remanding the case to the district court with directions to enter an order awarding the payment of benefits
How later courts described this case
- remanding the case to the district court with directions to enter an order awarding the payment of benefits
- “We examine the ALJ’s conclusions as to [the claimant’s] residual functional capacity with the deference required of the substantial evidence standard of review.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
SCOTT ANDREW MCMAHON, JR., : CIVIL NO.: 1:20-CV-01320
:
Plaintiff, : (Magistrate Judge Schwab)
:
v. :
:
:
KILOLO KIJAKAZI,1 :
Acting Commissioner of :
Social Security, :
:
Defendant. :
MEMORANDUM OPINION
I. Introduction.
Scott Andrew McMahon, Jr. (“McMahon”) seeks judicial review of the final
decision of the Commissioner of Social Security (“Commissioner”) denying his
claims for disability insurance benefits (“DIB”) and supplemental security income
(“SSI”) under Titles II and XVI of the Social Security Act. We have jurisdiction
under 42 U.S.C. §§ 405(g) and 1383(c)(3). For the reasons set forth below, we
1 Kiolo Kijakazi is now the Commissioner of Social Security, and she is
automatically substituted as the defendant in this action. See Fed. R. Civ. P.
25(d) (providing that when a public officer sued in his or her official capacity
ceases to hold office while the action is pending, “[t]he officer’s successor is
automatically substituted as a party”); 42 U.S.C. § 405(g) (“Any action instituted
in accordance with this subsection shall survive notwithstanding any change in the
person occupying the office of Commissioner of Social Security or any vacancy in
such office.”).
will vacate the Commissioner’s decision and remand the case to the Commissioner
for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g).
II. Background and Procedural History.
We refer to the transcript provided by the Commissioner. See docs. 13-1 to
13-12.2 On July 19, 2017, McMahon protectively filed3 a Title II application for
DIB. Admin. Tr. at 27. He also protectively filed a Title XVI application for SSI
on June 27, 2017. Id. In both applications, McMahon alleged a disability
beginning December 25, 2015. Id. The relevant period for McMahon’s DIB claim
is December 25, 2015 (his alleged onset date) through December 31, 2016 (his date
last insured). Id. at 32. The relevant period for his SSI claim is June 27, 2017 (his
application date) through April 15, 2019 (the ALJ’s decision). Id. at 32, 37. After
both claims were initially denied, McMahon requested a hearing, which was held
on March 18, 2019. Id. at 27.
On April 15, 2019, Administrative Law Judge Daniel Balutis (“ALJ”)
determined that McMahon was not disabled within the meaning of the Social
2 The facts of the case are well known to the parties and will not be repeated
here. Instead, we will recite only those facts that bear on McMahon’s claims.
3 “Protective filing is a term for the first time an individual contacts the
Social Security Administration to file a claim for benefits.” Stitzel v. Berryhill, No.
3:16-CV-0391, 2017 WL 5559918, at *1 n.3 (M.D. Pa. Nov. 9, 2017). “A
protective filing date allows an individual to have an earlier application date than
the date the application is actually signed.” Id.
Security Act. Specifically, the ALJ denied McMahon’s DIB claim at step two
concluding that McMahon did not have a severe impairment through the date last
insured, December 31, 2016. Id. at 32. And the ALJ denied McMahon’s SSI claim
at step five. Id. at 36–37. In sum, that ALJ concluded that McMahon had not been
under a disability from the alleged onset date of December 25, 2015, through the
date of his decision, April 15, 2019. Id. at 37. And so, he denied him all benefits.
Id. McMahon appealed the ALJ’s decision to the Appeals Council, which denied
his request for review on May 27, 2020. Id. at 1. This makes the ALJ’s decision
the final decision of the Commissioner subject to judicial review by this court.
On July 30, 2020, McMahon began this action by filing a complaint
claiming that the Commissioner’s decision is not supported by substantial
evidence. Doc. 1 at 3. McMahon requests that this court find that he is entitled to
benefits or remand the case for a further hearing. Id. The Commissioner filed an
answer to the complaint and a transcript of the proceedings that occurred before the
Social Security Administration. Docs. 12-13. The parties consented to proceed
before a magistrate judge pursuant to 28 U.S.C. § 636(c), and the case was referred
to the undersigned. Doc. 17. The parties then filed briefs, see docs. 20, 21, and this
matter is ripe for decision.
