Texas Physician Sentenced to 12 Years in Prison for Operating a Houston-Area Pill Mill

A Texas physician was sentenced yesterday to 12.5 years in prison for operating her Kingwood medical clinic as an illegal pill mill that issued prescriptions for over 3 million opioid pills.

According to court documents, Maryam Qayum, M.D., 68, of Montgomery County, Texas, owned, operated, and was the sole prescriber at Recare Health Clinic (Recare). Qayum operated Recare as a cash-only pill-mill, selling controlled substance prescriptions to street-level drug dealers who were referred to at Recare as “providers.” “Providers” purchased prescriptions for high strength, highly addictive opioids oxycodone and hydrocodone. Qayum issued these prescriptions without a legitimate medical purpose, and often without ever interacting with the patient. According to court documents, Qayum issued prescriptions for more than 3 million opioid pills between 2022 and 2025, when her clinic was shut down by law enforcement.

Court documents detail how Recare, like many pill-mill clinics, operated well outside the course of a normal medical practice, including charging more for prescriptions for drugs with higher street value. A prescription for oxycodone 30mg cost as much as $500, while hydrocodone prescriptions were often $300, and Recare’s staff frequently took “tips” from drug dealers to fast track their patients and prescriptions. The following note listing the cash price for each prescription was seized when law enforcement executed a search warrant at Recare.

In March 2026, Qayum pleaded guilty to conspiracy to unlawfully distribute controlled substances.  

In addition to Qayum, four other defendants were previously sentenced in this case: 

• Melvin Sampson, 56, of Houston, Texas, was sentenced to 210 months in prison in June 2026. In March 2026, Sampson pleaded guilty to conspiracy to unlawfully distribute controlled substances. Sampson was a street-level drug dealer who brought patients to Recare, filled prescriptions at Surge Rx and elsewhere, and resold the drugs he obtained on the black market.
• Tomi-Ko Bowers, APRN, 71, of Cleveland, Texas, was sentenced to 96 months in prison in June 2026. In March 2026, Bowers pleaded guilty to conspiracy to unlawfully distribute controlled substances and was a nurse practitioner at Recare.
• Lester Stokes, 38, of Houston, Texas, was sentenced to 63 months in prison in June 2026. In March 2026, Stokes pleaded guilty to conspiracy to unlawfully distribute controlled substances and was Recare’s security guard.
• Jared Williams, RPh, 49, of Pearland, Texas, was sentenced to 42 months in prison in July 2026. In March 2026, Williams pleaded guilty to unlawfully distributing a controlled substance and was the owner and pharmacist in charge at Surge Rx, which filled illegitimate prescriptions issued by Qayum.

DEA and the Conroe Police Department investigated the case.

Acting Assistant Chief Devon Helfmeyer and Trial Attorney Emily Reeder-Ricchetti of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Alex Alum for the Southern District of Texas prosecuted the case.

On April 7, the Department of Justice announced the creation of the Fraud Division. The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs.

The Department of Justice’s Health Care Fraud Strike Force Program, currently comprised of nine strike forces operating in federal districts across the country, has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.