A local physician assistant admitted to defrauding Medicaid, Medicare, and TRICARE out of nearly $900,000 in kickbacks.
Christopher Felix Montoya, owner TPC Family Care and Medical Clinics in San Antonio and Laredo, pleaded guilty to one count of conspiracy to defraud the U.S. and to pay and receive healthcare kickbacks on July 7, according to news release from the U.S. Attorney’s Office of the Western District of Texas.
Montoya was performing nasal swabs on patients and then accepting kickbacks for submitting those swabs to a particular laboratory for testing. He would pay out about $80,000 and received approximately $50,000 in kickbacks from Medicare and Medicaid from September 2018 to June 2019. Daryl Fields, spokesperson for the Western District of Texas, said the majority of that total was from Medicare.
Montoya's had one urgent care clinic in San Antonio at 1222 McCullough Ave.
In a separate case, Montoya also pled guilty on June 15 to one count of conspiracy to receive healthcare kickbacks from TRICARE, the healthcare plan offered to active an retired military members through the Department of Defense.
Montoya billed TRICARE $1,884,577.86 for prescriptions he wrote, to which TRICARE paid out $797,262.21. All together, Montoya defrauded over $840,000 from all three programs.
Sentencing is scheduled for August 23. Montoya faces up to 20 years in federal prison.
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Nancy Almaguer, who lives in San Antonio, Montoya’s chief operating officer, was charged with one count of conspiracy to defraud the U.S., and to pay and receive healthcare kickbacks. Almaguer was also charged with three counts of soliciting and receiving illegal healthcare kickbacks.
Jury selection and trial for Almaguer is pending.
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