III. Legal Standards.
A. Substantial Evidence Review—the Role of This Court.
When reviewing the Commissioner’s final decision denying a claimant’s
application for benefits, “the court has plenary review of all legal issues decided by
the Commissioner.” Ficca v. Astrue, 901 F. Supp. 2d 533, 536 (M.D. Pa. 2012).
But the court’s review of the Commissioner’s factual findings is limited to whether
substantial evidence supports those findings. See 42 U.S.C. § 405(g); Biestek v.
Berryhill, 139 S. Ct. 1148, 1152 (2019). “[T]he threshold for such evidentiary
sufficiency is not high.” Biestek, 139 S. Ct. at 1154. Substantial evidence
“means—and means only—‘such relevant evidence as a reasonable mind might
accept as adequate to support a conclusion.’” Id. (quoting Consol. Edison Co. of
New York v. N.L.R.B., 305 U.S. 197, 229 (1938)).
Substantial evidence “is less than a preponderance of the evidence but more
than a mere scintilla.” Jesurum v. Sec’y of U.S. Dep’t of Health & Human Servs.,
48 F.3d 114, 117 (3d Cir. 1995). A single piece of evidence is not substantial
evidence if the ALJ ignores countervailing evidence or fails to resolve a conflict
created by the evidence. Mason v. Shalala, 994 F.2d 1058, 1064 (3d Cir. 1993).
But in an adequately developed factual record, substantial evidence may be
“something less than the weight of the evidence, and the possibility of drawing two
inconsistent conclusions from the evidence does not prevent [the ALJ’s] finding
from being supported by substantial evidence.” Consolo v. Fed. Maritime Comm’n,
383 U.S. 607, 620 (1966). “In determining if the Commissioner’s decision is
supported by substantial evidence the court must scrutinize the record as a whole.”
Leslie v. Barnhart, 304 F.Supp.2d 623, 627 (M.D. Pa. 2003).
The question before this court, therefore, is not whether McMahon is
disabled, but whether substantial evidence supports the Commissioner’s finding
that he is not disabled and whether the Commissioner correctly applied the relevant
law.
B. Initial Burdens of Proof, Persuasion, and Articulation for the ALJ.
To receive benefits under Title II or Title XVI of the Social Security Act, a
claimant generally must demonstrate an “inability to engage in any substantial
gainful activity by reason of any medically determinable physical or mental
impairment which can be expected to result in death or which has lasted or can be
expected to last for a continuous period of not less than 12 months.” 42 U.S.C.
§ 423(d)(1)(A); see also 42 U.S.C. §1382c(a)(3)(A); 20 C.F.R. §§ 404.1505(a),
416.905(a). To satisfy this requirement, a claimant must have a severe physical or
mental impairment that makes it impossible to do his or her previous work or any
other substantial gainful work that exists in the national economy. 42 U.S.C.
§§ 423(d)(2)(A), 1382c(a)(3)(B); 20 C.F.R. §§ 404.1505(a), 416.905(a).
To receive disability insurance benefits under Title II of the Social Security
Act, a claimant must show that he or she contributed to the insurance program, is
under retirement age, and became disabled prior to the date on which he or she was
last insured. 42 U.S.C. § 423(a); 20 C.F.R. § 404.131(a).4 Unlike with disability
insurance benefits under Title II of the Social Security Act, “[i]nsured status is
irrelevant in determining a claimant’s eligibility for supplemental security income
benefits” under Title XVI of the Social Security Act. Snyder v. Colvin, No. 3:16-
CV-01689, 2017 WL 1078330, at *1 (M.D. Pa. Mar. 22, 2017). SSI “is a federal
income supplement program funded by general tax revenues (not social security
taxes)” “designed to help aged, blind or other disabled individuals who have little
or no income.” Id.
