# LANZILOTTI v. SAUL

> District Court, E.D. Pennsylvania · July 29, 2022

URL: https://www.frixlaw.com/law-library/cases/10403756

## Case

- **Court:** District Court, E.D. Pennsylvania
- **Decided:** July 29, 2022
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

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## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA

WILLIAM A. LANZILOTTI, SR., : CIVIL ACTION
:
v. :
:
ANDREW SAUL, :
Commissioner of the Social Security :
Administration : NO. 20-3314

MEMORANDUM

CAROL SANDRA MOORE WELLS
UNITED STATES MAGISTRATE JUDGE July 29, 2022

William A. Lanzilotti, Sr., (“Plaintiff”) seeks judicial review, pursuant to 42 U.S.C. §
405(g), of the Commissioner of the Social Security Administration’s (“the Commissioner”) final
decision, denying his claim for Disability Insurance Benefits (“DIB”) under Title II of the Social
Security Act. Plaintiff filed a brief supporting his request for review, and the Commissioner
responded. For the reasons set forth below, this court will deny Plaintiff’s Request for Review.
Judgment will be entered in Defendant’s favor and against Plaintiff.
I. PROCEDURAL HISTORY1
On November 3, 2017, Plaintiff applied for DIB, alleging disability, beginning July 20,
2015. R. at 10. The Social Security Administration (“SSA”) denied Plaintiff’s claim on April 6,
2018, so Plaintiff requested a hearing. Id. On March 7, 2019, Plaintiff appeared before
Administrative Law Judge (“the ALJ”) Regina L. Warren for an administrative hearing. Id.
Plaintiff, represented by an attorney, and vocational expert Christine A. Carrozza Slusarski (“the
VE”), testified at the hearing. Id. at 50-87. On May 22, 2019, the ALJ, using the sequential

1 This court has reviewed and considered the following documents in analyzing this case: Plaintiff’s Brief and
Statement of Issues in Support of Request for Review (“Pl.’s Br.”), Defendant’s Response to Request for Review of
Plaintiff (“Def.’s Resp.”), and the administrative record (“R.”).
evaluation process for disability,2 issued an unfavorable decision. Id. at 18. The Appeals Council
denied Plaintiff’s request for review on June 16, 2020, making the ALJ’s findings the
Commissioner’s final determination. Id. at 1. Plaintiff sought judicial review from the court on
July 7, 2020. Both parties consented to the undersigned’s jurisdiction pursuant to 28 U.S.C. §

636(c)(1).
II. FACTUAL BACKGROUND
A. Plaintiff’s Personal History
Plaintiff, born on March 7, 1973, R. at 16, was 46 years old when the ALJ rendered her
decision. Plaintiff is divorced, single, and has one child. R. at 56-57. Plaintiff has previous
relevant work experience as a sales route delivery driver, a semi-skilled medium position as that
occupation is generally performed; however, Plaintiff actually performed this position at the heavy
level. Id. at 16. He has a high school education and can communicate in English. Id.

2 The Social Security Regulations provide the following five-step sequential evaluation for determining whether or
not an adult claimant is disabled:
1. If the claimant is working, doing substantial gainful activity, a finding of not
disabled is directed. Otherwise proceed to Step 2. See 20 C.F.R. § 404.1520(b).
2. If the claimant is found not to have a severe impairment which significantly
limits his physical or mental ability to do basic work activity, a finding of not
disabled is directed. Otherwise proceed to Step 3. See 20 C.F.R. § 404.1520(c).
3. If the claimant’s impairment meets or equals criteria for a listed impairment or
impairments in Appendix 1 of Subpart P of Part 404 of 20 C.F.R., a finding of
disabled is directed. Otherwise proceed to Step 4. See 20 C.F.R. § 404.1520(d).
4. If the claimant retains the residual functional capacity to perform past relevant
work, a finding of not disabled is directed. Otherwise proceed to Step 5. See 20
C.F.R. § 404.1520(f).
5. The Commissioner will determine whether, given the claimant’s residual
functional capacity, age, education, and past work experience, in conjunction with
criteria listed in Appendix 2, he is or is not disabled. See 20 C.F.R. § 404.1520(g).
B. Plaintiff’s Testimony
At the March 7, 2019 administrative hearing, Plaintiff testified regarding limitations that
he alleges result from physical impairments and prevent full-time employment. Plaintiff stated
that he had undergone treatments for degenerative disc disease of his cervical and lumbar spine

