Opinion

WISNER v. O'MALLEY

Court
District Court, W.D. Pennsylvania
Filed
Dec 19, 2024
Cited by
0 cases
Authority
More cited than 33.4%

“The ALJ – not treating or examining physicians or State agency consultants – must make the ultimate disability and RFC determinations.”

How later courts described this case

  • “The ALJ – not treating or examining physicians or State agency consultants – must make the ultimate disability and RFC determinations.”
  • “There is no legal requirement that a physician have made the particular findings that an ALJ adopts in the course of determining an RFC.”

Written by the judges who cited it.

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF PENNSYLVANIA

WILAM J. WISNER, )

)

Plaintiff, )

)

v. ) Civil Action No. 23-356-E

)

CAROLYN COLVIN,1 )

Acting Commissioner of Social Security, )

)

Defendant. )

O R D E R

AND NOW, this 19th day of December, 2024, upon consideration of the parties’

cross-motions for summary judgment, the Court, after reviewing the Commissioner of Social

Security’s final decision denying Plaintiff’s claim for disability insurance benefits under

Subchapter II of the Social Security Act, 42 U.S.C. § 401 et seq., finds that the Commissioner’s

findings are supported by substantial evidence and, accordingly, affirms.2 See 42 U.S.C. §

405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1153-54 (2019); Jesurum v. Secretary of U.S. Dep’t

of Health & Human Servs, 48 F.3d 114, 117 (3d Cir. 1995) (citing Brown v. Bowen, 845 F.2d

1211, 1213 (3d Cir. 1988)). See also Berry v. Sullivan, 738 F. Supp. 942, 944 (W.D. Pa. 1990)

(if supported by substantial evidence, the Commissioner’s decision must be affirmed, as a federal

1 Carolyn Colvin is substituted as the defendant in this matter pursuant to Federal Rule of

Civil Procedure 25(d) and 42 U.S.C. § 405(g). The Clerk is directed to amend the docket to

reflect this change.

2 Defendant asks the Court to tax costs against Plaintiff but does not advance an argument

in support of that request. Accordingly, the Court will award no costs. See Pa. Dep’t of Pub.

Welfare v. U.S. Dep’t of Health & Hum. Servs., 101 F.3d 939, 945 (3d Cir. 1996).

court may neither reweigh the evidence, nor reverse, merely because it would have decided the

claim differently) (citing Cotter v. Harris, 642 F.2d 700, 705 (3d Cir. 1981)).3

3 Plaintiff argues that the Administrative Law Judge (“ALJ”) erred in formulating his

residual functional capacity (“RFC”), as he failed to explain how the evidence supported his

specific findings. Plaintiff further argues that the ALJ improperly assessed the opinion of his

treating nurse practitioner and that he mischaracterized his activities of daily living. The Court

finds no merit in these contentions and instead finds that the ALJ’s decision is supported by

substantial evidence.

As noted, Plaintiff first contends that the ALJ failed to explain the basis for his RFC findings.

A claimant’s RFC, of course, is “that which an individual is still able to do despite the limitations

caused by his or her impairment(s).” Fargnoli v. Massanari, 247 F.3d 34, 40 (3d Cir. 2001). See

also 20 C.F.R. § 404.1545(a). Plaintiff is correct that, in formulating a claimant’s RFC, not only

must an ALJ consider all relevant evidence, the RFC finding “must ‘be accompanied by a clear and

satisfactory explication of the basis on which it rests.’” Fargnoli, 247 F.3d at 41 (quoting Cotter v.

Harris, 642 F.2d 700, 704 (3d Cir. 1981)). “‘[A]n examiner’s findings should be as comprehensive

and analytical as feasible and, where appropriate, should include a statement of subordinate factual

foundations on which ultimate factual conclusions are based, so that a reviewing court may know the

basis for the decision.’” Id. (quoting Cotter, 642 F.2d at 705). See also S.S.R. 96-8p, 1996 WL

374184 (S.S.A.), at *7 (“The RFC assessment must include a narrative discussion describing how the

evidence supports each conclusion, citing specific medical facts (e.g., laboratory findings) and

nonmedical evidence (e.g., daily activities, observations).”). Plaintiff suggests that the ALJ’s

“conclusory statement” that his RFC findings were supported by substantial evidence was

insufficient to satisfy this standard. (Doc. No. 10, p. 18). The Court disagrees.