The ALJ follows a five-step sequential-evaluation process to determine
whether a claimant is disabled. 20 C.F.R. §§ 404.1520(a), 416.920. Under this
process, the ALJ must sequentially determine: (1) whether the claimant is engaged
in substantial gainful activity; (2) whether the claimant has a severe impairment;
4 “Disability insurance benefits are paid to an individual if that individual is
disabled and ‘insured,’ that is, the individual has worked long enough and paid
social security taxes.” Jury v. Colvin, No. 3:12-CV-2002, 2014 WL 1028439, at *1
n.5 (M.D. Pa. Mar. 14, 2014) (citing 42 U.S.C. §§ 415(a), 416(i)(1)). “The last
date that an individual meets the requirements of being insured is commonly
referred to as the ‘date last insured.’” Id. (citing 42 U.S.C. § 416(i)(2)). Here, the
ALJ determined that McMahon met the insured-status requirements through
December 31, 2016. Admin. Tr. at 27.
(3) whether the claimant’s impairment meets or equals a listed impairment;
(4) whether the claimant is able to do his or her past relevant work; and
(5) whether the claimant is able to do any other work, considering his or her age,
education, work experience, and residual functional capacity (“RFC”). 20 C.F.R.
§§ 404.1520(a)(4)(i)–(v), 416.920(a)(4)(i)–(v).
The ALJ must also assess a claimant’s RFC at step four. Hess v. Comm’r of
Soc. Sec., 931 F.3d 198, 198 n.2 (3d Cir. 2019). The RFC is ‘“that which an
individual is still able to do despite the limitations caused by his or her
impairment(s).’” Burnett v Comm’r of Soc. Sec., 220 F.3d 112, 121 (3d Cir. 2000)
(quoting Hartranft v. Apfel, 181 F.3d 358, 359 n.1 (3d Cir. 1999)); see also 20
C.F.R. §§ 404.1545(a)(1), 416.945(a)(1). In making this assessment, the ALJ
considers all the claimant’s medically determinable impairments, including any
non-severe impairment identified by the ALJ at step two of his or her analysis. 20
C.F.R. §§ 404.1545(a)(2), 416.945(a)(2).
“The claimant bears the burden of proof at steps one through four” of the
sequential-evaluation process. Smith v. Comm’r of Soc. Sec., 631 F.3d 632, 634 (3d
Cir. 2010). But at step five, “the burden of production shifts to the Commissioner,
who must . . . show there are other jobs existing in significant numbers in the
national economy which the claimant can perform, consistent with her medical
impairments, age, education, past work experience, and residual functional
capacity.” Fargnoli v. Massanari, 247 F.3d 34, 39 (3d Cir. 2001).
The ALJ’s disability determination must also meet certain basic substantive
requisites. Most significantly, the ALJ must provide “a clear and satisfactory
explication of the basis on which” his or her decision rests. Cotter v. Harris, 642
F.2d 700, 704 (3d Cir. 1981). “The ALJ must indicate in his decision which
evidence he has rejected and which he is relying on as the basis for his finding.”
Schaudeck v. Comm’r of Soc. Sec. Admin., 181 F. 3d 429, 433 (3d Cir. 1999). The
“ALJ may not reject pertinent or probative evidence without explanation.” Johnson
v. Comm’r of Soc. Sec., 529 F.3d 198, 204 (3d Cir. 2008). Otherwise, ‘“the
reviewing court cannot tell if significant probative evidence was not credited or
simply ignored.’” Burnett, 220 F.3d at 121 (quoting Cotter, 642 F.2d at 705).
IV. The ALJ’s Decision Denying McMahon’s Claims.
On April 15, 2019, the ALJ denied McMahon’s claims for benefits. Admin.
Tr. at 37. At step one of the sequential-evaluation process, the ALJ found that
McMahon had not engaged in substantial gainful activity since December 25,
2015, the alleged onset date. Id. at 29.
At step two of the sequential-evaluation process, the ALJ found that as of
the date last insured, McMahon had the following medically determinable
impairments: obesity, asthma, esophageal reflux, and myopia. Id. at 29. But
finding those impairment not to be severe, the ALJ denied McMahon’s DIB claim
at step two. Id. at 32. With regarding to McMahon’s SSI claim, the ALJ found that
McMahon had the following severe impairments: scoliosis and degenerative disc
disease of the lumbar spine. Id. at 32. Thus, the ALJ proceeded to the subsequent
steps of the sequential-evaluation process only as to McMahon’s SSI claim.