since 2015. R. at 52. Nonetheless, he still experiences neck and muscle pain, including burning,
stabbing, numbing, and tingling sensations. Id at 66. He also feels pain in his upper extremities.
Id. at 66-67. Additionally, Plaintiff described ongoing pain in his lower back, extending to his
hips, and down the backs of his legs into his feet. Id. at 69. This lower back pain is aggravated
by walking, sitting, standing, and driving. Id. at 71.3 He regularly uses ice, heat, and an e-stim
device to manage the pain associated with his impairments. Id. at 59. Plaintiff testified that he
has experienced reduced gross motor skills since “2014, or [20]15.” Id. at 68.
Plaintiff testified that in his prior position as a sales representative for Tropicana products,
he maintained the delivery truck, and was responsible for the inventory of the accounts he serviced
as well as the inventory on his truck. Id. at 54. In this position, he loaded and unloaded the truck

and delivered the product to retail customers. This job involved lifting and carrying weights of up
to 100 pounds. Id. He estimated that approximately 80 to 90 percent of his time in this job required
standing and walking. Id. at 56. Plaintiff last worked in 2010 when he was involved in a work-
related motor vehicle accident. Id.
Plaintiff related that he lives in a two-story row home that has a basement and struggles
using the stairs in his home. Id. at 51. He has difficulty reading, dressing, washing, bathing, and
shaving, because his pain increases when performing these activities. Id. at 57, 60. Since his
accident, Plaintiff has been unable to participate in any sporting activities. Id. at 60-61. Plaintiff

3 Plaintiff testified that a doctor recommended neck surgery to him. R. at 71-72. After consulting with two
neurologists, who both warned of a significant risk of paralysis, he declined to move forward with the surgery. Id.
testified that he could use a telephone, wash dishes, and cook for himself and his minor daughter,
who resides with him half the time. Plaintiff drives the seven miles required to take his daughter
to and from school. Id. at 59.
C. Vocational Expert’s Testimony
The VE classified Plaintiff’s past position as a sales route delivery driver as a semi-skilled4

work, performed at the medium5 level of exertion. R. at 75. However, based on Plaintiff’s
testimony, the VE characterized the job’s exertional level by Plaintiff as heavy.6 Id. The ALJ
asked the VE to consider an individual of Plaintiff’s age, education, and past work experience,
who was limited to light7 work. Id. This individual, from a postural standpoint, can:
only occasionally climb stairs, . . [and] stoop. And should not climb
any ladders. From an environmental standpoint, the individual
should avoid unprotected heights and hazards, extreme cold and
vibrations.

Id. at 75-76. Additionally, this “individual could occasionally reach overhead with the upper
extremity . . . [b]ut could perform gross, fine fingering and feeling on frequent basis,” without any
limitations of the “left upper extremity.” Id. at 77. The VE responded that, although Plaintiff’s

4 “Semi-skilled work is work which needs some skills but does not require doing the more complex work duties.
Semi-skilled jobs may require alertness and close attention to watching machine processes; or inspecting, testing or
otherwise looking for irregularities; or tending or guarding equipment, property, materials, or persons against loss,
damage or injury; or other types of activities which are similarly less complex than skilled work, but more complex
than unskilled work. A job may be classified as semi-skilled where coordination and dexterity are necessary, as when
hand or feet may be moved quickly to do repetitive tasks.” 20 C.F.R. § 404.1568(b).
5 “Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing
up to 25 pounds. If someone can do medium work, we determine that he or she can also do sedentary and light work.”
20 C.F.R. § 404.1567(c).
6 “Heavy work involves lifting no more than 100 pounds at a time with frequent lifting or carrying of objects weighing
up to 50 pounds. If someone can do heavy work, we determine that he or she can also do medium, light, and sedentary
work.” 20 C.F.R. § 404.1567(d).
7 “Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing
up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good
deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg
controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do
substantially all of these activities. If someone can do light work, we determine that he or she can also do sedentary
work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of
time.” 20 C.F.R. § 404.1567(b).
prior position would be eliminated, there were other jobs in the national economy such an
individual could perform, including: (1) recreation aid, 54,000 positions nationally; (2) ticket taker,
57,000 positions nationally; and (3) information clerk, 96,600 positions nationally. Id. at 76-77.
The ALJ then inquired whether any jobs existed in the national economy if, along with the

limitations outlined in the first hypothetical, the manipulative requirement was eliminated, and the
position was reduced to the sedentary8 exertional level. Id. at 78. The VE opined that such a
hypothetical still precluded Plaintiff’s past work, however the individual could perform work as
(1) envelope addresser, 35,000 positions national; (2) sedentary telephone information clerk,
96,600 positions nationally; and (3) order clerk for food and beverage, 93,000 positions nationally.
Id. at 78-79. Furthermore, these positions would remain available even if the manipulative
restrictions were added. Id. at 79.
The subsequent hypothetical presented to the VE by the ALJ encompassed the first and
second hypotheticals, and considered an individual who was:
off task greater than one-third of the time, secondary to symptoms,
pain, difficulty concentrating, pacing and persisting. [The individual
has] to take unscheduled breaks throughout the day, and [is] ab[sent]
greater than one to two times per month.

