Doctor Billions | 1. Trust No One

0:00When fall comes back around, there's a sense of a reset. And new pieces from Lululemon's fall drop are an inspiration to push your goals and elevate your routines. As your calendar fills, easy to layer styles meet the demands of your day. And as you challenge yourself to try even more, versatile sets transition with you. The Lululemon fall lineup brings new levels of comfort and confidence, whether you're starting something fresh or starting something over. Check out the latest arrivals in store at on Lululemon.com now. Listen to every episode of Dr. Billions Add 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

1:00The Binge. So when you have the surgery, you were just shy of your 30 second birthday. Yes. This is a woman named Derek Moses. She's testifying in court. I was working at Pepsi Boundroom Company and I would stop the store shelves. I'd bring in pallets to the store to stop. Derek 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 1200 pounds and he's a manual pallet jack and then he moved it over

2:03to his house. 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 back. 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. Derek had did not and because she was injured on the job, Derek 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. Derek had found a doctor from workers' comp. She went to CM and he said her back injury was very serious and that she needed surgery. But... He told me that I would get between 90 and 95 percent better and that's what gave me

3:07the hope to have a surgery death. Her doctor also testified at this trial and he denied telling Derek of this. But this is an important moment for Derek. 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 in this doctor standing right in front of Derek and if something was wrong with this guy, wouldn't something have happened? Miss License revoked or something? This bond of trust can be seen another way. To the bad actor, it's a moment of opportunity.

4:09An opportunity for more than you and I can imagine. Derek 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. The first couple of months I thought I was getting better. You know, I thought the pain increased in all that I realized it was the dreams that was on that development. The more time went on, the more pain she was in. It was like the pain had not anywhere. It just got worse. Eventually, Derek 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-to-day tasks. She went back to her same doctor and he found that some of the hardware around her spine

5:11had failed. Broken loose and she needed a new surgery to remove all the hardware he had put in. Derek 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'd 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 pipe, any that came out of you as a little x-tube and ear type two. When Derek woke up from the operation, there was a little baggy under her pillow. And that little baggy 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

6:17California. Overlapping frauds and deceptions worth over $1 billion. Now, you've seen that testimony here, that out of the 23 pieces of metal that were planted surgically into your back, that 12 of those were recount or fit. One was the first time you learned about that. And about March 2014? Okay. And how did you learn about that? A letter in the mail that said, you may have been a victim of how much bit hardware. Twelve out of 23 pieces of hardware and planted 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.

7:18I'm Benadair. From Sony Music Entertainment and Western Sound, you're listening to Dr. Billions. This is Episode 1. Trust No One. In 2007, a guy named Marks or Sancy was living in Southern Washington State close to Portland, but he was California Dreaming. Well, originally we were from Southern California. We wanted to move 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 got a mousey kind of guy. I know this sounds horrible, but he just looked like a car salesman. Like the ultimate used car salesman, dude, with the worst two-pay I've ever seen in my

8:18life, I mean, he would look better if he just didn't have the two-pay, because half the time was even halfway on. But they kept talking, and Mark kind of caught on. There was something about this guy. What's that added? You can sell ice, the testicles, he can sell ice testicles 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 and a very hefty salary. It might seem too good to be true, but like I said, there was something about this guy.

9:20Mark trusted him. Mark looked at the 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. That's the first thing I called him out. I said, how do you not use email? How do you not use website? He was, well, this is why I want you. I want you to help me get it started. 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. 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. Home video owned. He was going to take care of all the moving expenses. And then he was going to offer a pretty hefty salary. I don't remember off the top of my head, but it felt like $125, $250k 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?

10:22The 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, mega mansion, which was further proof to mark that this guy knew what he was doing. On his first day, he walks into the medical offices near Long Beach, California. He's clean, shaven and excited. As I'm walking through, I hear just yelling. People just arguing. Full on nose bar verbal argument with multiple people. Just people shouting at each other. Yeah, I guess. It was inaudible. I heard some things. I heard a lot of F bombing. I heard a lot of money and stuff like that. But I'm like, okay, someone's having a disagreement. I just kept them 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 Knox on the door expecting a welcome, maybe some introduction to his new colleagues.