At step three of the sequential-evaluation process, the ALJ found that
McMahon did not have an impairment or combination of impairments that met or
medically equaled an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix
1. Id. Specifically, the ALJ discussed Listing 1.04, and he concluded that “[t]he
record does not establish that the claimant has compression of a nerve root
(including the caudal equine) or the spinal cord.” Id. The ALJ also noted that
“[d]iagnostic testing of the lumbar spine did not show canal and neural foraminal
stenosis of any kind[,]” and that “there is no evidence to establish spinal
arachnoiditis or lumbar spinal stenosis resulting in pseudoclaudication, established
by appropriate findings and resulting in the inability to ambulate effectively as
defined in the listings.” Id.
The ALJ then determined that McMahon has the RFC to perform light work5
with some limitations. Id. The ALJ found that McMahon must never climb
ladders, ropes, or scaffolds. Id. He limited McMahon to only occasional climbing
ramps and stairs, balancing, kneeling, crouching, stooping, and crawling. Id. at 33.
Furthermore, the ALJ stated that McMahon could have frequent exposure to dust,
odors, fumes, and pulmonary irritants. Id. In making this RFC assessment, the
ALJ considered McMahon’s symptoms that could be accepted as consistent with
the record evidence, the medical opinions, and the prior administrative medical
findings. Id.
At step four of the sequential-evaluation process, the ALJ found that
McMahon had no past relevant work. Id. at 36.
At step five of the sequential-evaluation process, considering McMahon’s
age, education, work experience, and RFC, as well as the testimony of a vocational
expert, the ALJ found that there were jobs—information clerk, mail sorter, and
5 See 20 C.F.R. § 416.967(b) (“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.”).
photocopy machine clerk—that exist in significant numbers in the national
economy that McMahon could perform. Id.
In sum, the ALJ concluded that McMahon was not disabled from December
25, 2015, through the date of his decision on April 15, 2019. Id. at 37. Thus, the
ALJ denied McMahon’s applications for benefits. Id.
V. Discussion.
A. The ALJ’s RFC assessment is not supported by substantial evidence.
One of McMahon’s claims is that the ALJ should have included additional
limitations in the hypothetical questions he presented to the VE. Doc. 20 at 11. In
his view, the ALJ’s failure to consider his asthma as a severe impairment
contributed to error in the ALJ’s hypotheticals. Id. at 12. The hypotheticals,
McMahon contends, included an assumption of frequent exposure to dust, odor,
fumes, and pulmonary irritants, all which McMahon should avoid due to his
asthma. Id.
A vocational expert’s testimony is not substantial evidence if the ALJ did
not include in the hypothetical to the vocational expert all the claimant’s credibly
established impairments:
Discussing hypothetical questions posed to vocational experts,
we have said that “[w]hile the ALJ may proffer a variety of
assumptions to the expert, the vocational expert’s testimony
concerning a claimant’s ability to perform alternative
employment may only be considered for purposes of
determining disability if the question accurately portrays the
claimant's individual physical and mental impairments.”
Podedworny,745 F.2d at 218. A hypothetical question posed to
a vocational expert “must reflect all of a claimant’s
impairments.” Chrupcala v. Heckler, 829 F.2d 1269, 1276 (3d
Cir.1987) (emphasis added). Where there exists in the record
medically undisputed evidence of specific impairments not
included in a hypothetical question to a vocational expert, the
expert’s response is not considered substantial evidence.
Podedworny, 745 F.2d at 218 (citing Wallace v. Secretary of
Health & Human Servs., 722 F.2d 1150, 1155 (3d Cir.1983)).
Burns v. Barnhart, 312 F.3d 113, 123 (3d Cir. 2002). But an ALJ is not required
“to submit to the vocational expert every impairment alleged by a claimant.”
Rutherford v. Barnhart, 399 F.3d 546, 554 (3d Cir. 2005) (italics in original).
Rather, “the ALJ must accurately convey to the vocational expert all of a
claimant’s credibly established limitations.” Id. (italics in original) (citation and
footnote omitted).
