“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.