C. Stacy-McCormick v. WCAB (Ridley School District) ( 2020 )


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  •         IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Christine Stacy-McCormick,               :
    Petitioner        :
    :
    v.                           :   No. 1698 C.D. 2019
    :   Submitted: July 17, 2020
    Workers’ Compensation Appeal             :
    Board (Ridley School District),          :
    Respondent             :
    BEFORE: HONORABLE P. KEVIN BROBSON, Judge
    HONORABLE ANNE E. COVEY, Judge
    HONORABLE J. ANDREW CROMPTON, Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY JUDGE BROBSON                         FILED: November 10, 2020
    Christine Stacy-McCormick (Claimant) petitions for review of an order of the
    Workers’ Compensation Appeal Board (Board), dated November 5, 2019.
    The Board affirmed the decision of a Workers’ Compensation Judge (WCJ), denying
    the claim and review petitions filed by Claimant and granting the termination
    petition filed by Claimant’s employer, Ridley School District (Employer). For the
    reasons set forth below, we affirm the Board’s order.
    I. BACKGROUND
    Claimant worked for Employer as a school bus driver. On October 17, 2014,
    Claimant was involved in a work-related motor vehicle accident when a
    Southeastern Pennsylvania Transportation Authority (SEPTA) fuel tanker vehicle
    struck her school bus, causing her to sustain injuries to her left hand and wrist.
    Employer accepted liability for left hand and wrist contusions and a low back sprain
    pursuant to a medical-only Notice of Compensation Payable (NCP). Thereafter, on
    October 11, 2017, Claimant filed: (1) a claim petition, asserting that she had
    sustained an injury to her neck, back, left arm, left hand, and left wrist while working
    for Employer on October 17, 2014, and that she was totally disabled as a result
    thereof from June 19, 2017, through September 5, 2017; and (2) a petition to review
    compensation benefits/medical treatment and/or billing, asserting that the
    description of her injury as set forth in the NCP is incorrect. Subsequent thereto, on
    February 26, 2018, Employer filed a termination petition, asserting that Claimant
    had fully recovered from her work-related injury as of February 6, 2018.
    Claimant testified before the WCJ at a hearing held on November 15, 2017.
    At that time, Claimant stated that, on October 17, 2014, she was stopped at a traffic
    light in her school bus—a shorter school bus with a lift that is used to transport
    handicapped children—when a SEPTA fuel tanker vehicle crossed over the double
    yellow line into her lane of traffic and struck her school bus. (Reproduced Record
    (R.R.) at 19a-22a, 37a-38a.) Claimant testified that, immediately following the
    work-related motor vehicle accident, she began to experience swelling in her left
    hand and tingling on her left side from her neck down into her left shoulder, left arm,
    left hand, low back, and left leg. (Id. at 22a-25a, 36a.) Claimant indicated that she
    initially received treatment at the University of Pennsylvania Medical Center’s
    emergency room, where she underwent a physical examination and had her left arm
    splinted. (Id. at 23a, 40a.)
    Claimant testified further that she has treated with various doctors for her
    work-related injury, including, but not limited to, Gregory T. Tadduni, M.D.,
    2
    William C. Murphy, D.O., Robert Cabry, M.D., and Andrew Freese, M.D.
    (Id. at 24a.)   Claimant explained that, at the time that she first treated with
    Dr. Tadduni, she reported pain in her neck, left shoulder, and left arm, but that
    Dr. Tadduni had informed her that he was strictly treating the injury to her left hand.
    (Id. at 25a.) Claimant testified further that Dr. Cabry, who she treated with for the
    injury to her low back, diagnosed her with sciatic nerve damage and prescribed
    cortisone and epidural injections. (Id. at 25a-26a, 40a-41a.) Claimant indicated,
    however, that she stopped treating with Dr. Cabry in mid-2015 because she did not
    receive any relief from her symptoms with the injections. (Id. at 26a.) Claimant
    stated further that, after a little over a year with no medical treatment for her
    symptoms, she eventually began treating with Dr. Murphy in November 2016
    because the pain in her left leg was persistent and had started to bother her more.
