The Binge Cases: Denise Didn't Come Home - Doctor Billions | 1. Trust No One

Episode Date: October 1, 2026

In the middle of a national recession, Mark Sersansie was excited to get a 6-figure marketing job with a mysterious Southern California medical company. But by lunchtime on his very first day, he caught on – something very shady was happening. Want the full story? Binge every episode of Doctor Billions ad-free now by subscribing to The Binge+. You’ll unlock over 60 true crime series instantly, get early access to drops on the first of every month, and hear exclusive bonus episodes. Search for the channel on Apple Podcasts or head to GetTheBinge.com. For behind-the-scenes details, join our free newsletter at Patreon.com/TheBinge. Doctor Billions is a production of Sony Music Entertainment and Western Sound. Follow @sonypodcasts and discover more at sonymusic.com/podcasts. Learn more about your ad choices at podcastchoices.com/adchoices. The Binge — feed your true crime obsession. Learn more about your ad choices. Visit podcastchoices.com/adchoices

When you put your body in the hands of a surgeon, you assume your doctor will do you no harm. I'm looking at the surgery board for tomorrow going, these people are f***. But when your doctor's in it just for the money, something absolutely insane happens. One doctor says, yeah, I did a lumbar fusion. My kickback was 25,000. And the other doctor's going, well, I only got 12,000 because I did a neck. This is a story about a mass. web of fraud and deception. Dozens of doctors all over Southern California. A fraud worth over $1 billion.

Patients were committing suicide, losing their homes, losing their marriages. From Sony Music Entertainment and Western Sound, this is Dr. Billions. Available now on The Binge. Search for Dr. Billions wherever you get your podcasts. Subscribers to The Binge can listen to all episodes, all at once, ad-free. Listen to every episode of Dr. Billions ad-free right now when you subscribe to The Binge. You'll hear the entire series before anyone else get exclusive bonus episodes and unlock more than 60 other true crime podcasts. Just head to The Binge channel on Apple Podcasts and tap subscribe or visit getthebinge.com to listen wherever you are.

The Binge, feed your true crime obsession. The bench. So when you have the surgery, you were just shy of your 32nd birthday? Yes. This is a woman named Derricka Moses. She's testifying in court. I was working at Pepsi Barclown Company, and I would stop the store shelves. I'd bring in pallets to the store to stop.

Derricka is telling the courtroom a story. It's a story about how she got injured on the job, and according to her and her lawyers, unwittingly became the victim of a bad doctor. What she didn't know then, what she only found out about much later, is that she wasn't the only victim. She was one of thousands.

In high school and college, Derek had been an athlete. She went to the University of Utah on a softball scholarship, full ride. After, she started working for Pepsi. Each pallet would be 1,200 pounds, and he used a manual pallet jack, and then he moved it over to... One day, Right before one of the biggest soda weekends in the country, Labor Day weekend,

she was moving a mountain of cans and bottles from the truck to the store, and she felt a little... I just heard and felt a pop in my bag. Pop. Happened to me once. I wasn't even lifting anything, just bent over, twisted, changing the headlight on my wife's car. And suddenly, oh, I was laid out for weeks. I got better, eventually. Derricka did not. And because she was injured on the job, Derricka saw a doctor through her employer's workers' compensation insurance. This is the parallel medical insurance program that companies pay for

so that people injured on the job get care fast and free. Derricka found a doctor from workers' comp. She went to see him, and he said her back injury was very serious and that she needed surgery. But... He told me that I would get between that. 90 and 95% better. And that's what gave me the hope to have the surgery done.

Her doctor also testified at this trial, and he denied telling Derricka this. But this is an important moment for Derricka. This is the moment she put her trust in this doctor. And given the story I'm about to tell you, it's worth probing this a little bit. Why do we trust doctors? We know they've been to school for a very long time to do the things they do. We know about the Hippocratic Oath, which has actually changed a lot over time, but the ethical framework is real. Physicians are supposed to prioritize the patient and patient care over all other concerns.

We know that lots of people go to doctors. Probably a lot of people had been to this doctor standing right in front of Derricka. And if something was wrong with this guy, wouldn't something have happened, mislicense revoked, or something? This bond of trust can be seen another way. To the bad actor, it's a moment of opportunity, an opportunity for more than you and I can imagine. Derricka was hopeful going in. It was her first surgery ever, and a serious one. She would get 23 pieces of hardware implanted in her back, screws and rods, to stabilize her spine.

