NAICS 6219

Other Ambulatory Health Care Services

NAICS 6219: Other ambulatory health care services including dialysis centers, infusion clinics, urgent care, and ambulatory surgery centers.

Industry at a Glance

Sector-wide aggregates across all businesses classified under NAICS 6219 (2017 classification frame). For specific sub-industries within this sector, see the individual reports below.

Employment
387K
US Census CBP · 2023 · NAICS 2017
Establishments
17K
US Census CBP · 2023 · NAICS 2017
Annual Payroll
$22.7B
US Census CBP · 2023 · NAICS 2017
Avg Annual Wage
$58,693
Derived from US Census CBP · 2023 · NAICS 2017
Market Size
$65.6B
US Census Economic Census · 2022 · NAICS 2017

Industry Overview

NAICS 6219 encompasses other ambulatory health care services that do not fall within more narrowly defined ambulatory care categories such as offices of physicians, dentists, or mental health practitioners. This industry group includes diverse health care delivery settings such as kidney dialysis centers, infusion centers, urgent care facilities, ambulatory surgery centers, and specialized diagnostic services. These establishments provide essential health care services on an outpatient basis, serving patients who require medical intervention without overnight hospitalization. The sector plays a critical role in the broader health care ecosystem by offering accessible, often more cost-effective alternatives to hospital-based care and improving patient convenience through diverse service delivery models.

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Market sizing, workforce analysis, competitive landscape, regulatory environment — all sourced from Census, BLS, FRED, and SEC EDGAR.

Industry Trends

01

Expansion of ambulatory surgery centers as healthcare systems and private equity investors seek to capture market share from hospital outpatient departments due to lower operational costs and favorable reimbursement dynamics.

02

Growth in specialized infusion and dialysis centers driven by aging demographics and increasing prevalence of chronic diseases requiring ongoing outpatient treatment and monitoring.

03

Integration of advanced technologies including electronic health records, telemedicine capabilities, and point-of-care diagnostics to improve operational efficiency and patient outcomes.

04

Consolidation and partnership trends as independent facilities seek strategic alliances with larger health systems to enhance negotiating power with payers and improve referral networks.

05

Increased focus on quality metrics, patient experience, and outcomes-based care models as reimbursement structures shift away from volume-based fee-for-service arrangements.

Frequently Asked Questions

What is NAICS 6219? ▾
NAICS 6219 classifies other ambulatory health care services establishments that provide outpatient medical care outside of traditional physician offices, dental offices, or mental health practice settings. This includes kidney dialysis centers, infusion therapy clinics, ambulatory surgery centers, home health agencies, and other specialized outpatient care facilities. These establishments deliver essential health services to patients on a non-residential basis.
What are the primary revenue drivers for businesses in this industry? ▾
Revenue is primarily generated through patient service fees, insurance reimbursements from Medicare, Medicaid, and private payers, and procedure-based billing for specialized treatments. The mix varies by service type, with dialysis centers and ambulatory surgery centers having more predictable recurring revenue from chronic disease management or scheduled procedures, while urgent care facilities depend more on variable patient volume. Payer contracts and reimbursement rates significantly impact profitability across all service types.
How does regulatory environment impact this industry? ▾
The sector faces significant regulation from CMS, state health departments, and accreditation bodies that establish licensing requirements, quality standards, safety protocols, and billing compliance rules. Ambulatory surgery centers must meet specific surgical standards and reporting requirements, while dialysis centers require specialized certifications. Regulatory compliance costs and changing reimbursement policies from CMS directly influence operational expenses and business viability.
What is driving the shift toward ambulatory care services? ▾
Healthcare payers and delivery systems increasingly favor outpatient settings due to significantly lower costs compared to hospital-based care, improved patient convenience and satisfaction, faster recovery times, and reduced infection risk. Value-based care models incentivize moving appropriate procedures and treatments to lower-cost settings, and consumer preferences for accessibility drive demand for diverse ambulatory options.
What competitive dynamics characterize this industry? ▾
Competition varies by service segment, with large health systems competing against independent operators in some areas while hospital-affiliated ambulatory centers compete with specialized chains in others. Payer relationships, geographic location, specialized capabilities, and quality reputation are key competitive factors. Private equity involvement has intensified in segments like ambulatory surgery centers and urgent care, driving consolidation and operational improvements.

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