    (Id. at 27a, 41a-42a.) Dr. Murphy referred Claimant to Dr. Freese, who performed
    fusion surgery on Claimant’s neck on June 26, 2017. (Id. at 28a-29a.) Following
    the surgery, Claimant was out of work but returned in September 2017 for
    the 2017-2018 school year. (Id. at 30a-31a.) Prior to that time, Claimant had worked
    for Employer in her regular-duty position without modification, except for a brief
    period immediately following the October 17, 2014 work-related motor vehicle
    accident. (Id. at 37a.)
    Claimant testified further that, as of the date of the November 15, 2017
    hearing, she continued to treat with Dr. Freese and Dr. Murphy, undergo
    post-operative physical therapy two times per week, and receive cortisone injections
    in her low back. (Id. at 32a-33a.) While she believed that the neck surgery had
    helped, she stated that her recovery could take from one to one and a half years.
    (Id. at 34a.) Claimant also explained that she continues to experience tightness in
    3
    her neck and left shoulder, numbness and tingling in her left arm, and pain in her
    neck, left shoulder, left arm, left wrist, low back, and left leg. (Id. at 33a-34a,
    36a-37a.) Claimant did not believe that she had fully recovered from any of the
    injuries that she sustained in the October 17, 2014 work-related motor vehicle
    accident. (Id. at 36a.)
    In support of her claim and review petitions and in opposition to Employer’s
    termination petition, Claimant presented the deposition testimony of Dr. Murphy,
    who is board certified in physical medicine and rehabilitation.             (Id. at 60a.)
    Dr. Murphy first treated Claimant on November 7, 2016, for complaints of neck pain
    that radiated into her left shoulder, numbness, tingling, and weakness in her left
    upper extremity, and low back pain that radiated into her left leg. (Id. at 66a-68a.)
    At that time, Claimant reported to Dr. Murphy that, on October 17, 2014, she was
    involved in a work-related motor vehicle accident, when another vehicle crossed into
    her lane of travel and struck the driver’s side of her vehicle, causing her to injure the
    entire left side of her body, including her neck. (Id. at 66a-67a, 91a.) Claimant did
    not report that she had struck her head at the time of the motor vehicle accident, just
    that she was jarred from side to side. (Id. at 91a-92a.) Dr. Murphy performed a
    physical/neurologic examination of Claimant’s cervical and lumbar spine, which
    revealed, inter alia, painful range of motion in the cervical spine, cervical
    radiculopathy on the left side, restricted, painful motion in the lumbar spine, and
    lumbar radiculopathy on the left side. (Id. at 79a-81a.) Based on Claimant’s history
    and the abnormalities that he discovered on physical examination, Dr. Murphy’s
    initial assessment was that Claimant had sustained “a cervical strain/sprain with the
    possibility of a cervical disc injury and radiculopathy and . . . a lumbosacral
    strain[/]sprain with a lumbar disc injury and radiculopathy.” (Id. at 81a-82a.)
    4
    In order to confirm his initial assessment, Dr. Murphy ordered magnetic
    resonance imaging (MRI) of Claimant’s cervical and lumbar spines, which revealed
    disc abnormalities at C5-6 and C6-7, and performed an electromyography (EMG),
    which revealed left-sided radiculopathy at L5 and S1 and left-sided nerve root
    irritation at C5 and C6. (Id. at 82a, 85a-86a.) Based on these findings, Dr. Murphy
    referred Claimant for an interventional pain management evaluation and a
    neurosurgical consultation with Dr. Freese. (Id. at 83a.) Thereafter, Claimant
    underwent an additional round of injections to her lumbar spine, and, on
    June 26, 2017, a two-level cervical spine discectomy and fusion at C5-6 and C6-7.
    (Id. at 84a, 86a.) Dr. Murphy explained that Dr. Freese, in his surgical report, noted
    findings of left-sided nerve root compression at C5-6 and C6-7, which correlated
    with Dr. Murphy’s findings on physical examination, the results of the EMG, and
    the results of the MRI of Claimant’s cervical spine. (Id. at 85a-86a.) Dr. Murphy
    also stated that he last treated Claimant on November 28, 2017, and that Claimant
    continues to receive post-operative physical therapy for her cervical spine and
    management of her lumbar spine symptoms, including injections on an as-needed
    basis. (Id. at 86a-87a.)