She went through with it, and you know what, it seemed good. For the first couple of months, I thought I was getting better. You know, I thought the pain had decreased in all, but I realized it was the drugs I was on at the moment. The more time went on, the more pain she was in. I realized the pain hadn't gone anywhere. It just got worse. Eventually, Derricka realized the surgery had failed. She was 37 years old.

Once, she was athletic. Now she struggled to get out of bed in the morning. Her mother moved in to help her with basic day. day-to-day tasks. She went back to her same doctor and he found that some of the hardware around her spine had failed, broken loose, and she needed a new surgery to remove all the hardware he had put in. Derrick had trusted him. Why wouldn't she? He's a doctor. And her trust created another big opportunity. But then, just as she's going into that surgery, she makes one small request to the nurse.

And so when you went in for that removal surgery, you specifically asked somebody, I like the hardware that's getting removed down my back. Yes. Why did you do that? Because I thought I wanted to make a necklace out of some real titanium that came out of me as a souvenir type too.

When Derricka woke up from the operation, there was a little baggie under her pillow. And that little baggie was one very small part of a massive web of lies, deceit, and misplaced patient trust. It involved dozens and dozens of doctors, lawyers, and medical professionals all over Southern California. Overlapping frauds and deceptions worth over $1 billion. Now, you've seen the testimony here that out of the 23 pieces of metal that were, was implanted surgically into your back that 12 of those were counterfeit. When was the first time you learned about that?

In about March 2014. Okay. And how did you learn of that? A letter in the mail that said you had been a victim of counterfeit hardware. 12 out of 23 pieces of hardware implanted in Derek and Moses' body, were fake. They were a ticking time bomb because nobody knew how long they would last, what they were made of, and whether they were poisoning her from the inside out. And she was just one of hundreds of potential victims.

I'm Benadere from Sony Music Entertainment and Western Sound. You're listening to Dr. Billions. This is episode one. Trust no one. In 2007, a guy named Mark Sorsancie was living in Southern Washington State close to Portland, but he was California dreamin. Well, originally, we were from, I'm from Southern California. We wanted to move it back anyway, but it was just such a slim job opportunities at the time. Through his wife's friend, he met a guy named Paul Randall, who was up from Orange County, California. Mark didn't think much of him, at first. He's kind of a mousy kind of guy.

I know this sounds horrible, but he looked. He just looked like a car salesman. Like the ultimate used car salesman dude with the worst toupee I've ever seen in my life. I mean, he would look better if he just didn't have the toupee. Because it was half the time, it was even halfway on. But they kept talking. And Mark kind of caught on. There was something about this guy.

What's that addict? You can sell ice to Eskimos. He can sell ice to Eskimos all day long. He is just that dude. Paul said he owned a medical company in the OC. Very successful. It was a medical company that he had multiple divisions of the medical company, which is DME, toxicology, implants, various things. He had a bunch of doctors that were working for him.

And during their conversation, Paul kind of mentioned, hey, he was looking to hire. He asked Mark if he'd be open to relocate. Now, this was the heart of the Great Recession. Not a lot of opportunities floating around. He agreed to pay for all our moving expenses, housing, in the meantime, until we found something. thing and a very hefty salary. It might have seemed too good to be true, but like I said, there was something about this guy.

Mark trusted him. Mark looked a company up, but nothing. No online presence whatsoever. He did admit that he was antiquated. He didn't understand how to use email or websites. Because that's the first thing I called him out. I'm like, said, how do you not use the email? How do you not use website?

He was, well, this is why I want you to help me get it started. And I'm like, great. Mark's a bit of a techie. So no website, no email, no problem. I was super excited because it sounded like I was going to launch him into a higher level of business and productivity. And it was exciting to see. So I was super excited.

So what was the whole package? So you said that he was going to move you down, you were going to stay in a house that he owned? A home that he owned. He was going to take care of all the moving expenses. And then he was going to offer a pretty hefty salaries. I don't remember off the top of my head, it was like upper stuff like 125 to 150k a year.

