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Kidney Dialysis Centers

NAICS 621492 · Federal Contracts & Awards

USAspending.gov records $1,346,179,446.58 in Kidney Dialysis Centers (NAICS 621492) obligations for fiscal year 2025. About seventy-three percent of this dialysis-center extract sits on FY2025. Two hundred sixty-two industry-extract awards against that book is a compact parent file, not a clinic roster. This page is the industry-and-year join: Kidney Dialysis Centers (NAICS 621492) crossed with federal fiscal year 2025 — not every federal dollar in FY2025, not Kidney Dialysis Centers's $1,855,684,977.61 extract-wide book, and not cash already paid. The cell is 72.5% of this industry's published obligation total. 262 is the industry-extract award-record count, not a FY2025-only instrument tally. USAspending.gov is the source. Correlation is not causation.

Key figures

  • Kidney Dialysis Centers in FY2025: $1,346,179,446.58 in USAspending obligations (NAICS 621492).
  • That cell is 72.5% of the industry's $1,855,684,977.61 extract-wide total.
  • 262 is the industry-extract award-record count, not a FY2025 census.
  • NAICS 621492 × FY2025 is an obligation join, not an outlay and not a named-recipient list.
  • Cite USAspending.gov; quote /industries/621492/ and /fiscal-years/2025/ if live tables moved.

YearlyTrend cell: 621492 × FY2025

NAICS 621492 and fiscal year 2025 share one yearlyTrend cell. $1,346,179,446.58 is the USAspending.gov obligation sum on the row that carries both tags. It is not Kidney Dialysis Centers's nationwide all-year total of $1,855,684,977.61, not every federal dollar coded to FY2025, and not an outlay register. The packet does not split in-center from other dialysis settings. 262 is an industry-extract action count: modifications and repeat awards add rows across years. Unique recipients are unpublished. This cell is not a chair census, a patient roster, or a named-clinic file.

The headline $1,346,179,446.58 sits beside an industry-wide obligation total of $1,855,684,977.61; the 72.5% share is arithmetic on those two packet facts, not a ranking of fiscal years as winners or losers. Obligations are not outlays. Do not convert obligations into a patient census. Enrollee and visit counts are unpublished.

Kidney Dialysis Centers as a Census code, not a vendor file

USAspending labels NAICS 621492 as Kidney Dialysis Centers. That code produced $1,346,179,446.58 when crossed with fiscal year 2025. The industry-wide 621492 hub does not require a FY2025 filter. The year hub does not require Kidney Dialysis Centers. Only this tie applies both filters. The packet does not split in-center from other dialysis settings. FY2025 figures can still move. Do not treat this row as a closed treatment-year total.

Correlation is not causation: FY2025 did not produce $1,346,179,446.58 merely by existing as a large or small budget year. The join is 621492 × FY2025 only. This cell is not a chair census, a patient roster, or a named-clinic file. Do not invent contractors or award recipients to fill the gap. Campaign donations on FEC tables do not fund this USAspending cell; the datasets are separate. Two hundred sixty-two industry-extract award records belong to 621492 across years, not to FY2025 as a chair or patient census.

Full analysis: Kidney Dialysis Centers federal obligations in FY2025 →

Questions

How much Kidney Dialysis Centers spending is obligated in FY2025?
USAspending.gov lists $1,346,179,446.58 in Kidney Dialysis Centers (NAICS 621492) obligations for FY2025. That yearlyTrend amount is 72.5% of the industry's $1,855,684,977.61 extract-wide total. It is an obligation join, not an outlay and not every federal dollar in FY2025. Unique recipients are unpublished.
Is $1,346,179,446.58 the entire Kidney Dialysis Centers USAspending total?
No. NAICS 621492's extract-wide total is $1,855,684,977.61. FY2025 is 72.5% of that book. Other fiscal-year rows for the same industry are separate cells. Do not add /industries/621492/ into this join. 262 award records stay on the industry extract, not on this yearlyTrend row.
Is $1,346,179,446.58 cash already paid in FY2025?
No. Obligations are commitments recorded on USAspending.gov awards. Outlays — money that actually left the Treasury — are a different concept and are not this packet's headline. Treating $1,346,179,446.58 as checks already cleared in FY2025 confuses those terms. Prefer the live industry and year hubs if the tables moved.
Is FY2025 ranked against other years here?
No. This page does not rank FY2025 as a winner or loser. $1,346,179,446.58 describes one yearlyTrend join. Other years have their own cells. Cite Kidney Dialysis Centers and FY2025 together without a league table. USAspending.gov remains the source for NAICS 621492 in FY2025.

