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National Insurance Crime Bureau

Two San Antonians Sentenced to Prison for Health Care Fraud Schemes

U.S. Attorney's Office – Western District of Texas, Dec. 1, 2021

SAN ANTONIO – This week, two San Antonio residents were sentenced for their roles in health care fraud schemes.  Yesterday, Nancy Almaguer, 42, was sentenced to 18 months in prison and today Christopher Felix Montoya, 47, was sentenced to two 18-month prison sentences to run consecutively.

According to court documents, Montoya was a licensed physician’s assistant and owner of TPC Family Care and Medical Clinics in San Antonio and Laredo.  Almaguer was the Chief Operating Officer for the clinics.  Beginning in September 2018 through June 2019, Montoya and Almaguer agreed to refer lab testing requests to specific laboratories.  The labs billed insurance programs, including Medicare and TRICARE, and paid Almaguer and Montoya a percentage of their receipts in return for the referrals.  The kickback schemes resulted in over $500,000 in billings to public and private insurance companies.

In July and September of 2021, Montoya and Almaguer, respectively, pleaded guilty to one count of conspiracy to defraud the U.S. and to pay and receive health care kickbacks

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