Oh, well. How did that compare to what you were making before? It was more, especially with the recession at that time, right? That house that Mark and his family would be moving into wasn't just any old shack. It was an eight-bedroom, 10-bathroom compound on an isolated Orange County Hilltop, just in from the coast. We're talking mega-mension, which was further proof to Mark that this guy knew what he was doing. On his first day, he walks into the...

the medical offices near Long Beach, California. He's clean-shaven and excited. As I'm walking there, I hear just yelling, like people just arguing, like, full-on, no-holds-barred verbal argument with multiple people. Just like people shouting at each other. Yeah, I guess it. And I didn't, it was inaudible. I heard some things.

I heard a lot of f-bombing and I heard a lot of, like, you know, money and stuff like that. But I'm like, okay, some's having a disagreement. And I just kept him walking. I ended up finding out that's the office. Inside is crazy. A bunch of people in the conference room, and they're all screaming, including Paul Randall. Mark knocks on the door expecting a welcome, maybe some introduction to his new colleagues. I mean, I'm like literally getting sweaty palms thinking about remembering it, but I had one girl said, who the hell are you?

So I was like, oh, well, I'm the new employee. I'm working here and they're like, you are, and then they looked over at Paul like, what? They were like super confused. I literally sat in my heart sank and like, what am I doing? It just, there was zero professionalism. But you know, first day, maybe bad first impression? He was there for the marketing job. Let's get the website up.

Let's get email. Let's learn the products. Train the employees. That's what he was there for. He thought. Ended up going outside with Paul and Paul telling me that he, the first thing he needed me to do is he needed me to, how did he say this if I remember. It's essentially scare his employees into doing their job.

Mark is, how do I describe Mark? He's a giant, six foot four, 250 pounds. He's got confidence and swagger and definitely knows how to handle himself. He's a jiu-jitsu master. I need you to go there and tell him that you're the new manager, and I want you to scare him and tell him that he has to do his job or a Ramanah fire him. And I said, well, I don't even know what he's doing. I don't even know what his job description is.

I don't even know what my job description is. This did not sound like marketing. It was just a weird time, but he just wanted me to be his heavy, essentially, is to scare people. Okay, so hold on. Hold on one second. So you drive up, first you go to the hospital,

you realize that's not the right spot, then you kind of come around the side to this office building, get out of your car, you hear people arguing, you go in anyway, there's a huge argument happening in the conference room, And then that argument kind of ends. And then the next thing is you're meeting with Paul Randall and he's telling you he wants you to go threaten people. Is this right?

Is this kind of like the timeline? Yeah, essentially. Yeah. And then like when was lunch? Like was all this before lunch? Oh, yeah. It was before lunch. Over the next few days and weeks, things sort of settled down.

I ended up creating an email for him. He was super skeptical, but I said, we need email. Everybody needs email. So I started creating email. I started developing websites. I started finding out what hit the product was, started calling vendors, just trying to glean as much as I can. Mark had never worked in the medical field before, but, you know, he'd been to the doctor.

He's all, things here do not seem super legit. The thing that I found interesting is, is I can walk in the office and I can grab pieces of paper and start reading it. And I'm like, this is kind of shady because there's, this is a, medical business. I'm sure there's patients' information. There were patients' addresses, there were social security numbers. There was a ton, and I'm like looking at stacks of stuff. Information in medicine is highly regulated. You might have heard of the HIPAA law. It carries big fines for violations of patient privacy. Tens of thousands for a single violation.

Mark did not know about that at the time. So several weeks in, he's still learning about the business. He's walking around and reading papers that just seemed to be all over the place. He's checking Paul's email for him, making sure it's working, and things are getting handled. And that's when things took a turn. The tipping point from me, if I recall, was I remember setting up, when I set up Paul's email, he received an email. A US attorney had written him and said, TikTok, TikTok, I remember the top of the email. It's a TikTok, tick-tock, tick-tock. And I'm like, tick-tock. He clicked on the email, and inside, a sealed grand jury indictment,

the people of the United States of America versus his new boss, Paul Randall. I'll be honest, I'm always a little skeptical of beauty supplements, but I recently started paying attention to collagen, especially because our body's collagen production actually starts slowing down as early as in our 20s. That's why I've been trying out Quince Collagen Peptides Plus. It's a 3-1 formula with collagen peptides to support skin, hair, nails, and joints,

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where you heard about them, let them know it was binge cases. It's the best way to support the show. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Finding that indictment in his boss's email wasn't just one bad omen. It was one of many that Marks O'Sansy found at his new job with Paul Randall. There were so many red flags. It was just ridiculous. A lot of times, checks bounced. And he had a ton of money.