11:27I mean, I'm like literally getting sweaty palms thinking about remembering it, but I had one girl that said, who the hell are you? I'm like, so I'm like, oh, well, 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 saying, like, what am I doing? I just, it 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. I ended up going outside with Paul and Paul telling me that the first thing he needed to do is he needed me to, how did he say this if I remember? He's essentially scare his employees into doing their job. Mark is, I don't know, he's got Mark. He's a giant, six foot four, 250 pounds. He's got confidence and swagger and definitely knows how to handle himself.

12:27He's a jujitsu master. I need you to go there and tell him that you're the, you know, the new manager and I want you to scare him until I'm that he has to his job or a rama, a farm. And as 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, his heavy essentially is to scare people. Okay. So hold that, hold that, hold that one second. So, so you drive up, first you go to the hospital, you realize that's not the right spot. Then you kind of come around to 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, it's my children. Yeah. And then like, like, like when was lunch? Like was all this before lunch?

13:28Oh, yeah. I used before lunch. Over the next few days and weeks, things sort of settle 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 an email, I started developing websites, I started finding out what hit the product was, started calling vendors, just trying to believe 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's I found interesting is I can walk in the office and I can grab pieces of paper and start reading it. And I'm like, if this is kind of shady because there's this is a medical business, I'm sure that there's patients information, there were patients addresses or 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, it carries big fines for violations of patient privacy. Tens of thousands for a single violation.

14:29Mark 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 seem 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 for me, if I recall, is I remember setting up, when I set up Paul's email, he received an email, I used a turn he had written him and said, TikTok, TikTok, I remember the top of the emails that TikTok, TikTok, I don't like TikTok, TikTok. 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, Quinn's collagen peptides plus is a 3-1 formula with collagen

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16:36weather is shifting and I find I have to be ready for the entire day and not just one part of it. Lululemon's fall line has some really versatile transitional pieces so I can just wake up, throw on a matching set, add a jacket or a fleece and head out, knowing that I'll feel comfortable enough to go wherever the day takes me. Check out the new fall arrivals in store and online now at Lululemon.com. Finding that indictment in his boss's email wasn't just one bad omen. It was one of many that Markser's Hansi found at his new job with Paul Randall. There were so many reflexes, just ridiculous. A lot of times he kicks bounced and he had time at eight. He just didn't pay people. I lost a lot of sleep because my wife at the time was saying, well, I had to go to work and try to get paid and use something as a way off. And as time progressed and the more people I met, I'm like, you are the shadiest dudes

17:36ever. Like these guys were super shadi. 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. There was Paul Sun, another slickster like his dad. He came up to me and he was the nicest one. And he shook it in 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 accident. Skinny's can be with the widest long hair down to his shoulder. I mean, he looked like he was right from a spinal tap. Mick had a problem. And he thought, maybe Mark could help.

18:39He started complaining to me. I don't know why he opened up to me, but he did it in the parking lot. And he was saying, you know, the poll was 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 pays Paul Paises. And that's our sales. It's our commission. Sales commissions for surgeries? That didn't sound right. But he also thought, Mick's gonna have to get in line. And in my mind, again, I didn't say anything. I'm like, well, I gotta convince Paul to pay me for a dick or a life family. After Mark found the indictment and 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?

19:40So I called the FBI. I called every law enforcement. And no one would give me information, obviously. And no one would, I'm like, it was an I, I'm new here. I'm like, it's found us indictment. You know, I was transparent about it. And no one called me back. Not one day in person could I 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. It was a card, a business card from Bill Reynolds, S, S, I, U insurance investigator. Mark didn't know anything about medical insurance or investigators or how this guy might help them. I was just desperate for someone to clean information, from to get information from. 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 him.

20:41He says, Hey, what's neat? If you listen to my last podcast on the binge, Dr. Sorders came out on December 20, 2025. It was about an alleged mastermind of medical fraud named Dr. Munir Yaweda. Then you might remember this voice. Well, my grandfather, he started with the 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 forensic spec then was putting 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 anything about the silver rights movement and the black panthers, Oakland was a little hot in the early 70s.

21:45He 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 to 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 impregnated my older nerve in my elbow, so I ended up eight hours on the table for 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.

