1:24-cv-23977•Case Name in Social Security Case - Unavailable
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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA CASE NO. 24-23977-CIV-ALTONAGA/SANCHEZ YASENIA TERESITA JIMENEZ, Plaintiff, v. FRANK BISIGNANO,1 Commissioner of Social Security, Defendant. _______________________________________/ REPORT AND RECOMMENDATION ON REVIEW OF COMMISSIONER’S DECISION The Plaintiff, Yasenia Teresita Jimenez (“Jimenez” or “Plaintiff”), brought this action pursuant to 42 U.S.C. § 405(g) for judicial review of the final decision of the Commissioner of the Social Security Administration (“Commissioner”) denying her claim for disability benefits.2 The parties filed cross-motions for summary judgment. ECF Nos. 16, 22; see also ECF No. 24. After careful consideration of the administrative record, the parties’ filings, and the applicable law, and the Court being otherwise fully advised in the premises, the undersigned RESPECTFULLY RECOMMENDS that the Commissioner’s Cross Motion for Summary Judgment, ECF No. 22, be GRANTED, that Jimenez’s Motion for Summary Judgment, ECF No. 16, be DENIED, and that the Commissioner’s decision be AFFIRMED. 1 Frank Bisignano was appointed Commissioner for the Social Security Administration on May 6, 2025, and under Federal Rule of Civil Procedure 25(d) is automatically substituted as the defendant. See Fed. R. Civ. P. 25(d). 2 The Honorable Cecilia M. Altonaga, Chief United States District Judge, referred the Complaint to the undersigned for a Report and Recommendation. ECF No. 12. Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 1 of 15
2 I. BACKGROUND This is the second time this case has been before this Court. Jimenez initially filed applications for disability insurance benefits and supplemental security income on January 12, 2020, alleging a disability onset date of January 1, 2018. Tr. 497-511.3 A hearing was held on February 10, 2022, Tr. 95-129, and on February 23, 2022, Administrative Law Judge (“ALJ”) Clara H. Aranda issued a decision finding that the Plaintiff was not disabled, Tr. 192-211. Jimenez requested review of the ALJ’s decision, and on May 12, 2022, the Appeals Council remanded Jimenez’s case to an ALJ with instructions. Tr. 212-16. ALJ Aranda held an additional hearing on November 15, 2022, Tr. 61-94, and issued another unfavorable decision on December 15, 2022. Tr. 23-47. Jimenez appealed the December 2022 decision to the Appeals Council, which denied her request for review on March 20, 2023. Tr. 1-6. Jimenez then petitioned this Court for review of the December 2022 decision. See Jimenez v. Kijakazi, Case No. 23-cv-21614-LOUIS; Tr. 1630-42. On August 15, 2023, the District Court remanded the case to the Commissioner for further proceedings and the issuance of a new decision after the Commissioner voluntarily moved for remand. Tr. 1643-49. ALJ Lornette Reynolds thereafter held a new hearing on June 20, 2024. Tr. 1563-94. Jimenez was represented by counsel and testified at the hearing, as did a vocational expert (“VE”). Id. On August 16, 2024, the ALJ issued a new decision which again found that Jimenez did not have a disability as defined by the Social Security Act. Tr. 1532-62. Pursuant to 42 U.S.C. § 405(g), Jimenez now seeks judicial review of the Commissioner’s August 16, 2024 decision and asks this Court to remand the case for a new hearing before a different ALJ and a new decision. ECF No. 16 at 14. 3 Citations to the transcript of proceedings before the Social Security Administration, filed at ECF No. 5, are to “Tr. [page #].” Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 2 of 15
3 II. THE ALJ’S DECISION The Social Security Regulations outline a five-step sequential evaluation process for determining whether a claimant is disabled. See 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). In that sequential process, the ALJ must evaluate whether a claimant: (1) is unable to engage in substantial gainful activity; (2) has a severe physical or mental impairment; (3) has such an impairment that meets or equals a listed impairment and meets the duration requirements; (4) can perform her past relevant work, in light of her residual functional capacity (RFC); and (5) can make an adjustment to other work, in light of her RFC, age, education, and work experience, that is available in the national economy. See Buckwalter v. Acting Comm’r of Soc. Sec., 5 F.4th 1315, 1320 (11th Cir. 2021); see also, e.g., Phillips v. Barnhart, 357 F.3d 1232, 1237 (11th Cir. 2004); 