    Dr. Murphy testified further that Claimant’s prior medical records
    documented complaints consistent with the left upper extremity complaints that
    Claimant expressed to Dr. Murphy at the initial visit on November 7, 2016.
    (Id. at 68a-69a, 79a.) Dr. Murphy explained that, in his treatment record from
    October 28, 2014, Dr. Tadduni documented complaints of low back pain and neck
    pain that radiated into both of Claimant’s shoulders and noted a diagnosis of neck
    5
    pain.       (Id. at 69a-72a, 113a-16a.)1    Similarly, in his treatment record from
    October 30, 2014, Dr. Tadduni noted complaints of neck pain that radiated into
    Claimant’s left shoulder and down into Claimant’s left upper extremity to her left
    wrist, with bruising, numbness, and tingling, and recommended physical therapy for
    the left hand and potentially the left upper extremity.               (Id. at 69a, 72a-74a,
    117a-20a.) When questioned whether he could offer an explanation as to why
    Claimant would not have received any treatment for her neck or left upper extremity
    prior to coming under his care, Dr. Murphy stated that he was “somewhat baffled”
    because Claimant’s complaints had been documented in her medical records.
    (Id. at 74a-75a.) Dr. Murphy admitted, however, that in his treatment record from
    October 23, 2014, Dr. Tadduni made no reference to any complaints of cervical
    spine pain. (Id. at 105a, 104a, 214a-16a.)2 Dr. Murphy also testified that, in addition
    to complaints relative to Claimant’s neck and left upper extremity, Dr. Tadduni also
    documented complaints relative to Claimant’s low back.                    (Id. at 75a-78a.)
    Specifically, in his November 3, 2014 treatment record, Dr. Tadduni documented
    the results from an October 30, 2014 MRI of Claimant’s lumbar spine and noted
    both a possible diagnosis of left lumbar radiculopathy and a referral for
    interventional pain management. (Id. at 77a-78a, 121a-24a.)
    Ultimately, Dr. Murphy opined within a reasonable degree of medical
    certainty that, as a result of the October 17, 2014 work-related motor vehicle
    accident, Claimant sustained a left wrist and hand contusion, a cervical strain/sprain,
    1
    The Reproduced Record in this matter was improperly numbered with the repetition of
    numbers 104a to 113a. Our citation to page 113a above is a reference to the second page in the
    Reproduced Record bearing the number 113a.
    2
    The Reproduced Record in this matter was improperly numbered with the repetition of
    numbers 104a to 113a. Our citation to page 104a above is a reference to the second page in the
    Reproduced Record bearing the number 104a.
    6
    cervical disc herniation at C5-6 and C6-7, left-sided nerve root irritation at C5 and
    C6, a lumbar sprain/strain, and a lumbar disc injury at multiple levels from L3-4
    through L5-S1, including a herniation at L5-S1 and left-sided radiculopathy at L5
    and S1. (Id. at 87a-88a.) Dr. Murphy further opined that Claimant would have been
    incapable of performing her duties as a bus driver from June 26, 2017, the date of
    her cervical spine surgery, through September 2017, when she returned to work for
    Employer at full-duty capacity. (Id. at 88a-89a.) Dr. Murphy also admitted that
    Claimant has fully recovered from the left hand and wrist contusion.
    (Id. at 94a-95a.)
