The Daily LedgerMoney Trail | Federal Spending
Money Trail: An $18.7 million Medicare enrollment systems order went to Peraton on October 13
USAspending records for October 9 to 15, 2026 show an $18,673,559.31 delivery order to PERATON INC. from the Centers for Medicare and Medicaid Services to enhance and operate the Medicare enrollment and premium billing systems.
Key takeaways
- PERATON INC. received $18,673,559.31 in a delivery order dated October 13, 2026 from the Department of Health and Human Services, through the Centers for Medicare and Medicaid Services.
- The stated purpose is to provide continuous integration and continuous delivery to further enhance the Medicare enrollment and premium billing systems, and to operate and maintain the associated services.
- The order was the largest Health and Human Services contract action in the October 9 to 15, 2026 USAspending week, inside a department contract week of $39,473,220.85 across 192 transactions.
What the record shows
One order, one enrollment system, and a figure most coverage never named. USAspending records compiled for October 9 to 15, 2026 show a delivery order, award identifier 75FCMC25F0002, to PERATON INC. for $18,673,559.31, with an action date of October 13, 2026. The awarding department is the Department of Health and Human Services, and the awarding sub agency is the Centers for Medicare and Medicaid Services.
The description in the record is specific about the work. It calls for continuous integration and continuous delivery to further enhance the Medicare enrollment and premium billing systems, known as MEPBS, and to operate and maintain all associated services of that system, which contains the enrollment database suite. In plain English, this is the software and operations work behind how Medicare enrollment records and premium bills are processed.
How it compares
The Health and Human Services contract week totaled $39,473,220.85 across 192 transactions in the same USAspending file, so this single order accounts for close to half of the department contract total recorded that week. Yesterday the Ledger closed its Money Trail at TRILLAMED LLC, a Veterans Affairs order. Today the trail moves to a health agency and a different recipient, and the pattern is the point: one named order, read in full, tells readers more than a department total alone.
Followers get a named recipient, an exact figure, and the stated purpose, every day. Tomorrow the Money Trail follows the next order in the file, and tonight the Daily Brief carries the next Treasury close.
Data vintage: USAspending contract records for action dates October 9 to 15, 2026, compiled October 19, 2026 in the Ledger contractors week file. Figures are obligations recorded in the transaction, not cash paid out on that date.
Sources
1. USAspending award record for PERATON INC., delivery order 75FCMC25F0002: https://www.usaspending.gov/award/CONT_AWD_75FCMC25F0002_7530_GS35F694GA_4732/
2. U.S. Department of the Treasury, Fiscal Data, Debt to the Penny dataset: https://fiscaldata.treasury.gov/datasets/debt-to-the-penny/debt-to-the-penny
Source: U.S. Department of the Treasury, Daily Treasury Statement, September 28, 2026; Debt to the Penny.
Sources and methodology
Methodology. Daily cash figures are from the U.S. Treasury’s Daily Treasury Statement (DTS) for September 28, 2026, the government’s official daily cash-flow report. The DTS records money actually moving in and out of Treasury accounts; it is not the same as the budget deficit, which is measured monthly on an accrual-adjusted basis.
- U.S. Department of the Treasury, Daily Treasury Statement – operating cash balance, September 28, 2026 (fiscaldata.treasury.gov)
- U.S. Department of the Treasury, Debt to the Penny – September 28, 2026 (fiscaldata.treasury.gov)
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