Id. The VE responded that such an individual could not perform any previously stated jobs at
either the light or sedentary level. Id.
Finally, the VE was asked to consider an individual of Plaintiff’s age, education, and past
work experience, who could:
frequently from one-third to two-thirds of the time lift up to 10
pounds. Occasionally, up to one-third of the time, 11 to 20 pounds.

8 “Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like
docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain
amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and
standing are required occasionally and other sedentary criteria are met.” 20 C.F.R. § 404.1567(a).
In a total eight hour workday, the individual could sit for six
hours, but could only stand or walk for one hour. The individual
doesn’t require a cane for ambulation. Now from a manipulative
standpoint, the individual is right hand dominant, and could perform
all manipulative activities involving the use of the upper extremities
on a frequent basis, meaning one-third to two-thirds of the time.
Frequently use the bilateral lower extremity one-third to
two-thirds of the time for operation of foot controls. From a postural
standpoint, could perform all posturals on a frequent basis, one-third
to two-thirds of the time.
And environmentally no limitations, and could frequently be
exposed to environmental conditions.

R. at 80. The VE opined that all previously-identified jobs would remain available. This
hypothetical, the VE stated, is more commensurate with an individual limited to a sedentary
position. Id. at 82.
III. THE ALJ’s FINDINGS
In her decision, the ALJ issued the following findings:
1. [Plaintiff] last met the insured status requirements of the
Social Security Act on December 31, 2015.

2. [Plaintiff] did not engage in substantial gainful activity during
the period from his alleged onset date of July 20, 2015
through his date last insured of December 31, 2015 (20 CFR
404.1571 et seq.).

3. Through the date last insured, [Plaintiff] had the following
severe impairments: Degenerative disc disease of the cervical
spine (20 CFR 404.1520(c)).

4. Through the date last insured, [Plaintiff] did not have an
impairment or combination of impairments that met or
medically equaled the severity of one of the listed
impairments in 20 CFR Part 404, Subpart P, Appendix 1 (20
CFR 404.1520(d), 404.1525 and 404.1526).

5. After careful consideration of the entire record, the
undersigned finds that, through the date last insured,
[Plaintiff] had the residual functional capacity to perform
sedentary work as defined in 20 CFR 404.1567(a) except
occasionally reach overhead with the right upper extremity;
could perform frequent gross and fine fingering with the right
upper extremity; occasionally climb stairs and stoop; never
climb ladders; and avoid unprotected heights, hazards,
extreme cold, and vibrations.

6. Through the date late insured, [Plaintiff] was unable to
perform any past relevant work (20 CFR 404.1565).

7. [Plaintiff] was born on March 7, 1973 and was 42 years old,
which is defined as a younger individual age 45-49, on the
date last insured (20 CFR 404.1563).

8. [Plaintiff] has at least a high school education and is able to
communicate in English (20 CFR 404.1564).

9. Transferability of job skills is not material to the
determination of disability because using the Medical-
Vocational Rules as a framework supports a finding that
[Plaintiff] is “not disabled,” whether or not [Plaintiff] has
transferable job skills (See SSR 82-41 and 20 CFR Part 404,
Subpart P, Appendix 2).

10. Through the date last insured, considering [Plaintiff]’s age,
education, work experience, and residual functional capacity,
there were jobs that existed in significant numbers in the
national economy that [Plaintiff] could have performed (20
CFR 404.1569 and 404.1569a).

11. [Plaintiff] was not under a disability, as defined in the Social
Security Act, at any time from July 20, 2015, the alleged
onset date, through December 31, 2015, the date last insured
(20 CFR 404.1520(g)).