22:46And that changed his life a lot. After the surgery, his 65-year-old doctor referred him to a very young, 21-year-old newly mental 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 ward, and that's truly the first time that I got into a healthcare investigation. And you know, he got his hands banged. 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 no harm. The only thing it had to do with was the doctor's own self-interest.

23:48And 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 Sarsanci. You're listening to a quick ad. You know what else is quick? Selling your car on Carvana. Just put in your vehicle information and we'll give you an offer. Done. No hassle, no negotiation, no guy from an online listing lowball in you. Which means by the time I'm done explaining this, you could have basically done it. Still haven't started?

24:49Hey, better late than never. Sell your car today on Carvana. Pick up fees may apply. Whenever fall comes back around, it always feels like a fresh start. This year I've been layering in some styles from the new Louis Leman fall drop. Because the weather is shifting and I find I have to be ready for the entire day and not just one part of it. Louis Leman's fall line has some really versatile transitional pieces. So I can just wake up, throw on a matching set, add a jacket or a fleece and head out, knowing that I'll feel comfortable enough to go wherever the day takes me. Check out the new fall arrivals in store and online now at lululemon.com. 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.

25:53Before 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 healthcare and I'm in northern California, I found every other week I was down in southern California. Particularly in the LA and Orange County areas. Doctors seem to be finding new ways to overcharge, over Bill, 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.

26:55Yet the buildings coming out of there were astronomical. So Bill started digging around, digging on names of doctors and administrators, 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 slister 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 Marks or Sancy found Bill Randall's phone number sitting on his boss's desk. Bill had just met him.

27:59Mark 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 LA off of Melrose at this really cool restaurant that had an atrium, 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 them and then we started playing that, I'm feeling safe, head and mouse. We stayed there for probably a couple hours. They're not really new that they check me out and stuff like that. I was able to run him through a databases to check to see if he had a criminal history. I found that he didn't. I checked a civil courts and couldn't find anything on him.

29:01And I started talking to them and it got to the point and 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. And it said it was sealed. It was sealed in diamond. The indictment Mark had found in Paul Randall's email was sealed by the court. Meaning Mark couldn't 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 a Pacific hospital of Long Beach and

30:05other 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. Morens it? Medical implants. Are they the right ones?

31:07Surgery's. 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, that 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 connected to some pretty shady people. I was afraid of him, I was just more afraid of my family being her. And that's when Bill made Mark an offer that would change his life forever.

32:11And they said, hey, do you want to stay on board and get them more information? Bill asked Mark to be his mole and Randall's organization. Stay on the inside, beat 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. Mark the decision wasn't hard. As a mole, he could keep earning his six-figure salary and also for a while at least. Sleeps slightly better at night. So ended up staying in all hell-brokeless America. Coming up this season on Dr. Billions. Los Angeles is the training ground for all fraud in the United States. It originates in LA. I got five or six female FBI agents, wired them up for recording devices and just sat back

33:11and let these doctors and attorneys talk about how much money they may do and 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 build 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. Whenever fall comes back around, it always feels like a fresh start. This year I've been layering in some styles from the new Lululemon fall drop because the weather is shifting and I find I have to be ready for the entire day and not just one part of it. Lululemon's fall line has some really versatile transitional pieces so I can just wake up, throw on a matching set, add a jacket or a fleece and head out, knowing that I'll feel comfortable enough to go wherever the day takes me. Check out the new fall arrivals in store and online now at Lululemon.com.

34:17Dr. 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 Balloute. It was written by Dana Balloute and Benadair. On this episode, Laila Doss is our fact checker. Michael Rayfield is the mix engineer, music courtesy of North Figueroa Studios, legal by Sam Borenswag at Clarislaw PLLC. Next up, episode two, growing a spine. When fall comes back around, there's a sense of a reset. The new pieces from Lululemon's fall drop are an inspiration to push your goals and elevate your routines. As your calendar fills, easy to layer styles meet the demands of your day.

35:19And as you challenge yourself to try even more, versatile sets transition with you. The Lululemon fall lineup brings new levels of comfort and confidence, whether you're starting something fresh or starting something over. Check out the latest arrivals in store and on Lululemon.com now.