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). In this case, the ALJ made the following findings. At step one, she concluded that Jimenez had engaged in substantial gainful activity during the second quarter of 2020, but that “there ha[d] been a continuous 12-month period[] during which [Jimenez] did not engage in substantial gainful activity.” Tr. 1538. At step two, the ALJ found that Jimenez had “the following severe impairments: bronchial asthma; chronic obstructive pulmonary disease (COPD); degenerative disc disease; depressive disorder; and generalized anxiety disorder.” Id. The ALJ also found that Jimenez’s “substance abuse disorder is non-severe.” Tr. 1539. At step three, the ALJ found that Jimenez did not “have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments” found in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. Next, the ALJ found that Jimenez had the residual functional capacity “to perform light work” except that: Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 3 of 15
4 [Jimenez] can occasionally climb ramps and stairs, but never ladders, ropes, or scaffolds. [Jimenez] can occasionally stoop. She can frequently balance. She can occasionally kneel, crouch, and crawl. [Jimenez] should avoid concentrated exposure to fumes, odors, gases, and poor ventilation. She should avoid concentrated exposure to extreme cold, hazards, unprotected heights (does not include operation of motor vehicle), and concentrated exposure to vibrations. [Jimenez] can understand, remember, and carryout simple instructions or tasks. She can frequently use judgments to make simple work-related decisions. She can maintain concentration, persistence, and pace for 2-hour periods at a time and for 8-hours in a workday on simple tasks and instructions. [Jimenez] can deal with occasional changes in a work setting without special supervision in both simple instructions and tasks. She can have frequent interaction with supervisors and co- workers, but only occasional interaction with the public on routine matters. [Jimenez] must be able to work at a flexible pace, defined as a work environment that is free from fast paced production work or fixed timed hourly units during the work shift, but the employer can set end of the workday productivity goals. She can stay on task 95% of the workday. Tr. 1541-42. At step four, the ALJ found that Jimenez had “no past relevant work.” Tr. 1548. At step five, the ALJ found that, given Jimenez’s “age, education, work experience, and residual functional capacity, there are jobs that exist in significant numbers in the national economy that [she] can perform.” Tr. 1549. In making that determination, the ALJ relied on the VE’s testimony, including testimony that Jimenez would be able to perform the requirements of the following representative occupations: (1) “Mail Clerk” (DOT 209.687-026), (2) “Merchandise Marker” (DOT 209.587-034), and (3) “Hotel Housekeeper” (DOT 323.687-014), all of which had a Specific Vocational Preparation rating of 2. Tr. 1549. As a result of the foregoing findings, the ALJ found that Jimenez is not disabled. Tr. 1549- 50. III. LEGAL STANDARD In a social security appeal, review of the ALJ’s decision is limited to whether substantial evidence supports the decision and whether the correct legal standards were applied. See Buckwalter, 5 F.4th at 1320; Winschel v. Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 4 of 15
5 2011). “Substantial evidence is more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion.” Buckwalter, 5 F.4th at 1320 (quoting Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir. 2004)). A reviewing court “will affirm the Commissioner’s decision if it is supported by substantial evidence, even if the preponderance of the evidence weighs against it.” Id. Under this limited review, a court may not “decide the facts anew, make credibility determinations, or re-weigh the evidence.” Pupo v. Comm’r, Soc. Sec. Admin., 17 F.4th 1054, 1060 (11th Cir. 2021); see also, e.g., Ingram v. Comm’r of Soc. Sec. Admin., 496 F.3d 1253, 1260 (11th Cir. 2007); Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005). A reviewing court will, however, “review de novo the legal principles applied by the Commissioner in social security appeals.” Pupo, 17 F.4th 1054 at 1060; see also, e.g., Ingram, 496 F.3d at 1260 (“[W]e review de novo the Commissioner’s conclusions of law.”). Indeed, an ALJ’s “failure to apply the correct law or to provide the reviewing court with sufficient reasoning for