IV. DISCUSSION
A. Standard of Review
Judicial review of the Commissioner’s final decision is as follows. The Commissioner’s
findings of fact will not be disturbed if substantial evidence supports them. Poulos v. Comm’r of
Soc. Sec., 474 F.3d 88, 91 (3d Cir. 2007); Schaudeck v. Comm’r of Soc. Sec. Admin., 181 F.3d 429,
431 (3d Cir. 1999). Substantial evidence is not “a large or considerable amount of evidence, but
rather ‘such relevant evidence as a reasonable mind might accept as adequate to support a
conclusion.’” Pierce v. Underwood, 487 U.S. 552, 565 (1988) (quoting Consolidated Edison Co.
v. NLRB, 305 U.S. 197, 229)). While it is more than a mere scintilla of evidence, Biestek v.
Berryhill, 139 S. Ct. 1148, 1154 (2019), it may amount to less than an evidentiary preponderance.

Fargnoli v. Halter, 247 F.3d 34, 38 (3d Cir. 2001); Brown v. Bowen, 845 F.2d 1211, 1213 (3d Cir.
1988).
Overall, this test is deferential to the ALJ. Monsour Med. Ctr. v. Heckler, 806 F.2d 1185,
1190-91 (3d Cir. 1986), cert. denied, 482 U.S. 905 (1987). The court should affirm the ALJ’s
findings of fact that are supported by substantial evidence, even when the court, acting de novo,
might have reached a different conclusion. Id. Indeed, the court may not undertake a de novo
review of the Commissioner’s decision by reweighing the record evidence itself. Chandler v.
Comm’r of Soc. Sec., 667 F.3d 356, 359 (3d Cir. 2011); Rutherford v. Barnhart, 399 F.3d 546, 552
(3d Cir. 2005); Monsour Med. Ctr., 806 F.2d at 1190-91. Nor is the court permitted to “impose
[its] own factual determinations.” Chandler, 667 F.3d at 359. See Burns v. Barnhart, 312 F.3d

113, 118 (3d Cir. 2002) (“We also have made clear that we are not permitted to weigh the evidence
or substitute our own conclusions for that of the fact-finder.”). By contrast, the Commissioner’s
legal conclusions are subject to de novo review. Poulos, 474 F.3d at 91; Schaudeck, 181 F.3d at
431.
B. Burden of Proof in Disability Proceedings
To be found “disabled” under the Act, Plaintiff must carry the initial burden of
demonstrating that he cannot engage in “any substantial gainful activity by reason of any medically
determinable physical or mental impairment . . . which has lasted or can be expected to last for a
continuous period of not less than twelve months.” 42 U.S.C. § 423(d)(1)(A); 20 C.F.R. §
404.1505(a). Plaintiff may establish a disability through: (1) medical evidence meeting one or
more serious impairments detailed in 20 C.F.R., Part 404, Subpart P, Appendix 1; or (2) proof that
the impairment is severe enough that Plaintiff cannot engage in any type of “substantial gainful
work which exists in the national economy.” Heckler v. Campbell, 461 U.S. 458, 460 (1983); 42

U.S.C. § 423(d)(2)(A).
Under the first method, Plaintiff is considered per se disabled by meeting one of the “listed”
impairments. Heckler, 461 U.S. at 460. Under the second method, Plaintiff must initially
demonstrate that a medically determinable impairment prevents returning to their past
employment. See Brown, 845 F.2d at 1214. If Plaintiff proves that the impairment results in
functional limitations to performing their past relevant work, then the burden of proof shifts to the
Commissioner to prove that work exists in the national economy, which Plaintiff can perform
given their age, education, work experience, and residual functional capacity. See Poulos, 474
F.3d at 92; Mason v. Shalala, 994 F.2d 1058, 1064 (3d Cir. 1993).
C. Review of the Administrative Law Judge’s Decision

Applying the sequential evaluation process, the ALJ ultimately determined that Plaintiff
does not have an impairment or combination of impairments that meets or equals one of the listed
impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. R. at 19. The ALJ concluded that,
although Plaintiff could not perform his past relevant work, he could perform other jobs in the
national economy at the sedentary level. Id. at 17.
In his brief, Plaintiff argues remand is warranted, because the ALJ erred by ignoring
evidence, mischaracterizing evidence, and failing to reconcile contradictory evidence. Pl.’s Br. at
3-4. Finally, Plaintiff argues that this court must remand because the appointment of former
Commissioner Andrew Saul violates the separation of powers, rendering the ALJ’s decision, based
on her authority derived from Mr. Saul, constitutionally defective. Id. at 4. This court rejects each
of Plaintiff’s arguments for the reasons that follow.
1. The ALJ Did Not Err by Ignoring Evidence From Dr. Schina, Because That Evidence
Was Neither Medical Opinion Evidence Nor Contrary Evidence That She Was
Required to Consider