    In opposition to Claimant’s claim and review petitions and in support of its
    termination petition, Employer presented the deposition testimony of Dr. Tadduni,
    who is board certified in orthopedic surgery.3 (Id. at 134a.) Dr. Tadduni performed
    an independent medical examination (IME) of Claimant on February 6, 2018, which
    included reviewing Claimant’s medical records, obtaining a history, and performing
    a physical examination. (Id. at 135a-52a.) Based on the results from his IME,
    Dr. Tadduni opined within a reasonable degree of medical certainty that Claimant
    had fully recovered from the accepted work injury—i.e., left hand and wrist
    contusions and a low back sprain. (Id. at 152a-53a.) Dr. Tadduni explained that his
    opinion of full recovery was based upon the following facts: (1) except for when
    she was recovering from her cervical spine surgery, Claimant continued to work for
    Employer in her regular-duty position; (2) Claimant was not taking any pain
    medication; (3) Claimant’s physical examination was not supportive of any ongoing
    problem with her left hand, left wrist, or low back; and (4) the course of treatment,
    3
    Employer also presented the testimony of Darlene Burke, Employer’s dispatch
    supervisor. Ms. Burke’s testimony, however, is not relevant to Claimant’s arguments on appeal.
    7
    or lack thereof, that Claimant received in connection with the injury to her lumbar
    spine.     (Id. at 153a-54a.)   Dr. Tadduni stated further that he would not place
    Claimant under any work restrictions, and that he did not believe that Claimant
    required any further treatment for the accepted work injury. (Id. at 154a-55a.) When
    asked to explain whether the results of Claimant’s MRIs were consistent with his
    opinions, Dr. Tadduni explained that, while the MRI of Claimant’s lumbar spine
    performed thirteen days after the October 17, 2014 work-related motor vehicle
    accident evidenced some baseline abnormalities—i.e., facet hypertrophy and
    desiccation—those abnormalities were preexisting. (Id. at 155a-56a.) In addition,
    with respect to the MRI of Claimant’s cervical spine, Dr. Tadduni noted that the
    MRI was not performed until 2016, and he did not believe that the results related to
    the clinical picture from the October 17, 2014 work-related motor vehicle accident.
    (Id. at 156a.)
    On cross-examination, Dr. Tadduni clarified that the injuries that Claimant
    sustained as a result of the October 17, 2014 work-related motor vehicle accident
    were a lumbar sprain superimposed on baseline degenerative changes, a left wrist
    sprain, and a left hand sprain. (Id. at 158a, 161a, 176a.) When questioned about his
    initial treatment records of Claimant from October and November of 2014,
    Dr. Tadduni indicated that he was not going to comment on those treatment records
    because Claimant’s counsel had previously threatened legal action against him if he
    discussed or commented on those records. (Id. at 162a-70a, 175a-76a.) Dr. Tadduni
    also reiterated his opinion that he did not believe that Claimant sustained a neck
    injury as a result of the October 17, 2014 work-related motor vehicle accident
    because it took Claimant sixteen months to receive treatment for her neck.
    (Id. at 171a, 187a.) Dr. Tadduni further reiterated his opinion that the findings from
    8
    the MRIs of Claimant’s lumbar spine were preexisting conditions and were not
    related to the October 17, 2014 work-related motor vehicle accident. (Id. at 176a.)
    On July 26, 2018, the WCJ issued a decision, denying Claimant’s claim and
    review petitions and granting Employer’s termination petition. In so doing, the WCJ
    summarized the witnesses’ testimony and made the following credibility
    determinations and relevant factual findings:
    6.     . . . Claimant is credible to an extent, specifically about the
    occurrence of the work injury, on the basis of her demeanor during her
    testimony at a hearing before the judge. Dr. Tadduni is more credible
    than Dr. Murphy for several reasons, to wit: 1.) Dr. Tadduni, as a
    board[-]certified orthopedic surgeon, has better credentials for the
    determination of the alleged injuries as those of . . . Claimant than
    Dr. Murphy, with a board certification in physical medicine and
    rehabilitation; 2.) Dr. Tadduni’s evaluation of . . . Claimant on
    February 6, 2018[,] was more comprehensive than Dr. Murphy’s
    evaluations of . . . Claimant with Dr. Tadduni’s performance of a
    plethora of tests of . . . Claimant in comparison to Dr. Murphy’s
    evaluations of . . . Claimant without Dr. Murphy’s performance of the
    same tests as those by Dr. Tadduni; 3.) The medical records without
    consistent complaints about and treatment of . . . Claimant’s alleged
    cervical condition support Dr. Tadduni’s opinion about . . . Claimant’s
    lack of the experience of a cervical condition from the work
    injury; 4.) The results of the diagnostic tests of . . . Claimant,
    particularly the [MRI] studies, support Dr. Tadduni’s opinions,
    particularly with respect to . . . Claimant’s pre[]existing conditions;
    5.) The clinical findings during Dr. Tadduni’s evaluation of . . .