determining that the proper legal analysis has been conducted mandates reversal.” Ingram, 496 F.3d at 1260 (quoting Cornelius v. Sullivan, 936 F.2d 1143, 1145-46 (11th Cir. 1991)). At the conclusion of its review, the Court has the authority to enter a judgment affirming, modifying, or reversing the decision of the ALJ, with or without remand. See 42 U.S.C. § 405(g); Perez v. Comm’r of Soc. Sec., No. 06-CV-1648, 2008 WL 191036, at *5 (M.D. Fla. Jan. 22, 2008). IV. ANALYSIS In her appeal, Jimenez argues the ALJ committed reversible error by failing to adequately consider the required factors of consistency and supportability when assessing the psychological medical opinion of Dr. Cristian Del Rio, Psy.D. ECF No. 16 at 5-7. Under the post-2017 revised regulations, an ALJ does “not defer or give any specific evidentiary weight to any medical opinion or prior administrative finding” but must instead Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 5 of 15
6 “determine the persuasiveness of medical opinions and prior administrative medical findings by considering five factors: (1) supportability; (2) consistency; (3) the provider’s ‘[r]elationship with the claimant’; (4) specialization; and (5) ‘other factors.’” LeCroy v. Comm’r of Soc. Sec., No. 23- 11883, 2024 WL 1249165, at *1 (11th Cir. Mar. 25, 2024) (quoting 20 C.F.R. § 416.920c(c)(1)- (5)). Among these five factors, supportability and consistency are the “most important” factors to consider, and the ALJ must consider them when evaluating medical expert testimony. LeCroy, 2024 WL 1249165, at *1. For supportability, “[t]he more relevant the objective medical evidence and supporting explanations presented by a medical source are to support his or her medical opinion(s) or prior administrative medical finding(s), the more persuasive the medical opinions or prior administrative medical finding(s) will be.” 20 C.F.R. §§ 404.1520c(c)(1), 416.920c(c)(1). For consistency, “the more consistent a medical opinion(s) or prior administrative medical finding(s) is with the evidence from other medical sources and nonmedical sources in the claim, the more persuasive the medical opinion(s) or prior administrative medical finding(s) will be.” 20 C.F.R. §§ 404.1520c(c)(2), 416.920c(c)(2). In other words, while “supportability” asks the ALJ to analyze “the extent to which a medical source has articulated support for the medical source’s own opinion,” “consistency” refers to “the relationship between a medical source’s opinion and other evidence within the record.” Rodriguez v. Comm’r of Soc. Sec., No. 20-cv-1674, 2022 WL 807443, at *5 (M.D. Fla. Mar. 17, 2022) (citing 20 C.F.R. § 404.1520c(c)(1)-(2)). “[T]he ALJ need not use any ‘magic words’ in considering the two factors.” Alvarez v. Comm’r of Soc. Sec., No. 20-cv-24711-CIV-BLOOM/Otazo-Reyes, 2022 WL 2092886, at *2 (S.D. Fla. June 10, 2022); see also Frye v. Comm’r of Soc. Sec., No. 6:21-cv-741-DCI, 2022 WL 1045719, at *5 (M.D. Fla. Apr. 7, 2022). Indeed, an ALJ is not required “to use particular language or adhere to a particular format in conducting his analysis.” Jones v. Barnhart, 364 F.3d 501, 505 Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 6 of 15
7 (3d Cir. 2004), cited with approval in Raper v. Comm’r of Soc. Sec., 89 F.4th 1261, 1275-76 (11th Cir. 2024), cert. denied sub nom. Raper v. O’Malley, 145 S. Ct. 984 (2024). Instead, “ALJs are required to articulate their reasoning such that the reviewing court can ‘trace the path of an adjudicator’s reasoning.’” Alvarez, 2022 WL 2092886, at *3 (quoting Revisions to Rules Regarding the Evaluation of Medical Evidence, 82 Fed. Reg. 5858 (Jan. 18, 2017)). As the Eleventh Circuit has explained, “it is proper to read the ALJ’s decision as a whole, and . . . it would be a needless formality to have the ALJ repeat substantially similar factual analyses” in a decision. Raper, 89 F.4th at 1275-76 (quoting Rice v. Barnhart, 384 F.3d 363, 370 n.5 (7th Cir. 2004)). Here, Plaintiff’s arguments that the ALJ failed to properly analyze the supportability and consistency factors for Dr. Del Rio’s opinion fail to consider the ALJ’s decision as a whole. A. The ALJ’s Assessment of Dr. Del Rio’s Opinion In her decision, the ALJ devoted approximately two single-spaced pages, see Tr. 1539, 1540, 1545, 1546-47, to addressing the approximately two-page report prepared by Dr. Del Rio, Tr. 722-24. First, in assessing Jimenez’s impairments at step 3 of the disability analysis, the ALJ made the following findings: In understanding, remembering, or