Plaintiff argues the ALJ erred by not addressing the evidence provided by Dr. Michael J.
Schina Jr., M.D. Pl.’s Br. at 9. Defendant contends that the ALJ did not err because the evidence
provided by Dr. Schina was dated nearly a year after the relevant period, and does not meet the
definition of a “medical opinion” according to the applicable regulations. Def.’s Resp. at 24. This
court agrees with Defendant’s second contention. Even though the evidence, as Plaintiff asserts,
“addresses the period before the date last insured,” Pl.’s Br. at 10, it was neither medical opinion
evidence nor contrary evidence; therefore the ALJ was not required to consider it.
a. Dr. Schina Did Not Provide Medical Opinion Evidence
The ALJ ignored the opinion evidence from Dr. Schina. However, even if the ALJ had
acknowledged the opinion of Dr. Schina, she was under no obligation to credit it as medical
opinion evidence, under recently modified rules.
Plaintiff applied for benefits after March 27, 2017; hence, the applicable regulations
provide:
[a] medical opinion is a statement from a medical source about what
[Plaintiff] can still do despite [his] impairment(s) and whether
[Plaintiff] [has] one or more impairment-related limitations or
restrictions in the following abilities:
(i) [Plaintiff’s] ability to perform physical demands of work
activities, such as sitting, standing, walking, lifting, carrying,
pushing, pulling, or other physical functions (including
manipulative or postural functions, such as reaching,
handling, stooping, or crouching);
(ii) [Plaintiff’s] ability to perform mental demands of work
activities, such as understanding; remembering; maintaining
concentration, persistence, or pace; carrying out
instructions; or responding appropriately to supervision, co-
workers, or work pressures in a work setting;
(iii) [Plaintiff’s] ability to perform other demands of work,
such as seeing, hearing, or using other senses; and
(iv) [Plaintiff’s] ability to adapt to environmental conditions,
such as temperature extremes or fumes.

20 C.F.R. § 404.1513(a)(2).
The evidence provided by Dr. Schina is an initial evaluation report, consisting of his notes
documenting Plaintiff’s subjective complaints, his treatment history, as well as previous MRI
findings, and Dr. Schina’s own treatment recommendations. R. at 567. This evaluation report
cannot qualify as a medical opinion entitled to the ALJ’s consideration because Dr. Schina never
opined about Plaintiff’s functional limitations related to the statutorily defined abilities in 20
C.F.R. § 404.1513(a)(2). Nor did Dr. Schina describe what activities Plaintiff could or could not
perform in a work setting. Id. at 318-20, 396-98. Accordingly, Dr. Schina’s report does not
contain a medical opinion as defined in the regulations.
b. Dr. Schina Did Not Provide Contrary or Probative Other Evidence
The evidence Plaintiff presents from Dr. Schina qualifies as “other evidence.”
Nonetheless, because his opinion was not contrary or probative evidence, the ALJ was under no
obligation to address it specifically. Additionally, this evidence was overwhelmed by other
evidence in the record cited by the ALJ. Wallace v. Sec’y of Health & Hum. Servs., 722 F.2d 1150,
1153 (3d Cir. 1983); R. at 15-16.
An ALJ is not required to discuss or reference every piece of relevant evidence in the
record, so long as the decision’s basis is discernible by the reviewing court. See Fargnoli, 247
F.3d at 42. Furthermore, determining a claimant’s RFC is an administrative task to be performed
by the ALJ. See Chandler, 667 F.3d at 361. As the Chandler court explained:
The ALJ—not treating or examining physicians or State agency
consultants—must make the ultimate disability and RFC
determinations. See 20 C.F.R. §§ 404.1527(e)(1), 404.1546(c).
Although treating and examining physician opinions often deserve
more weight than the opinions of doctors who review records, see,
e.g., 20 C.F.R. § 404.1527(d)(1)-(2),9 “[t]he law is clear ... that the
opinion of a treating physician does not bind the ALJ on the issue of
functional capacity.”