USAspending.gov NAICS yearlyTrend by fiscal year. Obligations are not outlays. FY figures can be incomplete for the current year.

Industry ties

All data ties →

Companies in the Kidney Dialysis Centers industry (NAICS code 621492) have received $1.86B in federal contracts, grants, and other awards since FY2024, across 262 individual awards tracked through FY2026. The largest funding agency is Department of Veterans Affairs ($1.85B). Spending is concentrated in Massachusetts, Colorado, Texas and 18 other states. All figures below come from USAspending.gov award records.

Total Obligations

$1.86B

Total Awards

262

States

21

Last Updated

Apr 11, 2026

Yearly Spending Trend

Top 50 Awards in Kidney Dialysis Centers

Largest individual obligations in NAICS 621492.

Download CSV
Top 50 Awards in Kidney Dialysis Centers
AwardRecipientAwarding AgencyProgramPlaceFYObligation
CONT_AWD_36C10G25K0286_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC - FRESENIUS
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$217,668,253
CONT_AWD_36C10G25K0288_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC - DAVITA
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$205,913,750
CONT_AWD_36C10G25K0025_3600_36C79119D0021_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$186,048,198
CONT_AWD_36C10G26K0200_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052026$160,945,352
CONT_AWD_36C10G25K0021_3600_36C79119D0018_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$131,332,191
CONT_AWD_36C10G26K0197_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012026$121,425,309
CONT_AWD_36C10G25K0381_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT - FRESENIUS
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$83,896,330
CONT_AWD_36C10G25K0385_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT - DAVITA
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$73,163,510
CONT_AWD_36C10G26K0130_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052026$40,549,764
CONT_AWD_36C10G26K0070_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 SEPTEMBER NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052026$32,029,790
CONT_AWD_36C10G25K0667_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$31,906,923
CONT_AWD_36C10G25K0417_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 APRIL NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$31,298,769
CONT_AWD_36C10G25K0522_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 JUNE NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$30,264,292
CONT_AWD_36C10G25K0597_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 JULY NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$29,307,155
CONT_AWD_36C10G26K0127_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012026$26,893,447
CONT_AWD_36C10G25K0664_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$26,812,688
CONT_AWD_36C10G26K0067_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 SEPTEMBER NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012026$26,790,486
CONT_AWD_36C10G25K0594_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 JULY NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$26,265,333
CONT_AWD_36C10G25K0421_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 APRIL NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$24,596,588
CONT_AWD_36C10G25K0515_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 MAY NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$22,405,184
CONT_AWD_36C10G26K0202_3600_36C10G24D0096_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
US RENAL CARE INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042026$19,890,296
CONT_AWD_36C10G25K0255_3600_36C79119D0019_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052025$19,517,865
CONT_AWD_36C10G26K0194_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062026$19,178,069
CONT_AWD_36C10G25K0521_3600_36C10G24D0088_3600
EXPRESS REPORT: FY 25 MAY NDSC EXPRESS REPORT
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$18,889,054
CONT_AWD_36C10G25K0247_3600_36C79119D0030_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC
US RENAL CARE INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042025$17,110,085
CONT_AWD_36C10G25K0262_3600_36C79119D0013_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$15,848,002
CONT_AWD_36C10G25K0022_3600_36C79119D0019_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-072025$15,462,874
