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NAICS Code· 621610

NAICS 621610: Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Illustrative Examples: Home health care agencies Visiting nurse associations Home infusion therapy services In-home hospice care services Cross-References.Show more

NAICS 621610 – Home Health Care Services encompasses the provision of skilled nursing, therapy, and personal care services delivered in the patient’s residence to individuals requiring ongoing medical support following acute care, chronic illness, or disability. This sector plays a critical role in the federal healthcare delivery system by enabling cost-effective, patient-centered care that reduces hospital readmissions and supports aging-in-place initiatives.

22
Active Contracts
$34.5M
Total Obligations (12mo)
191
Awarded Contracts (12mo)
32
Contractors Awarded (12mo)
1
Median Bidders per Award
-41.2%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 621610.

AI Industry Description

NAICS 621610 – Home Health Care Services encompasses the provision of skilled nursing, therapy, and personal care services delivered in the patient’s residence to individuals requiring ongoing medical support following acute care, chronic illness, or disability. This sector plays a critical role in ...

NAICS 621610 – Home Health Care Services encompasses the provision of skilled nursing, therapy, and personal care services delivered in the patient’s residence to individuals requiring ongoing medical support following acute care, chronic illness, or disability. This sector plays a critical role in the federal healthcare delivery system by enabling cost-effective, patient-centered care that reduces hospital readmissions and supports aging-in-place initiatives. Services under this classification include wound care, medication management, physical and occupational therapy, and chronic disease monitoring, all delivered by licensed professionals under physician-ordered plans of care. In the government contracting landscape, this NAICS code supports Medicare and Medicaid managed care programs, veterans’ health initiatives, and social service outreach efforts administered through federal agencies. The leading contractor in this sector is INNOVATION AT WORK INC, a small business specializing in home-based care coordination and clinical support services tailored to federal beneficiaries. The competitive landscape is dominated by small businesses and community-based providers with expertise in Medicaid waiver programs, telehealth integration, and compliance with CMS quality metrics. Large primes occasionally partner with these firms to scale service delivery across multiple jurisdictions. The Social Security Administration is the primary agency awarding contracts under this NAICS, primarily through programs that link disability determination outcomes with post-determination home health support services. Demand is driven by initiatives to improve health outcomes for elderly and disabled beneficiaries while reducing institutional care costs. The market is characterized by high regulatory complexity and a strong preference for local, culturally competent providers with proven experience in federal eligibility systems. Opportunities exist for contractors with expertise in interoperable health IT platforms, remote patient monitoring, and Medicaid/Medicare billing compliance. Growth is tied to aging population trends and policy shifts favoring community-based care over institutional settings.

Small Business Size Standard

The SBA threshold that decides who can bid NAICS 621610 work as a small business.

$19.0M
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 621610, ranked by dollars won.

Top Agencies

Federal agencies directing the most contract spending toward NAICS 621610.

Competition

How many companies historically bid on federal awards in NAICS 621610, 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. · 19,743 reported awards

Median Bidders

1

Per reported award, all-time

Single-Bid Awards

76%

Share of reported awards with one bidder

10+ Bidder Awards

7%

Share of reported awards with 10+ bidders

Reported Awards

19,743

83% of 23,775 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
621610This Code
Home Health Care Services
Usually Single-Bid176%
19,74383% of 23,775
62161NAICS Industry
Usually Single-Bid176%
19,74383% of 23,775
6216Industry Group
Home Health Care Services
Usually Single-Bid176%
19,74383% of 23,775
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 Home Health Care Services, by shared sector, subsector, and industry group.

Explore contracts across multiple NAICS codes Browse all NAICS Codes

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NAICS 621610 FAQ

Frequently Asked Questions

NAICS code 621610 covers Home Health Care Services. This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Illustrative Examples: Home health care agencies Visiting nurse associations Home infusion therapy services In-home hospice care services Cross-References.

Recently Posted in Home Health Care Services

NAICS: 621610
International
Provision of Individual, bespoke Community Packages of Care for Children and Young People aged 0 - 18 years with Continuing Care Needs to enable Children and Young People to be cared for in their home
Solicitation # C472828
The East of England Community Health and Care NHS Trust is establishing a framework agreement under the Provider Selection Regime to deliver bespoke community care packages for children and young people aged 0 to 18 with continuing care needs. These services aim to enable patients to be cared for in their own homes through a variety of supports, including personal and social care, behavior management, play activities, medication assistance, and clinical interventions. All providers must be registered with the Care Quality Commission, including registration for the Treatment of Disease, Disorder and Injury, and are responsible for coordinating specific training for their staff to meet individual patient needs. The framework is organized into five distinct lots: Standard, Enhanced, Registered Nurse, Domiciliary, and School Support packages. The agreement spans a five-year term with planned reopenings in August of 2027, 2028, 2029, and 2030, though the Trust may adjust this schedule based on operational factors such as supply and demand or pricing changes. Interested parties must register their interest via the supplier portal using reference C472828 before the response deadline of November 16, 2026.
East of England Community Health and Care NHS Trust

POSTED

8 days ago

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