicly disclosed federal awards or limited procurement activity tracked on the platform. The sector is typically served by private, for-profit dialysis providers and nonprofit health systems that operate under Medicare-certified status, but no dominant prime contractors have emerged as visible recipients of federal contracts in available records. No agency data is available for this NAICS code, suggesting that while dialysis services are critical to VA and TRICARE beneficiary care, specific procurement activity may be embedded within broader health services contracts or managed through direct provider networks rather than discrete award mechanisms. The competitive landscape is characterized by high regulatory compliance requirements, clinical accreditation standards, and reliance on Medicare reimbursement structures. Opportunities for contractors lie in supporting facility operations through medical equipment maintenance, telehealth integration, electronic health record interoperability, and staffing solutions tailored to federal healthcare settings. Procurement trends indicate a growing emphasis on value-based care models and patient outcomes tracking, creating demand for contractors experienced in renal care compliance and data-driven clinical support systems.

Small Business Size Standard

The SBA threshold that decides who can bid NAICS 621492 work as a small business.

$47.0M
Applies to the whole industry code

The SBA cap for this NAICS (13 CFR 121.201). A business at or under it can self-certify as small for work in this code, which is what makes it eligible for a small-business set-aside. The cap is set per NAICS, so the same company can be small in one code and not in another.

13 CFR 121.201, effective January 1, 2026. The SBA revises the table roughly once a year.

Top Contractors

Companies with the highest total award value under NAICS 621492, ranked by dollars won.

Top Agencies

Federal agencies directing the most contract spending toward NAICS 621492.

Competition

How many companies historically bid on federal awards in NAICS 621492, from bidder counts reported on USAspending.

Usually Single-Bid

Half or more of reported awards drew exactly one bidder, usually a sign of incumbent-held work rather than an open field. · 1,722 reported awards

Median Bidders

1

Per reported award, all-time

Single-Bid Awards

65%

Share of reported awards with one bidder

10+ Bidder Awards

15%

Share of reported awards with 10+ bidders

Reported Awards

1,722

80% of 2,153 total awards

Bidder Count Distribution by Fiscal Year

Share of reported awards in each bidder-count bracket per federal fiscal year.

How this code compares up the NAICS hierarchy. Parent cohorts pool every code under their prefix, so they are the steadier baseline when a 6-digit sample is thin.

Industry FamilyCompetitionMedian BiddersSingle-BidBidder MixReported Awards
621492This Code
Kidney Dialysis Centers
Usually Single-Bid165%
1,72280% of 2,153
62149NAICS Industry
Usually Single-Bid169%
9,77876% of 12,827
6214Industry Group
Outpatient Care Centers
Usually Single-Bid152%
29,50784% of 35,330
621Subsector
Usually Single-Bid165%
305,49284% of 362,305
62Sector
Health Care and Social Assistance
Usually Single-Bid171%
550,70684% of 657,924

Bidder counts reported on past federal awards in this NAICS (USAspending). An open opportunity has no bidders yet, so this is the historical norm for similar work, not a fact about this solicitation. Not all awards report bidder counts, and fewer bidders often means incumbent-held work rather than an easier win. Federal reporting of bidder counts fell from ~96% of awards (FY2016) to ~30% (FY2018 onward); the chart shows shares of reported awards, and washed-out stretches mark years with fewer than 30 of them.

Related NAICS Codes

Industries similar to Kidney Dialysis Centers, by shared sector, subsector, and industry group.

Explore contracts across multiple NAICS codes Browse all NAICS Codes

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NAICS 621492 FAQ

Frequently Asked Questions

NAICS code 621492 covers Kidney Dialysis Centers. This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services.

Recently Posted in Kidney Dialysis Centers

NAICS: 621492
SLED
Mobile Dialysis Services for Escambia County Corrections
Solicitation # PD 25-26.121
Escambia County is soliciting proposals under solicitation number PD 25-26.121 for a qualified healthcare provider to deliver comprehensive onsite chronic dialysis services for inmates at the Escambia County Corrections Clinic in Pensacola, Florida. The selected contractor will be responsible for providing all necessary clinical personnel, including a Nephrologist for oversight and dialysis technicians, as well as all equipment, supplies, medications, and quality assurance, with the exception of County-provided recliners. Routine services are required Monday through Friday from 8:00 a.m. to 4:00 p.m., with the capacity to treat an average of two patients simultaneously. The contractor must also be able to respond to urgent dialysis requests within 12 hours and emergency requests within one hour. To be eligible, vendors must be licensed in Florida, possess at least five years of dialysis experience, and demonstrate the ability to commence full operations within 60 days of award. Proposals must be submitted as a single PDF via the OpenGov e-procurement portal by November 3, 2026. Award decisions will be based on a points-based scoring system focusing on the vendor's understanding of the scope of work, implementation plan, and additional services. The contract requires strict adherence to healthcare standards from entities such as CMS, OSHA, and HIPAA, as well as compliance with Florida Statutes regarding public entity crimes and the Local Government Prompt Payment Act. Contractors must maintain significant insurance coverage, including general liability and workers compensation, and ensure all personnel pass County background screenings.
Purchasing

POSTED

12 days ago

DEADLINE

in 21 days
View Details
NAICS: 621492
Closed
SLED
DRM 2026_37 New Dialysis Room MCI Shirley
Solicitation # BD-27-1025-DOCFS-1000E-132222
The Massachusetts Department of Correction is soliciting bids for the installation of a new water piping system for the Dialysis Room at MCI Shirley, located at 104 Harvard Road, Shirley, MA. The scope of work includes relocating pre-treatment tanks, plumbing new isolation valves, bypass headers, and a SCH 80 PVC loop, as well as installing bacteria filters, DI divert valves, and a mixing valve setup. The project is expected to start in September 2026, with a duration of three months from the contract award to substantial completion. All work must adhere to applicable codes and industry standards, and personnel must provide OSHA-10 certificates and undergo security and background clearances. The solicitation, identified as BD-27-1025-DOCFS-1000E-132222, requires responses to be submitted via COMMBUYS by August 21, 2026. Bidders must provide comprehensive documentation, including Response Form A, pricing, insurance certificates, and a 50 percent payment bond if the contract exceeds 25,000 dollars. Evaluation is based on best overall value, with pricing weighted at 50 percent, followed by company expertise, licenses, financial stability, and business references. Additional points may be awarded for environmental initiatives and diverse business participation through SDP commitments. The contract is subject to Commonwealth Terms and Conditions, and the Department maintains the right to terminate for convenience with 30 days' notice or for cause upon a material breach.
DOCFS - DOC Fiscal Services Milford

POSTED

2 months ago

CLOSED

about 2 months ago
View Details

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