CONT_AWD_36C10G25K0027_3600_36C79119D0030_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
US RENAL CARE INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042025$14,377,776
CONT_AWD_36C10G25K0001_3600_36C79119D0013_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$13,001,256
CONT_AWD_36C10G25K0516_3600_36C10G24D0093_3600
EXPRESS REPORT: FY 25 JUNE NDSC EXPRESS REPORT
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$11,304,424
CONT_AWD_36C10G26K0198_3600_36C10G24D0094_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052026$11,131,059
CONT_AWD_36C10G25K0256_3600_36C79119D0018_3600
EXPRESS REPORT: FY 24 4TH QUARTER NDSC
DAVITA INC.
Colorado
Department of Veterans Affairs
Department of Veterans Affairs
—DENVER, CO-012025$10,633,963
CONT_AWD_36C10G25K0386_3600_36C10G24D0094_3600
EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052025$7,435,904
CONT_AWD_36C10G25K0388_3600_36C10G24D0096_3600
EXPRESS REPORT: FY 25 2ND QUARTER NDSC EXPRESS REPORT
US RENAL CARE INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042025$6,812,552
CONT_AWD_36C10G25K0250_3600_36C79119D0021_3600
EXPRESS REPORT: FY 24 4TH QUARTER NDSC
FRESENIUS MEDICAL CARE HOLDINGS INC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—WALTHAM, MA-052025$5,527,506
CONT_AWD_36C10G25K0380_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 25 2ND QUARTER NDSC
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$5,252,784
CONT_AWD_36C10G26K0199_3600_36C10G24D0095_3600
EXPRESS REPORT: FY 26 NOVEMBER NDSC EXPRESS REPORT
DIALYSIS NEWCO, LLC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042026$5,027,691
CONT_AWD_36C10G26K0132_3600_36C10G24D0096_3600
EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT
US RENAL CARE INC
Texas
Department of Veterans Affairs
Department of Veterans Affairs
—PLANO, TX-042026$4,213,146
CONT_AWD_36C10G25K0416_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 25 APRIL NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$4,103,349
CONT_AWD_36C10G26K0064_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 25 SEPTEMBER NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062026$3,936,729
CONT_AWD_36C10G25K0253_3600_36C79119D0020_3600
EXPRESS REPORT: FY 25 1ST QUARTER NDSC
DIALYSIS NEWCO, LLC
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-072025$3,907,053
CONT_AWD_36C10G26K0124_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062026$3,800,462
CONT_AWD_36C10G25K0024_3600_36C79119D0020_3600
EXPRESS REPORT: FY 24 1ST, 2ND, AND 3RD QUARTER NDSC
DIALYSIS NEWCO, LLC
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-072025$3,320,090
CONT_AWD_36C25924C0060_3600_-NONE-_-NONE-
ON-SITE DIALYSIS SERVICES
RENAL TREATMENT CENTERS - WEST, INC
Oklahoma
Department of Veterans Affairs
Department of Veterans Affairs
—OKLAHOMA CITY, OK-052024$3,307,248
CONT_AWD_36C10G26K0128_3600_36C10G24D0094_3600
EXPRESS REPORT: FY 26 OCTOBER NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052026$2,892,104
CONT_AWD_36C10G25K0510_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 25 MAY NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$2,855,936
CONT_AWD_36C10G25K0661_3600_36C10G24D0064_3600
EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT
AMERICAN RENAL ASSOCIATES LLC
Massachusetts
Department of Veterans Affairs
Department of Veterans Affairs
—BEVERLY, MA-062025$2,837,987
CONT_AWD_36C10G25K0422_3600_36C10G24D0094_3600
EXPRESS REPORT: - FY 25 APRIL NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052025$2,791,532
CONT_AWD_36C10G25K0665_3600_36C10G24D0094_3600
EXPRESS REPORT: FY 25 AUGUST NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052025$2,765,173
CONT_AWD_36C10G25K0595_3600_36C10G24D0094_3600
EXPRESS REPORT: FY 25 JULY NDSC EXPRESS REPORT
DIALYSIS CLINIC, INC.
Tennessee
Department of Veterans Affairs
Department of Veterans Affairs
—NASHVILLE, TN-052025$2,748,620

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.

Spending by State

Federal spending in the Kidney Dialysis Centers industry (NAICS 621492) broken down by state, with obligated amounts and award counts.
StateFundingAwards
Massachusetts$945.1M28
Colorado$709.2M17
Texas$93.7M70
Tennessee$78.3M19
Oklahoma$5.5M5
California$4.1M6
Guam$3.6M12
Puerto Rico$2.7M11
Florida$2.7M17
Nevada$1.8M9
Kentucky$1.6M4
Illinois$1.2M4
Maryland$1.1M1
Missouri$1.0M4
Kansas$811K4
Arkansas$787K2
Iowa$750K2
Idaho$703K4
North Carolina$663K4
South Dakota$202K3
Indiana$57K1