Id. (quoting Brown v. Astrue, 649 F.3d 193, 197 n.2 (3d Cir. 2011)).
Plaintiff has failed to demonstrate how Dr. Schina’s initial evaluation report contradicted
the ALJ’s RFC finding that Plaintiff could perform sedentary work with some limitations, R. at
14, or that the basis of the ALJ’s decision is indiscernible. Accordingly, based on this argument,
the court is unpersuaded that remand is required.
2. The ALJ’s RFC Adequately Captured All of Plaintiff’s Record-Established
Limitations, and Substantial Evidence Supports Her RFC Because She Explained and
Considered All the Relevant Evidence in Reaching Her Finding

Plaintiff argues that the ALJ misstated medical evidence when explaining the basis for her
RFC finding, and failed to reconcile conflicting evidence. Pl.’s Br. at 3-4. The court addresses
each contention in turn and finds first, that the error of any misstated evidence is harmless, because
the RFC adequately captured all of Plaintiff’s record established limitations. Second, the court
finds that the ALJ adequately reconciled any conflicting evidence.
An RFC “‘is defined as that which an individual is still able to do despite the limitations
caused by his or her impairments(s).’” Burnett v. Comm’r of Soc. Sec. Admin., 220 F.3d 112, 121
(3d Cir. 2000) (quoting Hartranft v. Apfel, 181 F.3d 358, 359, n.1 (3d Cir. 1999)). Substantial
evidence supports an RFC assessment if the ALJ discusses the individual’s abilities for “8 hours a

9 Although Chandler applies the old regulations, the principle that the ALJ, not doctors, must determine a claimant’s
RFC, still holds. A treating source’s opinion about a Plaintiff’s RFC is neither useful nor probative, and the ALJ may
ignore it. See 20 C.F.R. § 404.1520b(c).
day, for 5 days a week, or an equivalent work schedule.” Bencivengo v. Comm’r of Soc. Sec., No.
00-1995, 2000 U.S. App. LEXIS 38785, at *6 (3d Cir. Dec. 19, 2000) (non-precedential); see also
Santiago-Rivera v. Barnhart, 2006 U.S. Dist. LEXIS 69559, at *36 (E.D. Pa. Sept. 26, 2006);
Brown v. Kijakazi, 2021 U.S. Dist. LEXIS 221644, at *16 (E.D. Pa. Nov. 17, 2021); Sheehan v.

Astrue, No. 10-5598, 2013 U.S. Dist. LEXIS 38201, at *22 (E.D. Pa. Feb. 28, 2013).
An ALJ “may properly accept some parts of the medical evidence and reject other parts,
but [he] must consider all the evidence and give some reason for discounting the evidence [he]
rejects.” Adorno v. Shalala, 40 F.3d 43, 48 (3d Cir. 1994). See also Cotter v. Harris, 642 F.2d
700, 706-07 (3d Cir. 1981) (“Since it is apparent that the ALJ cannot reject evidence for no reason
or for the wrong reason, . . . an explanation from the ALJ of the reason why probative evidence
has been rejected is required so that a reviewing court can determine whether the reasons for
rejection were improper.” (citation omitted)). As stated above, the ALJ must review the relevant
evidence, and if there is substantial evidence to support his factual determinations, this court
should accept those factual findings. See Poulos, 474 F.3d at 91. Substantial evidence is less than

a preponderance. See Biestek, 139 S. Ct. at 1154; Fargnoli, 247 F.3d at 38. However, evidence
is insubstantial if “it is overwhelmed by other evidence,” “really constitutes not evidence but mere
conclusion,” or “ignores, or fails to resolve, a conflict created by countervailing evidence.”
Wallace, 722 F.2d at 1153.
a. The Alleged Error by the ALJ in Mischaracterizing the Severity of Plaintiff’s
Cervical Spinal Herniations Was Harmless, Because She Acknowledged Other
Evidence in Plaintiff’s Favor of His Herniation’s Severity

Plaintiff argues that the ALJ “misstated” medical evidence when explaining the basis for
her RFC finding. Pl.’s Br. at 4. While this court believes that the ALJ could have more clearly
delineated her conclusions, to the extent the lack of clarity suggests the error of misstating
evidence, such an error is harmless because she clearly stated her findings and reasoning elsewhere
in her RFC assessment.
An error is generally “harmless” when, despite the technical correctness of a plaintiff’s
legal contention, there nonetheless remains “no set of facts” supporting entitlement to benefits.

Brown v. Astrue, 649 F.3d 193, 195 (3d Cir. 2011) (quoting Renchenski v. Williams, 622 F.3d 315,
341 (3d Cir. 2010). Stated differently, “remand is not required . . . [if] it would not affect the
outcome of the case.” Rutherford, 399 F.3d at 553. “The burden of showing that an error is
harmful normally falls upon the party attacking the agency’s determination.” Shinseki v. Sanders,
556 U.S. 396, 409 (2009); see Woodson v. Comm’r of Soc. Sec., 661 F. App’x 762, 766 (3d Cir.
2016) (non-precedential) (citing Shinseki, 556 U.S. at 409) (stating a plaintiff must cite specific
evidence demonstrating her claimed error caused harm).
Plaintiff specifically criticizes in one sentence at the end of the ALJ’s RFC analysis:
[i]n sum, the above residual functional capacity assessment is
supported by a May 2015 MRI of the claimant’s cervical spine that
demonstrated cord impingement and mild to moderate disc
protrusions . . . .

