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 Unique recipients are unpublished.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 Enrollee and visit counts are unpublished.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
- Kidney Dialysis Centers federal obligations in FY2025
- Kidney Dialysis Centers federal obligations in FY2026
- Kidney dialysis centers federal obligations in Colorado (NAICS 621492)
- Kidney dialysis centers federal obligations in Massachusetts (NAICS 621492)
- Kidney Dialysis Centers federal obligations in Tennessee
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.
| Award | Recipient | Awarding Agency | Program | Place | FY | Obligation |
|---|---|---|---|---|---|---|
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-05 | 2025 | $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-01 | 2025 | $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-05 | 2025 | $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-05 | 2026 | $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-01 | 2025 | $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-01 | 2026 | $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-05 | 2025 | $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-01 | 2025 | $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-05 | 2026 | $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-05 | 2026 | $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-05 | 2025 | $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-05 | 2025 | $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-05 | 2025 | $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-05 | 2025 | $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-01 | 2026 | $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-01 | 2025 | $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-01 | 2026 | $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-01 | 2025 | $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-01 | 2025 | $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-01 | 2025 | $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-04 | 2026 | $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-05 | 2025 | $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-06 | 2026 | $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-05 | 2025 | $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-04 | 2025 | $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-06 | 2025 | $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-07 | 2025 | $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-04 | 2025 | $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-06 | 2025 | $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-01 | 2025 | $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-05 | 2026 | $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-01 | 2025 | $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-05 | 2025 | $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-04 | 2025 | $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-05 | 2025 | $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-06 | 2025 | $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-04 | 2026 | $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-04 | 2026 | $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-06 | 2025 | $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-06 | 2026 | $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-07 | 2025 | $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-06 | 2026 | $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-07 | 2025 | $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-05 | 2024 | $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-05 | 2026 | $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-06 | 2025 | $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-06 | 2025 | $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-05 | 2025 | $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-05 | 2025 | $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-05 | 2025 | $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.
Top Recipients
View All→Spending by State
| State | Funding | Awards |
|---|---|---|
| Massachusetts | $945.1M | 28 |
| Colorado | $709.2M | 17 |
| Texas | $93.7M | 70 |
| Tennessee | $78.3M | 19 |
| Oklahoma | $5.5M | 5 |
| California | $4.1M | 6 |
| Guam | $3.6M | 12 |
| Puerto Rico | $2.7M | 11 |
| Florida | $2.7M | 17 |
| Nevada | $1.8M | 9 |
| Kentucky | $1.6M | 4 |
| Illinois | $1.2M | 4 |
| Maryland | $1.1M | 1 |
| Missouri | $1.0M | 4 |
| Kansas | $811K | 4 |
| Arkansas | $787K | 2 |
| Iowa | $750K | 2 |
| Idaho | $703K | 4 |
| North Carolina | $663K | 4 |
| South Dakota | $202K | 3 |
| Indiana | $57K | 1 |
Source: USAspending.gov · All Industries