“[O]bjections to the adequacy of hypothetical questions posed to a
vocational expert often boil down to attacks on the RFC assessment itself.” Id. at
554 n.8. A claimant may claim that the ALJ erred by relying on the testimony of
the vocational expert “because the ALJ failed to convey limitations to the
vocational expert that were properly identified in the RFC assessment.” Id. Or a
claimant may claim that the ALJ erred by relying on the testimony of the
vocational expert “because the ALJ failed to recognize credibly established
limitations during the RFC assessment and so did not convey those limitations to
the vocational expert.” Id. “Challenges of the latter variety . . . are really best
understood as challenges to the RFC assessment itself.” Id. Here, McMahon is
claiming that the ALJ erred by including in his RFC assessment that he could have
frequent exposure to dust, odors, fumes, and pulmonary irritants even though he
has asthma and then asking the vocational expert to assume that the hypothetical
individual about which she was asked could have frequent exposure to such
irritants. Thus, McMahon’s challenge is really a challenge to the RFC.6
1. Standards Regarding the RFC Assessment.
“The ALJ—not treating or examining physicians or State agency
consultants—must make the ultimate disability and RFC determinations.”
Chandler v. Comm’r of Soc. Sec., 667 F.3d 356, 361 (3d Cir. 2011). The RFC is
‘“that which an individual is still able to do despite the limitations caused by his or
her impairment(s).’” Burnett, 220 F.3d at 121 (quoting Hartranft, 181 F.3d at 359
n.1); see also 20 C.F.R. § 416.945(a)(1). In assessing a claimant’s RFC, the ALJ
must consider all the evidence of record. Burnett, 220 F.3d at 121. “When a
conflict in the evidence exists, the ALJ may choose whom to credit but ‘cannot
reject evidence for no reason or for the wrong reason.’” Plummer v. Apfel, 186
6 This is how the Commissioner construed McMahon’s argument. See doc.
21 at 15 n.6.
F.3d 422, 429 (3d Cir. 1999) (quoting Mason, 994 F.2d at 1066). The court’s
“review of the ALJ’s assessment of the plaintiff’s RFC is deferential, and that RFC
assessment will not be set aside if it is supported by substantial evidence.” Wilder
v. Kijakazi, 1:20-CV-492, 2021 WL 4145056, at *6 (M.D. Pa. Sept. 9, 2021); see
also Burns, 312 F.3d at 129 (“We examine the ALJ’s conclusions as to [the
claimant’s] residual functional capacity with the deference required of the
substantial evidence standard of review.”).
“Surveying the medical evidence to craft an RFC is part of the ALJ’s
duties.” Titterington v. Barnhart, 174 F. App’x 6, 11 (3d Cir. 2006). And “[i]n
evaluating medical reports, the ALJ is free to choose the medical opinion of one
doctor over that of another.” Diaz v. Comm’r of Soc. Sec., 577 F.3d 500, 505 (3d
Cir. 2009). “Although an ALJ is entitled to resolve conflicts in the evidence and
determine the ultimate question of disability, as a lay person, the ALJ is not
permitted to interpret raw medical data when evaluating a claimant’s functional
capacity.” Phillips v. Berryhill, No. CV 15-5204, 2017 WL 2224931, at *4 (E.D.
Pa. May 22, 2017). And “‘Judges, including administrative law judges of the
Social Security Administration, must be careful not to succumb to the temptation
to play doctor’ because ‘lay intuitions about medical phenomena are often
wrong.’” Ralph v. Colvin, No. 1:14-CV-01230, 2015 WL 2213576, at *15 (M.D.
Pa. May 11, 2015) (quoting Schmidt v. Sullivan, 914 F.2d 117, 118 (7th Cir.
1990)).
Further, in assessing any medical opinion and setting the RFC, the ALJ must
clearly articulate his or her reasoning. In other words, the ALJ must “set forth the
reasons for his decision” to allow for meaningful judicial review. Burnett, 220 F.3d
at 119 (citing Cotter, 642 F.2d at 704–05). Although an ALJ need not “use
particular language or adhere to a particular format in conducting his analysis,” the
ALJ must ensure “sufficient development of the record and explanation of findings
to permit meaningful review.” Jones v. Barnhart, 364 F.3d 501, 505 (3d Cir.
2004). The ALJ’s decision must set out “a clear and satisfactory explication of the
basis on which it rests.” Cotter, 642 F.2d at 704. If an ALJ “has not sufficiently
explained” how he or she considered all the evidence “‘to say that [the] decision is
supported by substantial evidence approaches an abdication of the court’s duty to
scrutinize the record as a whole to determine whether the conclusions reached are
rational.’” Dantzler v. Saul, No. 3:16-CV-2107, 2019 WL 5569466, at *1 (M.D.
