DANIEL C. IRICK, Magistrate Judge.
Euclides Carbonell, Jr. (Claimant) appeals the Commissioner of Social Security's final decision denying her application for a period of disability and Disability Insurance Benefits. Doc. 1; R. 15. Claimant argues that the "conclusions and findings of fact of the defendant are not supported by substantial evidence and are contrary to law and regulation." Doc. 1. Claimant requests that the final disability decision should be reversed and remanded for further proceedings consistent with the proper requirements of the Commissioner's disability determination process. Doc. 21 at 41.
For the reasons set forth below, the Commissioner's final decision is
This case stems from Claimant's application for a period of disability and disability insurance benefits. R. 15. Claimant alleged a disability onset date of May 1, 2014. Id. The claims were denied initially and upon reconsideration. Id. A hearing was conducted and on August 11, 2017, and the ALJ issued an unfavorable decision. R. 15, 33. On November 29, 2018, the Appeals Council denied the request for review. R. 1.
In the decision, the ALJ found that Claimant has the following severe impairments: degenerative disc disease of the lumbar spine, hypertension, obstructive sleep apnea, depression, anxiety, attention deficient hyperactivity disorder, bipolar disorder, posttraumatic stress disorder, and mild intellectual impairment. R. 18. The ALJ further found that Claimant does not have an impairment or combination of impairments that meets or medically equals any listed impairment. R. 20.
The ALJ found that Claimant had the RFC to perform medium work as defined in 20 C.F.R. § 404.1567(c) except he can understand, remember, and carry out simple routine repetitive tasks and is limited to simple work-related decisions. R. 20. The ALJ concluded that Claimant is capable of performing past relevant work as a factory cleaner. R. 32. Ultimately, the ALJ found that "claimant has not been under a disability, as defined in the Social Security Act, from May 1, 2014, through the date of this decision (20 CFR 404.1520(f))." R. 33.
The scope of the Court's review is limited to determining whether the Commissioner applied the correct legal standards, and whether the Commissioner's findings of fact are supported by substantial evidence. Winschel v. Comm'r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011) (quotations omitted). The Commissioner's findings of fact are conclusive if they are supported by substantial evidence, 42 U.S.C. § 405(g), which is defined as "more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997). The Court must view the evidence as a whole, taking into account evidence favorable as well as unfavorable to the Commissioner's decision, when determining whether the decision is supported by substantial evidence. Foote v. Chater, 67 F.3d 1553, 1560 (11th Cir. 1995). The Court may not reweigh evidence or substitute its judgment for that of the Commissioner, and, even if the evidence preponderates against the Commissioner's decision, the reviewing court must affirm it if the decision is supported by substantial evidence. Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983).
First, Claimant argues that the opinions of Dr. Concepcion Barreto, M.D., a treating psychiatrist, were not weighed by the ALJ. Instead, Claimant asserts that the ALJ misattributed the opinions of Dr. Barreto to Dr. Vivian Charneco, M.D., another treating psychiatrist at the same practice. Doc. 21 at 17.
At step four of the sequential evaluation process, the ALJ assesses the claimant's RFC and ability to perform past relevant work. Phillips v. Barnhart, 357 F.3d 1232, 1238 (11th Cir. 2004). The RFC "is an assessment, based upon all of the relevant evidence, of a claimant's remaining ability to do work despite his impairments." Lewis, 125 F.3d at 1440. The ALJ is responsible for determining the claimant's RFC. 20 C.F.R. § 404.1546(c). In doing so, the ALJ must consider all relevant evidence, including, but not limited to, the medical opinions of treating, examining and non-examining medical sources. See 20 C.F.R. § 404.1545(a)(3); see also Rosario v. Comm'r of Soc. Sec., 490 F. App'x 192, 194 (11th Cir. 2012).
The ALJ must consider a number of factors in determining how much weight to give each medical opinion, including: 1) whether the physician has examined the claimant; 2) the length, nature, and extent of the physician's relationship with the claimant; 3) the medical evidence and explanation supporting the physician's opinion; 4) how consistent the physician's opinion is with the record as a whole; and 5) the physician's specialization. 20 C.F.R. § 404.1527(c).
Testimony or opinions from a treating physician must be given substantial or considerable weight unless "good cause" is shown to the contrary. Lewis v. Callahan, 125 F.3d 1436, 1439 (11th Cir. 1997). Thus, ordinarily, an ALJ's failure to explain the particular weight given to medical opinions results in reversible error. Tillman v. Comm'r of Soc. Sec., 559 Fed. Appx. 975, 975 (11th Cir. 2014) (citing Sharfarz v. Bowen, 825 F.2d 278, 279 (11th Cir. 1987)). However, when an ALJ's error does not affect the ALJ's ultimate findings, the error is harmless and the ALJ's decision will stand. Tillman, supra, at 975 (citing Diorio v. Heckler, 721 F.2d 726, 728 (11th Cir. 1983) (finding ALJ's failure to assign weight to two doctors who treated plaintiff during his hospitalization harmless error)).