He just didn't pay people. And I lost a lot of sleep because, you know, my wife at the time was saying, well, how are we going to pay bills? Well, I had to go to work and try to get paid. And you something was way off. And as time progressed, and the more people I met, I'm like, you are the shadiest dudes ever. Like, these guys were super shady.

There wasn't just his new boss. There was a whole cast of characters at the company. And as Mark got to know them... That's when it started really getting really weird. First, there was Paul Sun, another slickster, like his dad. But he came up to me, and he was the nicest one. And he shook my hand, and he goes, hey, I just want to say, thank you for helping my dad. And I said, awesome.

I said, no problem. I said, I really appreciate the opportunity. And he goes, you know, despite his background, And I go, what? And I didn't know what he meant. And I didn't ask. I didn't push any further. Then there was the sales team.

One of the guys was named Mick McGrath, who, for the record, was never charged with any crimes for what Mark's about to tell us about. That's the rock and roll guy. Cool guy from England. Super cool accent. Skinnies can be with the widest long hair down to his shoulder. I mean, it looked like he was right from spinal tap.

Mick had a problem. And he thought maybe Mark could help. He started complaining to me. I don't know why he opened up to me, but he did in the parking lot. And he was saying, you know, that Paul owes him, I don't know, several hundred thousand dollars, if not more. Several hundred thousand dollars. And I said, well, how does he owe you money from him? He owes me from these doctors that I brought in.

And I'm like, what do you mean these doctors that you brought in? And he goes, well, we do surgeries. And every surgery that we do, we get, he paid, Paul pays us. And that's our sales. It's our commission. Sales commissions for surgeries? That didn't sound right. But he also thought,

Mick's going to have to get in line. And in my mind, again, I didn't say anything. I'm like, well, I've got to convince Paul to pay me for a take care of my family. After Mark found the indictment in Paul's email, those weird feelings, those red flags, he couldn't ignore them anymore. And he knew an indictment was a big deal, maybe the biggest deal.

And he had to wonder, Who else at this company was being looked at? Did he need to watch his own back? So I called the FBI. I called every law enforcement, and no one would get any information, obviously. And no one would. I'm like, listen, I'm new here.

I'm like just found this indictment. You know, I was transparent about it. And no one called me back. Not one dang person called me back. One day, Mark was in Paul's office, and something caught his eye. On Paul Randall's desk, there was a business card. Mark picked it up, looked at it.

A card, a business card from Bill Reynolds, S-I-U insurance investigator. Mark didn't know anything about medical insurance or investigators or how this guy might help him. I was just desperate for someone to glean information from, to get information from him. I was desperate to find out where I stood. I was desperate to find out what the hell was going on.

I was desperate to find out if I was just, you know, if I was wrong. I mean, I literally didn't know. I had no idea. He picked up the phone and he gave Bill Reynolds a call. So I reached out to me to say, hey, let's meet. If you listened to my last podcast on The Binge, Dr. Sorders came out summer 2025. It was about an alleged mastermind of medical fraud named Dr. Munir Uweda.

Then you might remember this voice. Well, my grandfather, he started with Oakland Police Department in 1893 and retired in 1948. This is the insurance investigator. Bill Reynolds, who also happens to be a fourth-generation California cop. What the heck was Oakland like in 1893? It's pretty interesting because their forensics back then was putting a person against the wall and putting their arms extended and measuring them to say, you know, I guess this is a bad guy when your wingspan is greater than the average, I guess.

Bill was a rookie cop in Oakland in the early 1970s, which if you know any of the same 70s, which if you know anything about the Civil Rights Movement and the Black Panthers, Oakland was a little hot in the early 70s. He moved from Oakland to other cities around Northern California. He fell in and out of love and eventually landed in South Lake Tahoe, California, a cute mountain town on the south end of a big, beautiful lake, right on the Nevada border. He fell in love again. I met her at Lake Tahoe.