applying information, [Jimenez] has a moderate limitation. At [Dr. Del Rio’s] consultative examination, a mental status examination showed the claimant’s registration and delayed recall were intact (Ex. 4F, page 3). Her recent memory was intact and her memory span and working memory were fair (Id.). Her remote memory was intact. Tr. 1539. In interacting with others, [Jimenez] has a moderate limitation. At [Dr. Del Rio’s] consultative examination, the examiner noted that rapport was easily established with the claimant, and she was cooperative (Ex. 4F, page 2). Tr. 1540. With regard to concentrating, persisting, or maintaining pace, [Jiminez] has a moderate limitation. At [Dr. Del Rio’s] consultative examination, the claimant’s sustained attention was weak, but her planning was within normal limits and her Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 7 of 15
8 organization was adequate (Ex. 4F, page 3). Her pace was rushed but her initiation was intact. Task persistence required prompting and her concentration was weak. Tr. 1540. In her assessment of Jimenez’s residual functional capacity, the ALJ first provided a thorough and detailed summary of Dr. Del Rio’s opinion, citing his report. Tr. 1545. The ALJ then summarized her assessment of the persuasiveness of Dr. Del Rio’s opinions, finding that: On October 11, 2020, consultative examiner, Dr. Del Rio, opined that the claimant’s social skills are somewhat impaired, her ability to sustain relationships is somewhat impaired, sustained attention is weak (an hour or less), pace is rushed, task persistence requires prompting, concentration is weak, and other problems include problems with her executive functions. (Ex. 4F/3). Dr. Del Rio’s opinions about the claimant’s social skills, attention, and executive function is neither persuasive, consistent with nor supported by the substantial evidence. Tr. 1546 (emphasis added). The ALJ then went on to explain that Dr. Del Rio’s “opinion is inconsistent with and unsupported by the substantial evidence of record, including clinical notes, earnings report, work activities and other acknowledged activities.” Id. The ALJ then proceeded to discuss some of the medical evidence and work history that were inconsistent with Dr. Del Rio’s opinion, providing copious record citations to support her analysis. Tr. 1546-47. Among other findings, the ALJ explained that Jimenez’s “consistent work activity document[ed] more functionality than acknowledged and demonstrates an ability to sustain concentration to perform such tasks, which is inconsistent with Dr. Del Rio’s opinion,” and that, “[g]iven that [Jimenez] has consistently engaged in work activity through at least the date of the hearing, this portion of [Dr. Del Rio’s] opinion is unpersuasive for the reasons stated herein and throughout this decision.” Tr. 1547. The ALJ further discussed that Jimenez inconsistently sought and inconsistently followed treatment, that she engaged in substance use, and that she had engaged in various work activities that required social interaction with the public, co-workers, and supervisors. Id. The ALJ further noted that Jimenez “was not receiving treatment” at the time of Dr. Del Rio’s examination, that Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 8 of 15
9 Jimenez “did not disclose her substance use” to Dr. Del Rio, and that Dr. Del Rio did not have the “benefit of [Jimenez’s] work history subsequent to the examination.” Id. Based on her analysis of all of those factors and evidence, the ALJ found that Dr. Del Rio’s “opinion is neither consistent with nor supported by the substantial evidence of record and is therefore not persuasive.” Id. B. Supportability Notwithstanding the ALJ’s extensive analysis of Dr. Del Rio’s opinion, Jimenez argues that the ALJ allegedly failed to properly consider the supportability factor of Dr. Del Rio’s opinion because “the ALJ [] made no citations to Del Rio’s findings in rejecting the persuasiveness of the opinion,” “omitted any reference to Exhibit 4F [Dr. Del Rio’s report] or the findings of Dr. Del Rio therein,” and did not “establish[] a logical bridge” between her conclusion on supportability and Dr. Del Rio’s findings. ECF No. 16 at 6-8; see also ECF No. 24 at 2. Plaintiff further contends that, contrary to the ALJ’s findings, Dr. Del Rio’s opinion is supported by substantial evidence. ECF No. 16 at 6; see ECF No. 24 at 2. Contrary to Jimenez’s arguments, the ALJ conducted a thorough analysis of Dr. Del Rio’s opinion in which she carefully