Pl.’s Br. at 4. Plaintiff notes that his MRI report makes only “one reference to a ‘mild to moderate’
disc protrusion” and that “such temporizing language is not used . . . except with reference to C3-
4.” Pl.’s Br. at 5. Plaintiff is correct in this respect. However, the ALJ, in fact, elsewhere
acknowledged significant findings of spinal cord impingement at the C5-6 disc. R. at 13, 16 (citing
Ex. B12F at 3), 515-516. Perhaps inartfully worded, this concluding sentence does not reflect the
totality of the ALJ’s analysis. Rather, this court reads the ALJ’s decision “as a whole,” and not in
a piecemeal fashion, in finding that the ALJ did not minimize Plaintiff’s MRI findings as Plaintiff
appears to suggest. Jones v. Barnhart, 364 F.3d 501, 505 (3d Cir. 2004). Therefore, even
assuming arguendo, that the ALJ mischaracterized a portion of the MRI report, it was harmless
error at worst, and cannot be the basis for this court to remand.
b. The ALJ Did Not Exceed Her Scope of Authority, Because It Was Within Her
Authority to Discuss All of Plaintiff’s Record Established Limitations

Plaintiff also finds fault in the last sentence of the ALJ’s RFC with her statement that:

[i]n sum, the above residual functional capacity assessment is
supported by . . . exam findings of 5/5 motor strength in the bilateral
upper and lower extremities, tandem gait without assistance, and
good bulk and muscle tone (e.g., Exhibit B12F p. 3; B41F pp. 8, 13,
23).

Pl.’s Br. at 4. Plaintiff alleges the ALJ exceeded the scope of her expertise by “play[ing] doctor”
in her “notations of tandem gait without assistance, and good bulk and muscle tone,” thereby
improperly suggesting a relationship between “cervical disk herniations . . . [and] upper limb
muscle tone or bulk.” Pl.’s Br. at 4-6 (first quoting Schmidt v. Sullivan, 914 F.2d 117, 118 (7th
Cir. 1990); and then citing R. at 16). Plaintiff argues that because the ALJ did not exclusively
rely on an expert opinion in this statement, she committed error. Pl.’s Br. at 6. Defendant counters
that rather than “playing doctor,” the ALJ was carefully considering the entire record, and that
based on her exclusive responsibility as factfinder, she was not limited to solely “rely[ing] on a
medical opinion or a medical ‘expert’ in determining [Plaintiff]’s RFC.” Def.’s Resp. at 20 (citing
Pl.’s Br. at 6). This court agrees with Defendant that the ALJ did not exceed her authority.
The ALJ is “not require[d] . . . to use particular language or adhere to a particular format
in conducting [her] analysis.” Jones, 364 F.3d at 505. Additionally, the ALJ has the duty to
evaluate a claimant’s RFC and is not required to have a doctor establish any component of the
RFC. Chandler, 667 F.3d at 361. The ALJ here was within her authority to consider observations
of a normal gait, tandem walk, motor strength and bulk in determining Plaintiff’s RFC, and all of
his record established functional limitations, and not just those directly attributable to his cervical
degenerative disc disease. R. at 16; see 20 C.F.R. § 404.1545. Therefore, Plaintiff’s allegation
that the ALJ exceeded her scope of authority in analyzing and citing specific evidence in support
of her RFC, is incorrect and cannot be the basis for this court to remand.
c. The ALJ Properly Considered Evidence Provided By Dr. Gaurav in the Context
of All the Other Evidence

Plaintiff argues that the ALJ failed to reconcile evidence by Dr. Jain Gaurav, M.D.,
suggesting more significant functional limitations. Pl.’s Br. at 7. This court finds that the ALJ
correctly considered such evidence in light of the other evidence submitted and Plaintiff’s
testimony.
Plaintiff states that at issue is Dr. Gaurav’s July 2015 examination showing left-sided
handgrip, triceps, and hip flexor weakness rated at 4+/5; mild non-dermatomal distribution
numbness in the distal third, fourth, and fifth digits of the left hand; mildly brisk deep tendon
reflexes, and minor difficulty with tandem ambulation. Id. (citing R. at 311). He alleges the ALJ
failed to reconcile this evidence suggesting greater functional limitations with the other evidence
she cited in reaching her decision. Id. However, the ALJ compared Dr. Gaurav’s findings with
those expressed by the consultative examiner who examined Plaintiff two weeks earlier, Dr.
Pramod Digamber, M.D. R. at 13-14, 828. Dr. Digamber noted Plaintiff’s intact hand and finger
dexterity, lack of sensory abnormalities of the bilateral upper extremities, 5/5 strength in the
proximal and upper extremity muscles bilaterally, and cervical or paracervical pain or spasms. Id.