In raising his argument, Plaintiff cites to a decision by the Honorable Alan Bloch, the

judge who had been assigned to this case, Caville v. Berryhill, No. CV 18-1657, 2019 WL

4278832, at *1 (W.D. Pa. Sept. 10, 2019). He contends that here, as in that case, the ALJ

formulated a highly specific RFC without explaining specifically how the evidence supported

such findings. He concludes, therefore, that, like Caville, this case should be remanded for

further consideration. However, this argument overlooks one very important distinction between

the two cases. In Caville, the ALJ had largely rejected the only medical opinion and proceeded

to construct an extensive RFC without discussing how the evidence translated into those very

specific findings. Rather, she simply reviewed the evidence generally and essentially asked the

Court to assume that this evidence led to the very specific conclusions she drew, despite a

medical opinion to the contrary. The Court was left to speculate as to why, for instance, the

proper exertional level was light work or how the nonexertional limitations had been determined.

The situation here is very different.

In this case, there were several medical opinions as to Plaintiff functional capacity, and

the ALJ relied on the limitations contained in several of these opinions in crafting the RFC.

While the ALJ was not expressly required to do so, see Chandler v. Comm’r of Soc. Sec., 667

F.3d 356, 361 (3d Cir. 2011) (“The ALJ – not treating or examining physicians or State agency

consultants – must make the ultimate disability and RFC determinations.”); Titterington v.

Barnhart, 174 Fed. Appx. 6, 11 (3d Cir. 2006) (“There is no legal requirement that a physician

have made the particular findings that an ALJ adopts in the course of determining an RFC.”); 20

C.F.R. §§ 404.1527(d)(2), 404.1546(c), the ALJ’s reliance on such opinion evidence here allows

the Court to determine why the specific limitations in the RFC were included. Indeed,

throughout his decision, the ALJ tied the evidence into the RFC findings. His overall discussion

of the objective medical evidence, Plaintiff’s treatment history and medication regimen,

Plaintiff’s activities of daily living, and the various medical opinions more than adequately

demonstrated how he determined Plaintiff’s RFC.

Of course, Plaintiff also takes issue with the ALJ’s consideration of the medical opinion

evidence, particularly his finding that the opinion of treating Nurse Practitioner Sheryl Kridler,

NP, was not persuasive. (R. 25). In so arguing, he asserts that the ALJ failed to acknowledge

“her longstanding treatment relationship with Plaintiff” in rejecting her opined limitations, which

were significantly more restrictive than what was included in the RFC. (Doc. No. 10, p. 20).

However, the ALJ considered NP Kridler’s opinion pursuant to 20 C.F.R. § 404.1520c, which

states that supportability and consistency, rather than a source’s treating relationship with the

claimant, are now “the two most important factors for determining the persuasiveness of medical

opinions.” 82 Fed. Reg. 5844-01, at 5853 (Jan. 18, 2017). See also §§ 404.1520c(b) and (c).

The ALJ here properly focused on these factors in evaluating the opinion. (R. 25). Although the

existence of a treating relationship is certainly a valid factor, it is not one that an ALJ is required

to expressly discuss in his or her decision. See §§ 404.1520c(b)(2), (c)(3)(v). Regardless,

Plaintiff’s contentions notwithstanding, the ALJ did, in fact, consider the fact that NP Kridler

treated Plaintiff in determining the persuasiveness of her opinion. (R. 25).