And then came one very fateful day in 1989. He was on a drug bust. I was dispatched to an apartment complex. The guy was overdosing, totally out of control, combative. When I walked up the second flight of stairs and I turned the corner, I was punched in the face and the fight was on. It was a big drag-out fight. I shattered my shoulder and ripped my rotator cuff and impregmated my older nerve in my elbow,

so I ended up eight hours on the table for itself. surgery. Those injuries would have changed Bill's life a little bit, but there was something else that happened afterwards, with his doctor, the one who operated on him. And that changed his life a lot. After the surgery, his 65-year-old doctor referred him to a very young, 21-year-old, newly minted physical therapist. Bill thought, why her? Come to find out, that doctor was referring a lot of patients to this physical therapist. Bill asked around and was told they were having an affair. So I reported him to the medical board,

and that's truly the first time that I got into a health care investigation, and, you know, he got his hand spanked, and so that was my first experience with physicians. Bill started thinking all about that strange, trusting relationship we have with our doctors, and how he'd been had. He couldn't let it go. He thought he was getting a legit referral, but it had nothing to do with his care,

nothing to do with do with do no harm. The only thing it had to do with was the doctor's own self-interest. And if something like this was happening in small, beautiful South Lake Tahoe, who knows what doctors were doing everywhere else. Bill needed a career shift. I knew I couldn't be kicking down doors

and wrestling people and drunks on the side of the road anymore. So he started consulting for insurance companies. It became the power of the pin, doing investigations. First investigating car accidents and other types of claims, eventually moving into medical insurance, which is what he was doing when he got that call from Mark Sorsancie. Shack here.

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there's a Volvo for everyone. Learn more at VolvoCars.a. Before we go any further, I want to stop and say that being an insurance investigator might sound like a boring, nerdy desk job. And most of the time, it is. But Bill Reynolds was a cop. And so he brought a cop sensibility to this new job. That means real detective work, going undercover, recruiting spies,

and working closely with federal, state, and local law enforcement. Before long, Bill was part of the special investigation unit at one of the largest insurance companies in the world. And from there, Bill got a very unique view on health insurance claims, a view that let him see the big picture. So when I got into the health care and I'm in Northern California, I found every other week I was down in Southern California. Particularly in the L.A. and Orange County areas,

doctors seemed to be finding new ways to overcharge, overbill, over everything. And it didn't really seem like anyone was paying much attention. You know, that's really the problem we have is that, you know, There's no accountability. A lot of doctors are very, very good. They're very honest. But there's a ruthless lot out there. By the mid-2000s, one particular hospital was popping up on Bill's computer screen over and over.

It was called Pacific Hospital in Long Beach, California. And it was relatively new and pretty small. Yet the billings coming out of there were astronomical. So Bill started digging around, digging on names of doctors and administration. building a kind of murder board with names and pictures. No yarn, but mapping out the webs of connections. If he had used yarn, a lot of it would have connected back to one guy, the owner of a small medical marketing company.

Bill wasn't exactly sure what they did, but it seemed like they were doing a lot of something. The owner of the company was a wealthy, two-pay-wearing slickster named Paul, Randall. And so I did a cold call, and I asked Paul Randall to meet with me. And I took one of my supervisors from the company with me as a witness. And so both of us gave our business cards to Paul Randall. Which is how Mark Sir Sancey found Bill Reynolds' phone number sitting on his boss's desk. Bill had just met him. Mark called Bill sometime in late 2011, early 2012,

And immediately, Bill's thinking, opportunity, but also danger. Naturally, I immediately started running a background check on Mark to make sure I wasn't walking into something. They agreed to meet in Los Angeles at a fancy restaurant on Melrose Avenue. So I remember driving to L.A. off of Melrose at this really cool restaurant that had an atrium, a ton of flowers and stuff. Bill brought along another insurance investigator, Oliver Glover. We reached out to Oliver, but never heard back. They're in their ties and stuff like that, and they look like two FBI agents. We kind of postured back and forth.

