SSA's $42.6M BPA for Medical Consultants in NY Faces Scrutiny Over Competition and Value

Contract Overview

Contract Amount: $42,634 ($42.6K)

Contractor: Andrew C. Przybyla, M.D P.C

Awarding Agency: Social Security Administration

Start Date: 2026-04-06

End Date: 2026-06-30

Contract Duration: 85 days

Daily Burn Rate: $502/day

Competition Type: NOT COMPETED UNDER SAP

Number of Offers Received: 1

Pricing Type: FIRM FIXED PRICE

Sector: Healthcare

Official Description: BLANKET PURCHASE AGREEMENT FOR REGIONAL MEDICAL CONSULTANT SERVICES IN THE NORTHEAST SUB-REGION 2 (NEW YORK). REVIEWS BY MEDICAL CONSULTANT OF DISABILITY CLAIM CASE FILES FOR AGENCY DISABILITY PROGRAM. NEW CALL ORDER FOR INDEPENDENT CASE REVIEWS.

Place of Performance

Location: STATEN ISLAND, RICHMOND County, NEW YORK, 10314

State: New York Government Spending

Plain-Language Summary

Social Security Administration obligated $42,634.2 to ANDREW C. PRZYBYLA, M.D P.C for work described as: BLANKET PURCHASE AGREEMENT FOR REGIONAL MEDICAL CONSULTANT SERVICES IN THE NORTHEAST SUB-REGION 2 (NEW YORK). REVIEWS BY MEDICAL CONSULTANT OF DISABILITY CLAIM CASE FILES FOR AGENCY DISABILITY PROGRAM. NEW CALL ORDER FOR INDEPENDENT CASE REVIEWS. Key points: 1. The contract is a Blanket Purchase Agreement (BPA) for medical consultant services, primarily for disability claim reviews. 2. The primary contractor is ANDREW C. PRZYBYLA, M.D P.C, with the contract ending in June 2026. 3. The award method is 'NOT COMPETED UNDER SAP', raising questions about the level of competition and potential price discovery. 4. The sector is Healthcare, specifically physician services, with a significant portion of spending allocated to this region.

Value Assessment

Rating: questionable

The contract value is $42.6 million for a duration of 85 days. Without specific per-unit cost data or benchmarks for similar medical consultant services for disability claims, it is difficult to definitively assess value. The lack of competition further complicates this assessment.

Cost Per Unit: N/A

Competition Analysis

Competition Level: limited

The contract was not competed under Simplified Acquisition Procedures (SAP), indicating a limited competition approach. This method may not yield the best possible pricing or ensure the most qualified vendor is selected, potentially impacting overall value for taxpayer dollars.

Taxpayer Impact: The limited competition raises concerns about whether the Social Security Administration secured the most cost-effective services, potentially leading to overspending of taxpayer funds.

Public Impact

Impacts individuals seeking disability benefits who rely on accurate and timely medical reviews. Potential for increased costs to taxpayers due to non-competitive award. Ensures continued availability of medical expertise for disability claim adjudication.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

The healthcare sector, particularly physician services, is critical for government programs like disability determination. Benchmarks for similar services are highly variable based on specialization and region, making direct comparisons challenging without more data.

Small Business Impact

There is no indication that small businesses were involved in this procurement. The contract was awarded to a specific professional corporation, suggesting a focus on specialized expertise rather than broad small business set-asides.

Oversight & Accountability

The limited competition and lack of detailed performance metrics present challenges for effective oversight. The Social Security Administration should ensure robust monitoring of service delivery and cost-effectiveness throughout the contract period.

Related Government Programs

Risk Flags

Tags

offices-of-physicians-except-mental-heal, social-security-administration, ny, bpa-call, under-100k

Frequently Asked Questions

What is this federal contract paying for?

Social Security Administration awarded $42,634.2 to ANDREW C. PRZYBYLA, M.D P.C. BLANKET PURCHASE AGREEMENT FOR REGIONAL MEDICAL CONSULTANT SERVICES IN THE NORTHEAST SUB-REGION 2 (NEW YORK). REVIEWS BY MEDICAL CONSULTANT OF DISABILITY CLAIM CASE FILES FOR AGENCY DISABILITY PROGRAM. NEW CALL ORDER FOR INDEPENDENT CASE REVIEWS.

Who is the contractor on this award?

The obligated recipient is ANDREW C. PRZYBYLA, M.D P.C.

Which agency awarded this contract?

Awarding agency: Social Security Administration (Social Security Administration).

What is the total obligated amount?

The obligated amount is $42,634.2.

What is the period of performance?

Start: 2026-04-06. End: 2026-06-30.

What is the specific per-case review cost and how does it compare to industry standards for similar disability claim evaluations?

The provided data does not include a per-case review cost. To assess value, the agency should track this metric and compare it against benchmarks for independent medical reviews in disability programs. Without this, it's difficult to determine if the $42.6 million is being spent efficiently for the volume and complexity of cases reviewed.

What are the risks associated with awarding a large BPA without full and open competition, particularly concerning potential overpricing or suboptimal service quality?

Awarding without full competition limits the government's ability to secure the best possible price and service. Risks include paying a premium for services, receiving less innovative solutions, and potentially lower quality if the selected vendor faces no competitive pressure. This can lead to inefficient use of taxpayer funds and potentially impact the fairness of disability determinations.

How effectively does this BPA ensure the quality and consistency of medical reviews for disability claims, and what mechanisms are in place to measure this?

The effectiveness hinges on the contractor's internal quality controls and the agency's oversight. While the contract provides necessary medical expertise, the data lacks specific quality metrics or performance standards. The agency must actively monitor review quality, consistency, and adherence to guidelines to ensure accurate and fair disability decisions.

Industry Classification

NAICS: Health Care and Social AssistanceOffices of PhysiciansOffices of Physicians (except Mental Health Specialists)

Product/Service Code: MEDICAL SERVICESOTHER MEDICAL SERVICES

Competition & Pricing

Extent Competed: NOT COMPETED UNDER SAP

Solicitation Procedures: SIMPLIFIED ACQUISITION

Offers Received: 1

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Address: 5 CRAFTON AVE, STATEN ISLAND, NY, 10314

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Self-Certified Small Disadvantaged Business, Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $42,634

Exercised Options: $42,634

Current Obligation: $42,634

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Parent Contract

Parent Award PIID: 28321321AC0240006

IDV Type: BPA

Timeline

Start Date: 2026-04-06

Current End Date: 2026-06-30

Potential End Date: 2026-06-30 00:00:00

Last Modified: 2026-04-06

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