Pa. Oct. 28, 2019) (quoting Dobrowolsky v. Califano, 606 F.2d 403, 407 (3d Cir.
1979)).
2. The ALJ failed to adequately explain why he included in the
RFC that McMahon could have frequent exposure to dust, odors,
fumes, and pulmonary irritants.
Here, the ALJ found that McMahon had asthma but that his asthma was not
severe, noting that it was controlled with medication. Nevertheless, when
assessing the RFC, the ALJ must consider all the claimant’s medically
determinable impairments, including any non-severe impairment identified by the
ALJ at step two of his or her analysis. 20 C.F.R. §§ 404.1545(a)(2), 416.945(a)(2).
Yet the ALJ concluded that McMahon could have frequent exposure to dust, odors,
fumes, and pulmonary irritants. He did not explain why someone with asthma,
even asthma that is not severe and is controlled with medication, could have
frequent exposure to such irritants. And the ALJ’s failure to provide an
explanation is even more problematic given that there is a medical opinion that
specifically says McMahon may never be exposed to such irritants.
Dr. Kneifati, the consultative examiner, provided a medical source statement
as to McMahon’s limitations regarding physical work-related activities. Admin. Tr.
at 577-585. He opined, among other things, that McMahon could never tolerate
exposure to “[d]ust, odors, fumes and pulmonary irritants.” Id. at 581. The ALJ
found Dr. Kneifati’s opinion somewhat persuasive in parts and not persuasive in
other parts:
As for medical opinion(s) and prior administrative medical
finding(s), the opinion of Dr. Kneifati, the consultative
examiner, which found the claimant was capable of lifting and
carrying 20 and 50 pounds occasionally and ten pounds
frequently, but would be limited to two hours of walking, three
hours of standing and five hours of sitting in an eight-hour
workday. Dr. Kneifati reduced the claimant to occasional use
of the right foot and frequent use of the left foot, occasional
posture activities and to avoid pulmonary irritants. This
opinion was somewhat persuasive in that the limits to lifting
and carrying, postural activities and environmental conditions
are supported by the lack of any clinical findings or impairment
affecting the use of the upper extremities balanced out with the
minimal defects on the diagnostic testing of the lower spine
combined with consideration of the claimant’s nonsevere
impairments, including asthma and obesity. However, the
remainder of this opinion was not persuasive because the
degree of limitation is not supported by objective evidence.
Specifically, the diagnostic testing did not show significant
scoliosis or degenerative changes and the clinical findings
noted a normal gait and full muscle strength. Further, this
degree of limitation is simply not consistent with the level of
treatment, which has been primarily through muscle relaxant
medication from a primary care doctor, as opposed to any
formal therapy, pain management or referral for a consultation
with an orthopedic or neurological specialist. In regard to these
limitations, they appear to be largely based on subjective
reports rather than clinical evidence.
Admin. Tr. at 35 (citation to the record omitted). But the ALJ’s reasoning (if there
is any) as to Dr. Kneifati’s opinion that McMahon could never tolerate exposure to
dust, odors, fumes, and pulmonary irritants is incomprehensible. The ALJ did not
explain why he rejected Dr. Kneifati’s opinion that McMahon could never tolerate
exposure to dust, odors, fumes, and pulmonary irritants and instead concluded that
McMahon could have frequent exposure to dust, odors, fumes, and pulmonary
irritants. In sum, the ALJ’s rationale for rejecting Kneifati’s opinion in this regard
is too opaque to permit meaningful judicial review.
Further, the ALJ’s failure to articulate a proper basis for rejecting Dr.
Kneifati’s opinion that McMahon could never tolerate exposure to dust, odors,
fumes, and pulmonary irritants influenced his RFC assessment. As set forth above,
although Dr. Kneifati opined that McMahon could never tolerate exposure to dust,
odors, fumes, and pulmonary irritants, the ALJ concluded, without citation to any
other medical evidence, that McMahon could have frequent exposure to dust,
odors, fumes, and pulmonary irritants. The gulf between never (Dr. Kneifati’s
opinion) and frequent (the ALJ’s conclusion) cannot be bridged without an
explanation, which the ALJ did not provide.7 Thus, we cannot say that substantial
evidence supports the ALJ’s RFC assessment.