So I sat with them and started talking to him, and then we started playing that, if you don't want to say, cat and mouse. We stayed there for probably a couple hours. I already knew that they checked me out and stuff like that. I was able to run him through databases to check to see if he had a criminal history. I found that he didn't. I checked the civil courts and couldn't find anything on him. And I started talking to them, and it got to the point where I said I have a piece of paper, but I can't give it to you because I was nervous if I gave it to him that I would be culpable.

It said it was sealed. It was a sealed indictment. The indictment Mark had found in Paul Randall's email was sealed by the court, meaning Mark could be committing a crime, not only by having it, well, technically stealing it, also by sharing it. I told him, I can't take this document. It's a governmental document. Bill didn't take it. He didn't even touch it. But he did take a peek. Well, maybe a little more than a peek. I immediately called my attorney and told him what Mark had. And I told him, look, I didn't take copies. I didn't want my handprints on this. But I did read three or four critical pages. I didn't go through the whole background on the first, you know, dozen or so pages.

The document outlined a scheme that Bill had only suspected. was happening. Paul Randall, working as a quote-unquote marketer for Pacific Hospital of Long Beach and other hospitals, was involved in one of the biggest medical fraud operations in U.S. history. The core of the fraud? Randall and others were incentivizing doctors to refer patients and their surgeries to specific places using specific medical equipment and specific providers. In return, Mark and Bill say Randall was giving doctors. money, free vacations, sports memorabilia, gold coins, sometimes other things. And did I mention money?

Lots and lots of money. You might call these referral fees. The feds call them kickbacks. And when they happen, you can't be sure of anything. A referral by an elderly doctor to a young hot physical therapist is one thing. What about x-rays and MRIs? Are they needed? Prescriptions for opiates and other addictive drugs.

Warranted? Medical implants. Are they the right ones? Surgeries. Are they actually necessary? Or just a way for a doctor and a hospital to get rich? These doctors from all over Southern California were exploiting that most basic bond of patient doctor trust to enrich themselves. To the tune of over one billion.

dollars. What Bill suspected was that Paul Randall was a piece of it, maybe a big piece of it, but he was not the guy at the top. And that's when Bill broke the news to Mark. This was not the first time his boss had been indicted. Paul Randall was a serial fraudster, a felon, and now he was being investigated for a whole new fraud. So it was super stressful. super, super stressful. Bill told me that he was connected, and he was, he was connected to some pretty shady people. I wasn't afraid of them. I was just more afraid of my family being hurt.

And that's when Bill made Mark an offer that would change his life forever. And they said, hey, do you want to stay on board and get him more information? Bill asked Mark to be his mole in Randall's organization. Stay on the inside, feed him documents and information, and start to build a case that would eventually ensnared dozens of doctors, lawyers and medical professionals all over Southern California. For Mark, the decision wasn't hard. As a mole, he could keep earning a six-figure salary,

and also, for a while at least, sleep slightly better at night. So I ended up staying and all hell broke loose from there. Coming up this season on Dr. Billions. Los Angeles is the training ground for all fraud in the United States. It originates in L.A. I got five or six female FBI agents, wire them up for recording devices,

and just sat back and let these doctors and attorneys talk about how much money they made doing all these bad things. I'm looking at the surgery board for tomorrow going, these people are fucked. The patient is an ATM card. How much can I bill this guy for? We alleged that the billing was well over a billion dollars. What was happening was wrong.

And no one's fucking doing anything about it. I'm disgusted that I ever even shook these people's hands. Dr. Billions is produced by Western Sound for Sony Music Entertainment's The Binge. I'm your host, Benadair. I'm also the executive producer for Western Sound. From Sony Music Entertainment, the executive producers are Jonathan Hirsch, and Catherine St. Louis. Dr. Billions was reported and produced by Dana Ballute.

It was written by Dana Ballute and Benadere. On this episode, Leila Doss is our fact-checker. Michael Rayfield is the mix engineer, music, courtesy of North Figueroa Studios. Legal by Sam Borenzweig at Claris Law, P-L-L-C. Next up, episode two. Growing a Spine. For 50 years, Canadians have wondered

what the names of IKEA furniture mean. Like Natopa, the guardrail for children's beds. Natopa means giving your favorite person room to grow. It means their safety and your piece of... No. In Swedish, Natapa means night monkey. Mark! IKEA, 50 years of Swedishness at home.

Look, he's wearing little pajamas. So cute.