He ultimately concluded that Plaintiff was capable of a range of light work based on his
examination findings. R. at 13-16, 830-835. The ALJ balanced this evidence, alongside Plaintiff’s
testimony that he can do many household chores, and Plaintiff’s testimony of “chronic pain
affecting his ability to perform activities of daily living.” Id. at 14. In doing so, she further limited
Plaintiff to a range of sedentary work, rather than a limited range of light work. Id. at 15. Because
the ALJ properly considered and balanced all the evidence, including the evidence raised by
Plaintiff, this court will not remand on this basis.
3. The ALJ’s Decision is Not Constitutionally Defective and Does Not Violate the
Separation of Powers

Plaintiff argues that former Commissioner Saul’s appointment by former President Trump
violated the federal constitution, because the statute creating the position made the
Commissioner’s term of office longer than the Presidential term, and required the President to have
cause to dismiss the Commissioner. Pl.’s Br. at 4. The Acting Commissioner agrees that the
statute is unconstitutional. Def.’s Resp. at 4. However, the parties disagree about whether Plaintiff
can obtain any relief based upon this admitted technical constitutional violation. This court finds
that he cannot.
The Supreme Court has held that the federal constitution vests all executive power in the
President. Seila Law LLC v. Consumer Fin. Prot. Bureau, 140 S. Ct. 2183, 2191 (2020). Since it
is impossible for one person to exercise all of that power solely, the Framers expected that the
President would appoint and rely upon subordinate officers. Id. In order for the President to be
accountable for the actions of the subordinate officers, the President must be able to dismiss any
such officers at will. Id. (citation omitted). The Court has only recognized two exceptions to this
rule: (1) agencies that groups of officers lead, and (2) inferior officers (not agency heads) having
narrowly defined duties. Id. at 2192 (citations omitted).

The Commissioner, the sole head of the agency, has a six-year term of office and is
removable only for neglect of duty or malfeasance in office. 42 U.S.C. § 902(a)(3). As such, §
902(a)(3) violates the federal constitution because it restricts the President’s ability to remove the
Commissioner. Seila Law, 140 S. Ct. at 2191-92. As stated previously, the Acting Commissioner
concedes this point. Def.’s Resp. at 8. Nevertheless, Plaintiff cannot obtain any relief based upon
this constitutional violation.
While § 902(a)(3) unconstitutionally restricted the President’s authority to remove
Commissioner Saul, the statute creates no defect in how Commissioner Saul was appointed.

Hence, any actions Commissioner Saul took should not be regarded as void. Collins v. Yellen, 141
S. Ct. 1761, 1787 (2021). Customarily, a defect in a removal provision does not prevent the agency
head from appropriately exercising the duties of the office. Id. at 1788 n.24 (citing Seila Law, 140
S. Ct. at 2207-2211). In Collins, the Supreme Court gave examples of what might cause an
exception to this general rule: (1) evidence that a court had prevented the President from removing
an agency head, because the President did not have cause to remove the agency head; or (2) the
President expressing public displeasure with the agency head and desiring removal of the agency
head, but for the statute. Id. at 1789. Neither example applies herein. Former President Trump
expressed no dissatisfaction with former Commissioner Saul, whom he appointed. Furthermore,
by the time President Biden took the oath of office on January 20, 2021, and, thereafter, expressed

his dislike for certain actions taken by former Commissioner Saul, Plaintiff’s case was already in
this district court, since he had filed his complaint on July 7, 2020. Thus, the agency action
Plaintiff complains about – the ALJ’s decision – took place before any President expressed concern
about former Commissioner Saul. Hence, Collins dictates that Plaintiff cannot obtain relief. Id.
V. CONCLUSION
A thorough review of the relevant law and the record indicates that substantial evidence
supports the ALJ’s decision, and that failure to consider Dr. Schina’s evidence was not error.
Additionally, the ALJ’s RFC captured all of Plaintiff’s record-established limitations by
considering the relevant evidence and reconciling conflicting evidence. Accordingly, Plaintiff’s
Request for Review is denied. An implementing Order and Order of Judgment follow.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10403756. Public record. Not legal advice.