In making the RFC determination, the ALJ included a lengthy description of Claimant's medical record, which included several descriptions of Claimant's treatment history with Dr. Charneco. However, when considering Dr. Charneco's opinions, the ALJ only provided following:
R. 32.
Looking to the actual record, it appears that Claimant treated at Mindful Behavioral Healthcare with several practitioners, including Drs. Barreto and Charneco. Those treating physicians prepared several relevant opinions. On September 11, 2015, Dr. Charneco completed a Medical Source Statement of Ability to do Work-Related Activities (Mental). R. 501-02 (Ex. 15F). In that opinion, Dr. Charneco indicated, among other things, that Claimant had a "poor" ability to perform most of the relevant work-related mental activities on the form. Id. This is the only opinion of Dr. Charneco actually identified by the ALJ during the ALJ's consideration of Dr. Charneco's opinions. See R. 32. The opinions of Dr. Charneco were not ones reserved to the Commissioner, but were opinions concerning Claimant's ability to perform several work-related activities.
On February 25, 2016, Dr. Barreto examined Claimant and, in the examination notes, provided mental health diagnoses and concluded, "This patient is unfit to work due to all of his mental and physical diagnosis." R. 527 (Ex. 20F). On March 1, 2016, Dr. Barreto drafted a letter that again provided several mental health diagnoses for Claimant and again concluded, "This patient is unfit to work due to all of his mental and physical diagnosis." R. 525 (Ex. 20F). Dr. Barreto's February 25, 2016 and March 1, 2016 opinions are the opinions that the ALJ misattributed to Dr. Charneco. See R. 32 ("Dr. Charneco indicated on several occasions that the claimant had significant mental limitations and/or unfit to work (Exhibit 15F; 20F).").
In fact, on February 25, 2016, Dr. Charneco also examined Claimant and, in the examination notes, also provided mental health diagnoses and concluded, "This patient is unfit to work due to all of his mental and physical diagnosis." R. 527 (Ex. 22F). While the ALJ cited to Dr. Charneco's February 25, 2016 treatment notes during his discussion of Dr. Charneco's opinions for the proposition that Claimant's "estimated intelligence was average," the ALJ did not cite to the "unfit to work" opinion actually authored by Dr. Charneco. See R. 32.
The Court finds that the ALJ failed to assign weight to Dr. Barreto's opinion much less mention the physician by name. Further, the ALJ did not assign weight to Dr. Charneco's opinions. While the ALJ rejected Dr. Charneco's opinions (which included a citation to an exhibit containing Dr. Barreto's record, i.e. Ex. 20F) because of the "unfit to work" finding, the ALJ's decision does not actually state that the opinions are entitled to "no weight" as argued by the Commissioner. Compare R. 32 with Doc. 21 at 31. In other words, there is no mention of "weight" at all with respect to either treating physician and, thus, no explanation as to why a particular weight was assigned to the opinions of the treating physicians at issue here.
To this point, Claimant adds convincingly that "while the ALJ may have had good cause for rejecting Dr. Barreto's opinion, the ALJ nonetheless failed to recognize that a second treating psychiatrist, Dr. Barreto, had determined [Claimant] is unable to work and misattributed Dr. Barreto's opinion to Dr. Charneco." Id. at 19. As such, Claimant contends that it remains conjecture as to whether the ALJ would have determined the RFC differently had he been aware of Dr. Barreto's additional opinion supporting a determination of disability. Id. at 20, citing Winschel, 631 F.3d 1176, 1179 (11th Cir. 2011)
The Commissioner concedes the misattribution but characterizes any error here as harmless because the opinions at issue involved determinations of disability that are reserved to the Commissioner. That argument is somewhat persuasive, at least as to Dr. Barreto's February 25, 2016 opinion. However, even if that were the ALJ's only error (and it is not), Circuit panel recently reversed a similar finding of harmlessness by this Court. In Bailey v. Comm'r of Soc. Sec, Case No. 6:17-cv-1841-DCI (M.D. Fla. Jan. 31, 2020), the claimant argued that the ALJ committed reversible error by failing to mention or assign weight to a physician's handwritten note. The court found that "where the ALJ made no mention of [the physician's] opinion that [the claimant] was unable to work and failed to specify the weight given to that opinion, [the court] cannot `determine whether the ultimate decision on the merits of the claim is rational and supported by substantial evidence.'" Bailey v. Comm'r of Soc. Sec., 2020 WL 504858, at *3 (11th Cir. 2020). Notably, the court reasoned as follows:
Bailey, 2020 WL 504858, at *3. As in Bailey, the ALJ's failure to mention or assign weight to Dr. Barreto's opinions and failure to assign weight to Dr. Charneco's opinions is reversible error even if the opinions at issue were reserved to the Commissioner.
But even if the Court should not follow the reasoning of Bailey, reversal is still warranted. The opinion of Dr. Charneco (as opposed to Dr. Barreto) to which the ALJ actually cited in his discussion of Dr. Charneco's opinions is the September 11, 2015, Medical Source Statement of Ability to do Work-Related Activities (Mental). R. 31 (citing Ex. 15F (R. 501-02)). There, Dr. Charneco opined, among other things, that Claimant had a "poor" ability to perform most of the relevant work-related mental activities on the form. Id. Thus, those opinions by Dr. Charneco were not ones reserved to the Commissioner, but were opinions concerning Claimant's ability to perform several, specific work-related activities. As such, the ALJ erred by discounting this opinion as one reserved to the Commissioner.
Since this issue is dispositive, the undersigned finds that there is no need to address Claimant's remaining arguments. See Diorio, 721 F.2d at 729 (on remand the ALJ must reassess the entire record); McClurkin v. Soc. Sec. Admin., 625 F. App'x 960, 963 n.3 (11th Cir. 2015) (per curiam) (no need to analyze other issues when case must be reversed due to other dispositive errors).
For the stated reasons, it is
1. The final decision of the Commissioner is
2. The Clerk is directed to enter judgment for Claimant and close the case.