discussed Dr. Del Rio’s findings and repeatedly cited to his report. See Tr. 1539, 1540, 1545, 1546-47. As set forth above, citing to Dr. Del Rio’s report, the ALJ specifically recognized that Dr. Del Rio “opined that the claimant’s social skills are somewhat impaired, her ability to sustain relationships is somewhat impaired, sustained attention is weak (an hour or less), pace is rushed, task persistence requires prompting, concentration is weak, and other problems include problems with her executive functions.” Tr. 1546 (citing Ex. 4F/3). The ALJ, however, expressly found that Dr. Del Rio’s opinion on Jimenez’s “social skills, attention, and executive function” was “unsupported by the substantial evidence of record.” Tr. 1546 (emphasis added). Significantly, the ALJ had already discussed some of Dr. Del Rio’s inconsistent findings concerning Jimenez’s limitations with respect to understanding, remembering, applying Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 9 of 15
10 information, interacting with others, concentrating, persisting, and maintaining pace, which she found were contrary to Dr. Del Rio’s opinions. See, e.g., Tr. 1539 (summarizing Dr. Del Rio’s medical findings regarding Jimenez’s memory); Tr. 1540 (noting that Dr. Del Rio found that “rapport was easily established” with Jimenez and that Jimenez’s planning was normal, her organization was adequate, and her initiation was intact). In addition, the ALJ ended her analysis of Dr. Del Rio’s opinion by stating that Jimenez “did not disclose her substance use to [Dr. Del Rio], neither did the doctor have the benefit of her work history subsequent to that examination.” Tr. 1547. Significantly, Dr. Del Rio himself recognized as noteworthy that he didn’t have access to all of the relevant evidence. See Tr. 722 (“Historical information contained in this report is based on the report of the claimant. It should be noted that no relevant records were received at the time of the evaluation.”). The ALJ’s discussion that Dr. Del Rio did not and was unable to consider certain relevant evidence further demonstrates the ALJ’s consideration and explanation of the supportability of Dr. Del Rio’s opinion. See, e.g., Erminy v. Kijakazi, No. 22-CV-61089, 2023 WL 3645401, at *6-7 (S.D. Fla. May 25, 2023) (recognizing ALJ’s consideration that the medical consultant “did not have the opportunity to review updated medical evidence” as part of supportability analysis); Major v. Kijakazi, 660 F. Supp. 3d 1229, 1235 (N.D. Fla. 2023) (concluding that ALJ’s supportability evaluation was sufficient where the ALJ explained that the medical opinion being evaluated was based largely on Plaintiff’s statements rather than her medical records). Here, the ALJ’s discussion and analysis of Dr. Del Rio’s findings provide a logical explanation for her conclusion that Dr. Del Rio’s opinion was not persuasive, at least in part, because it was not well supported. Indeed, the ALJ found that Dr. Del Rio’s conclusions on impaired social skills, executive function, and concentration did not align with some of his findings and were based on incomplete information. See, e.g., McCarver v. Comm’r of Soc. Sec., No. 4:20- Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 10 of 15
11 CV-01053-JHE, 2022 WL 860190, at *6 (N.D. Ala. Mar. 22, 2022) (finding the ALJ sufficiently addressed supportability where ALJ identified inconsistencies between doctor’s opinion and some of her reported findings). Although it appears that Jimenez would have the Court ignore or discount potions of the ALJ’s discussion of Dr. Del Rio’s report—particularly those that are not contiguous to the sentences in which the ALJ states her finding that Dr. Del Rio’s report is unpersuasive—a full reading of the ALJ’s decision demonstrates that the ALJ adequately considered supportability in accordance with the requirements of 20 C.F.R. §§ 404.1520c(c) and 416.920c(c). See, e.g., McCarver, 2022 WL 860190, at *6 (considering portions of the ALJ’s opinion beyond the discussion of the pertinent doctor’s opinion when reviewing the ALJ’s evaluation of consistency and supportability); see also Raper, 89 F.4th at 1276 (“Though the ALJ did not repeat his discussion of those records in the same paragraph, he thoroughly discussed those records in the immediately preceding paragraphs . . . . Short of re-summarizing or adding an internal citation to those paragraphs, it is hard to imagine how the ALJ could have been clearer.”). C. Consistency Jimenez also argues that the ALJ failed to