San Antonio Health Care Fraud Defense Attorney

Accused of Health Care Fraud in Texas? Call Former Federal Prosecutor Robert Almonte today. Robert Almonte, San Antonio Health Care Fraud Defense Attorney, will immediately fight for you.

Health care fraud is a serious federal crime—and if you’re being investigated or charged in San Antonio or anywhere in Texas, you need a skilled and experienced federal defense attorney on your side.

At Almonte Law, we provide aggressive, knowledgeable representation to individuals and medical professionals facing health care fraud allegations in federal courts across Texas. As a former federal health care fraud prosecutor turned San Antonio Health Care Fraud Defense Attorney, Attorney Robert Almonte understands how the government builds its case—and now uses that insight to defend you.

What Is Federal Health Care Fraud?

Under 18 U.S.C. § 1347, it is a crime to:

• Knowingly and willfully carry out—or attempt to carry out—a scheme to defraud a health care benefit program, or
• Obtain money or property through fraudulent means from a health care benefit program.

Federal Health care fraud charges in Texas are brought in U.S. District Court, and the penalties can be severe:

• Up to 10 years in federal prison,
• Up to 20 years if the fraud causes serious bodily injury,
• Up to life if it results in a death,
• Plus substantial fines, restitution, and asset forfeiture.

Common Types of Health Care Fraud in Texas

Federal prosecutors often target medical providers, clinics, pharmacies, and other health care professionals for fraud involving:

• Billing for services not provided
• Falsifying medical records or diagnoses
• Upcoding or unbundling procedures
• Kickback schemes and illegal referrals (Anti-Kickback Statute)
• Prescription fraud or overprescribing
• Fraud involving Medicare, Medicaid, or TRICARE

In San Antonio, which is home to numerous hospitals, military medical facilities, and clinics, these cases are aggressively pursued by federal law enforcement.

What the Government Must Prove

To convict someone of health care fraud, the government must prove beyond a reasonable doubt that the defendant:

1. Knowingly and willfully devised or executed a scheme to defraud a health care benefit program,
   or
2. Used false or fraudulent representations to obtain money or property related to health care services.

It is not enough to show a billing error or negligence—intent to defraud is key.

Health Care Fraud Conspiracy Charges – 18 U.S.C. § 1349

In addition to direct fraud charges, federal prosecutors in Texas frequently bring conspiracy charges. To prove a conspiracy to commit health care fraud, the government must show:

• An agreement between two or more people to commit health care fraud
• The defendant knew the purpose of the agreement
• The defendant joined the conspiracy with intent to carry it out

Even if the fraud scheme never succeeded, conspiracy charges can still result in lengthy prison sentences.

Why Federal Health Care Fraud Cases Are Different in Texas

Texas is a high-priority enforcement area for federal health care fraud. Federal agencies operating in San Antonio and across the state include:

• The FBI (San Antonio Field Office)
• The U.S. Attorney’s Office
• The Department of Health and Human Services – Office of Inspector General (HHS-OIG)
• The Medicare Fraud Strike Force

These agencies work together to investigate alleged fraud involving Medicare, Medicaid, TRICARE, and private insurance programs. Their cases are data-driven, well-resourced, and heavily prosecuted.

Why Choose Almonte Law in San Antonio?

Robert Almonte is a former federal prosecutor with deep experience handling complex fraud investigations—including as a federal health care fraud attorney. He knows how to anticipate the government’s tactics, challenge the evidence, and push for the best possible outcome.

At Almonte Law, we provide:

• Early case intervention and pre-indictment advocacy
• Thorough review of financial and billing records
• Defense strategies tailored to each client’s role and exposure
• Representation during federal investigations, grand jury proceedings, and trial
• Strong negotiation for plea deals, immunity, or dismissal where appropriate

Whether you’re a doctor, clinic owner, billing specialist, or executive, we can help protect your future.

Schedule a Confidential Case Review Today

If you are under investigation or charged with health care fraud in San Antonio or elsewhere in Texas, time is critical. Let a former federal prosecutor guide you through the process and fight for your rights.

📞 Call Almonte Law today to schedule a confidential consultation with a San Antonio health care fraud defense attorney.
📍 Federal Health Care Fraud Defense Attorney Serving clients across San Antonio, Austin, Houston, Dallas McAllen, Brownsville, El Paso, and all federal districts in Texas.