7 The Commissioner’s reasoning in its brief is similarly unintelligible. Apart
from concluding that the RFC captured all McMahon’s credibly established
limitations, doc. 21 at 16, when discussing the ALJ’s RFC assessment, the
Commissioner states: “Plaintiff could also have frequent exposure to dust, odors,
fume[s] and pulmonary irritants, to account for his asthma,” doc. 21 at 14. But
how does frequent exposure to dust, odor, fumes, and pulmonary irritants account
for someone’s asthma? The Commissioner does not explain. We also note that the
Commissioner suggests that any error by the ALJ in not including further postural
limitations in the RFC was harmless given that the jobs identified do not require
climbing, balancing, stooping, kneeling, crouching, or crawling. Doc. 21 at 17.
But the Commissioner makes no such argument regarding exposure to dust, odors,
fumes, and pulmonary irritants.
B. Other Claims.
Because we conclude that the Commissioner’s decision must be vacated and
the case remanded based on the ALJ’s failure to articulate why he rejected Dr.
Kneifati’s opinion that McMahon could never tolerate exposure to dust, odors,
fumes, and pulmonary irritants and instead concluded that McMahon could have
frequent exposure to dust, odors, fumes, and pulmonary irritants, we will not
address McMahon’s remaining claims of error. “Plaintiff’s additional claims of
error may be remedied through the case’s treatment on remand.” Brown v. Saul,
No. CV 3:18-1619, 2020 WL 6731732, at *7 (M.D. Pa. Oct. 23, 2020), report and
recommendation adopted, 2020 WL 6729164, at *1 (M.D. Pa. Nov. 16, 2020). “A
remand may produce different results on these claims, making discussion of them
moot.” Id.
C. Remand is the appropriate remedy.
Because the ALJ’s decision is not support by substantial evidence, the
question then is whether the court should remand the case to the Commissioner for
further proceedings or award benefits to McMahon, as he requests. See doc. 1 at 3
(requesting that benefits be awarded, or, in the alternative, the case be remanded to
the Commissioner). We conclude that remand is the appropriate remedy.
Under sentence four of 42 U.S.C. § 405(g), the court has the “power to enter,
upon the pleadings and transcript of the record, a judgment affirming, modifying,
or reversing the decision of the Commissioner of Social Security, with or without
remanding the cause for a rehearing.” Thus, although a remand is often the
appropriate remedy, the court may also enter an order awarding the claimant
benefits. See Brownawell v. Comm’r of Soc. Sec., 554 F.3d 352, 358 (3d Cir. 2008)
(remanding the case to the district court with directions to enter an order awarding
the payment of benefits); Morales v. Apfel, 225 F.3d 310, 320 (3d Cir. 2000)
(same); Podedworny v. Harris, 745 F.2d 210, 223 (3d Cir. 1984) (same). But an
“award [of] benefits should be made only when the administrative record of the
case has been fully developed and when substantial evidence on the record as a
whole indicates that the claimant is disabled and entitled to benefits.” Podedworny,
745 F.2d at 221–22. Whether there has been excessive delay and/or prior remands
also bears on whether to award benefits or to remand for further proceedings. Diaz
v. Berryhill, 388 F. Supp. 3d 382, 391 (M.D. Pa. 2019). “Thus, in practice any
decision to award benefits in lieu of ordering a remand for further agency
consideration entails the weighing of two factors: First, whether there has been an
excessive delay in the litigation of the claim which is not attributable to the
claimant; and second, whether the administrative record of the case has been fully
developed and substantial evidence on the record as a whole indicates that the
claimant is disabled and entitled to benefits.” Id.
Here, there has not been excessive delay in the litigation of McMahon’s
claims, and we cannot say that substantial evidence on the record as a whole shows
that McMahon is disabled and entitled to benefits. Thus, we will remand the case
to the Commissioner for further proceedings.
VI. Conclusion.
For the foregoing reasons, we will vacate the decision of the Commissioner
and remand the case to the Commissioner for further proceedings pursuant to
sentence four of 42 U.S.C. § 405(g). An appropriate order follows.
S/Susan E. Schwab
Susan E. Schwab
United States Magistrate Judge