Plaintiff also argues that the ALJ inaccurately characterized his mental status

examinations as essentially normal in finding that these examination results were inconsistent

with and failed to support NP Kridler’s opined limitations. In so doing, he highlights certain

treatment notes demonstrating reported symptoms such as anxiety, irritability, anger issues,

depression, nightmares, and flashbacks. However, the ALJ acknowledged some irregular

findings in Plaintiff’s mental status examinations, such as stress, irritability, flashbacks, and

nightmares (R. 24), but explained why they did not undermine his overall characterization of the

examinations as normal or near normal. He discussed, for instance, that these reported

symptoms were largely situational, tied to issues such as family legal trouble and problems with

Plaintiff’s farm animals. He also noted that NP Kridler’s opinion was not consistent with the

findings of the mental consultative examiner. The Court finds the ALJ’s explanation to be

adequate and supported by substantial evidence.

Plaintiff contends conversely that the ALJ erred in finding the opinions of the state

agency reviewers to be persuasive because they “never met or examined Plaintiff.” (Doc. No.

10, p. 21). However, as discussed, there was nothing inappropriate in finding the opinions of

non-treating sources to be more persuasive than that of a treating source as long as the ALJ

properly found them to be more consistent with and more supported by the relevant record

evidence. Indeed, this was true even under the regulations governing cases filed prior to March

27, 2017, as an ALJ was required to consider the treating relationship between a claimant and an

Therefore, IT IS HEREBY ORDERED that Plaintiff’s Motion for Summary

Judgment (Doc. No. 9) is DENIED and that Defendant’s Motion for Summary Judgment (Doc.

No. 12) is GRANTED as set forth herein.4

s/Mark R. Hornak

United States District Judge

ecf: Counsel of record

opining doctor, but when the medical opinion of a treating source conflicted with that of a non-

treating, or even a non-examining physician, “the ALJ may choose whom to credit.” Morales v.

Apfel, 225 F.3d 310, 317 (3d Cir. 2000). See also Dula v. Barnhart, 129 Fed. Appx. 715, 718-19

(3d Cir. 2005); Salerno v. Comm’r of Soc. Sec., 152 Fed. Appx. 208 (3d Cir. 2005).

Plaintiff next argues that the ALJ improperly considered his ability to engage in activities of

daily living in finding him not to be disabled, claiming that the ALJ relied on his ability to engage in

transient and sporadic activity as evidence of an ability to engage in work-related activity. (Doc. No.

10, p. 22). Similar claims arise in a number of social security disability cases and raise a similar

dilemma. There is, of course, nothing inappropriate with an ALJ considering a claimant’s activities

of daily living in evaluating the severity of the claimant’s symptoms and limitations. In fact, ALJs

are required to do so. See 20 C.F.R. § 404.1529(c)(3)(i); Wright v. Astrue, No. Civ. 10-942, 2011

WL 4079067, at *3 (W.D. Pa. Sept. 13, 2011). However, as Plaintiff points out, in performing this

analysis, an ALJ cannot use evidence of sporadic and transitory activities to demonstrate an ability to

engage continuously in substantial gainful activity. See Fargnoli, 247 F.3d at 40 n.5. The question

here, as in many cases, is whether the ALJ’s proper consideration of Plaintiff’s daily activities veered

into an improper reliance on sporadic and transient activities. Here, it did not.

The ALJ’s consideration of Plaintiff’s activities of daily living in this matter was

comprehensive and fairly addressed the nature of those activities. He discussed Plaintiff’s ability

to operate a farm, garden, perform construction work, and maintain his vehicles. (R. 24-25).

While Plaintiff may characterize some of these activities as sporadic or transitory, his

characterization does not necessarily make them such. Indeed, several of these activities, such as

chopping wood, neutering animals, and building barns and pens for his animals, were anything

but sporadic and transitory. Substantial evidence supports a finding that Plaintiff engaged in

such activities on a regular basis. The Court further notes that the ALJ did not rely solely on

Plaintiff’s activities of daily living in engaging in his analysis, but rather properly treated these as

one of several factors for consideration.

Accordingly, the Court finds that the ALJ applied the correct legal standards and that

substantial evidence supports that decision. It will therefore affirm.

4 Defendant refiled this same motion at Docket No. 15 on July 15, 2024. It is not clear

whether this was done inadvertently, but, in any event, Doc. No. 15 is denied as moot.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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