properly consider the consistency factor when evaluating Dr. Del Rio’s opinion. ECF No. 16 at 9-10. According to Jimenez, the ALJ cherry- picked evidence by focusing on objective records rather than her subjective symptoms and ignored multiple psychological hospitalizations. Id. at 9-12. Jimenez also argues that the ALJ incorrectly assumed that Plaintiff’s prior work history equates with an ability to work full-time. Id. at 12-13. The ALJ, however, explicitly found that Dr. Del Rio’s opinion is “inconsistent with . . . the substantial evidence of record, including clinical notes, earnings report, work activities and other acknowledged activities.” Tr. 1546 (emphasis added). The ALJ, moreover, supported that conclusion with numerous citations to both medical and non-medical evidence. See Tr. 1546-47. In fact, the ALJ discussed numerous inconsistencies between Dr. Del Rio’s opinion and other Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 11 of 15
12 evidence in the record, including both medical and nonmedical evidence. See Tr. 1546-47; see also, e.g., Tr. 1546 (contrasting clinical notes that documented, inter alia, that Jimenez’s “memory and concentration were intact with fair insight and judgment” with Dr. Del Rio’s finding that Jimenez’s “concentration is weak”); Tr. 1547 (pointing out that “[Jimenez’s] consistent work activity”—as a retail customer service clerk, a ticket taker, a fast food worker, and a contribution solicitor—“document more functionality than acknowledged and demonstrates an ability to sustain concentration to perform such tasks, which is inconsistent with Dr. Del Rio’s opinion”); Tr. 1547 (noting inconsistency arising from Dr. Del Rio’s examination of Jimenez while she “was not receiving treatment” and Jimenez’s account that she “d[id] better with medication” but did not consistently follow her prescribed treatment regime); Tr. 1547 (pointing out inconsistency between VE testimony that Jimenez’s work activity demonstrated an “an ability to socially engage” with the public, co-workers, and supervisors and Dr. Del Rio’s opinion that Jimenez had somewhat impaired social skills). The many inconsistencies that the ALJ identified between the record evidence and Dr. Del Rio’s opinion amply support the ALJ’s finding that Dr. Del Rio’s opinion was unpersuasive. See, e.g., Douglas v. Saul, No. 4:20-CV-00822-CLM, 2021 WL 2188198, at *6 (N.D. Ala. May 28, 2021) (“A reasonable person could conclude, as the ALJ did, that [the medical] opinions lacked supportability and conflicted with the other record evidence. So substantial evidence supports the ALJ’s decision to find [the medical] opinions unpersuasive.”). The ALJ also did not ignore Jimenez’s subjective complaints. Instead, as described above, the ALJ thoroughly analyzed Jimenez’s entire medical record, including her inpatient hospitalizations and her subjective symptoms, see Tr. 1539-41, 1542-47, but found that Jimenez’s “statements concerning the intensity, persistence, and limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record.” Tr. 1546; see also id. (finding that the “statements of the claimant regarding persistence, severity, and limiting effects Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 12 of 15
13 of her impairments are inconsistent with the substantial evidence of record”). Significantly, discounting a medical opinion because it is based on a claimant’s unreliable complaints is permissible. See, e.g., Lacina v. Comm’r, Soc. Sec. Admin., 606 F. App’x 520, 528 (11th Cir. 2015) (concluding that an ALJ may appropriately discount a medical opinion when it is based on a claimant’s subjective reports and the ALJ’s decision identifies good reasons for questioning the reliability of the claimant’s subjective complaints); McCarver, 2022 WL 860190, at *6. Plaintiff’s argument that the ALJ cherry-picked evidence by over-relying on objective medical records and failing to account for her inpatient hospitalizations is simply not supported by the record and is, in any event, misplaced, as the argument essentially invites the Court to reweigh the evidence. This Court, however, may not reweigh the evidence or the facts. See, e.g., Pupo, 17 F.4th at 1060; see also Mitchell v. Comm’r, Soc. Sec. Admin., 771 F.3d 780, 782 (11th Cir. 2014). Moreover, Jimenez’s complaint that the ALJ’s decision did not discuss evidence that Jimenez believes is favorable to her claim does not advance her cause; there is “no rigid requirement that the ALJ specifically refer to every piece of evidence in [her] decision.” Alvarez, 2022 WL 2092886, at *3 (quoting Mitchell, 771 F.3d at 782). “If the Commissioner’s decision is supported by substantial evidence, this Court must affirm, even if the proof preponderates against it.” Mitchell, 771 F.3d at 782 (quoting Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005)). Plaintiff’s last argument that the ALJ equated Jimenez’s part-time work history with an ability to work full-time is also meritless because the ALJ never made such a finding. Instead, the ALJ discussed Plaintiff’s work history as a customer service clerk, ticket taker, and fast-food worker to further demonstrate the inconsistences between the record and Dr. Del Rio’s opinion. Tr. 1547 (“[Jimenez’s] consistent work activity document more functionality than acknowledged and demonstrates an ability to sustain concentration to perform such tasks, which is inconsistent with Dr. Del Rio’s opinion.”). The ALJ further pointed out that the VE’s testimony about Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 13 of 15
14 Jimenez’s work history demonstrated her ability to interact with the public, co-workers, and superiors, which revealed another inconsistency between the evidence and Dr. Del Rio’s opinion. See id. Here, a review of the ALJ’s decision establishes that the ALJ adequately considered the consistency and supportability of Dr. Del Rio’s opinion and that the ALJ’s findings and conclusions are supported by substantial evidence. Furthermore, even if the ALJ’s articulations concerning consistency and supportability had fallen short, courts should “decline[] to remand for express findings when doing so would be a ‘wasteful corrective exercise’ in light of the evidence of record and when no further findings could be made that would alter the ALJ’s decision.” Sanchez v. Comm’r of Soc. Sec., 507 F. App’x 855, 856 (11th Cir. 2013) (quoting Ware v. Schweiker, 651 F.2d 408, 412-13 (5th Cir. Unit A July 24, 1981)); see also, e.g., Miller v. Barnhart, 182 F. App’x 959, 960 (11th Cir. 2006) (“[W]hen an incorrect application of the regulations results in harmless error because the correct application would not contradict the ALJ’s ultimate findings, the ALJ’s decision will stand.”). Here, remanding this case for a more detailed articulation of the ALJ’s consistency and supportability analysis would be a futile exercise that would not alter the ALJ’s findings and conclusions, their underlying basis, or the fact that the ALJ’s findings and conclusions are supported by substantial evidence. See, e.g., Battie v. Kijakazi, 20-24444-CIV-WILLIAMS, 2022 WL 4000728, at *7 (S.D. Fla. Aug. 9, 2022) (finding ALJ’s “conclusory finding that the state agency consultants were persuasive” was harmless error that did not warrant remand because substantial evidence in the record supported the ALJ’s persuasiveness finding), report and recommendation adopted, 2022 WL 3975093 (S.D. Fla. Sept. 1, 2022). Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 14 of 15
15 V. CONCLUSION For the reasons set forth above, the undersigned RESPECTFULLY RECOMMENDS that Jimenez’s Motion for Summary Judgment, ECF No. 16, be DENIED; that the Commissioner’s Cross Motion for Summary Judgment, ECF No. 22, be GRANTED; and that the Commissioner’s decision be AFFIRMED. Within fourteen (14) days from the date of receipt of this Report and Recommendation, the parties shall serve and file written objections, if any, to this Report and Recommendation with the Honorable Cecilia M. Altonaga, United States District Judge. Failing to file timely objections will bar a de novo determination by the District Judge of any issue addressed in the Report and Recommendation, will constitute a waiver of a party’s “right to challenge on appeal the district court’s order based on unobjected-to factual and legal conclusions,” and will only allow appellate review of the district court order “for plain error if necessary in the interests of justice.” 11th Cir. R. 3-1; 28 U.S.C. § 636(b)(1); Thomas v. Arn, 474 U.S. 140 (1985); Henley v. Johnson, 885 F.2d 790, 794 (11th Cir. 1989); see also Harrigan v. Metro-Dade Police Dep’t Station #4, 977 F.3d 1185, 1191-92 (11th Cir. 2020). RESPECTFULLY RECOMMENDED in Chambers in Miami, Florida this 13th day of December 2025. ___________________________________ EDUARDO I. SANCHEZ UNITED STATES MAGISTRATE JUDGE cc: Hon. Cecilia M. Altonaga Counsel of Record Case 1:24-cv-23977-CMA Document 25 Entered on FLSD Docket 12/13/2025 Page 15 of 15
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