    Claimant support Dr. Tadduni’s opinions, particularly about . . .
    Claimant’s recovery from the work injury; and 6.) Dr. Murphy’s
    description of the findings of the [MRI] of 2016 of . . . Claimant’s
    lumbar spine, specifically the alleged annular tear, is incorrect.
    ....
    16. Statements by Dr. Tadduni established that . . . Claimant made
    complaints of neck and low back pain and a radiation of the low back
    pain down her left leg to Dr. Tadduni on October 28, 2014, that
    Dr. Tadduni’s assessment of . . . Claimant’s conditions on
    October 28, 2014[,] were low back and neck pain, and that Dr. Tadduni
    didn’t attribute . . . Claimant’s assessments to any particular cause on
    October 28, 2014. Although Dr. Tadduni’s statements about . . .
    9
    Claimant’s visit on October 28, 2014[,] established that Dr. Tadduni’s
    assessments of . . . Claimant’s condition included neck pain,
    Dr. Tadduni’s credible testimony established that . . . Claimant didn’t
    suffer any injury to her neck as a result of the work injury on the basis
    of the elapse of [sixteen] months between . . . Claimant’s work injury
    and . . . Claimant’s receipt of treatment for her alleged neck condition
    and Dr. Tadduni’s testimony established that Dr. Tadduni wouldn’t
    comment, inclusive about the cause, on . . . Claimant’s complaints of
    neck pain to him at the time of her visit on October 28, 2014.
    17. Statements by Dr. Tadduni established that . . . Claimant’s
    complaints to Dr. Tadduni on October 30, 2014[,] didn’t include any
    complaints of neck or shoulder conditions on October 30, 2014[,] and
    that a bone scan of . . . Claimant on October 29, 2014[,] was entirely
    normal. Statements by Dr. Tadduni established that . . . Claimant saw
    Dr. Tadduni on November 3, 2014[,] for a follow up for cervical and
    lumbar pain from the motor vehicle accident at work, that Dr. Tadduni’s
    assessments of . . . Claimant’s condition then were pain in the joint with
    the involvement of the hand and pain in the low back, and that
    Dr. Tadduni’s impressions of . . . Claimant’s condition on
    November 3, 2014[,] were possible left lumbar radiculopathy and a
    somewhat nonphysiologic pattern of symptoms, as opposed to any
    cervical condition.
    (WCJ’s Decision at 3-6.) Based on these credibility determinations and relevant
    factual findings, the WCJ concluded: (1) Claimant did not meet her burden of
    proving that her October 17, 2014 work-related injury caused her to sustain any
    injuries in addition to those identified on the NCP; (2) Claimant did not meet her
    burden of proving that the description of her injury as set forth on the NCP is
    materially incorrect; (3) Claimant did not meet her burden of proving that Employer
    refused to pay for medical treatment that she received for new symptoms/injuries
    not identified on the NCP; and (4) Employer met its burden of proving that Claimant
    had fully recovered from her October 17, 2014 work-related injury as of
    February 6, 2018. Claimant appealed to the Board, which affirmed the WCJ’s
    decision. Claimant then petitioned this Court for review.
    10
    II. ARGUMENTS ON APPEAL
    On appeal,4 Claimant argues that the Board erred by affirming the WCJ’s
    decision because: (1) the WCJ failed to issue a reasoned decision as required by
    Section 422(a) of the Workers’ Compensation Act (Act);5 (2) the WCJ capriciously
    disregarded competent evidence of record—i.e., Dr. Tadduni’s records from his
    initial treatment of Claimant—that would support a finding that Claimant sustained
    a work-related neck injury and work-related lumbar radiculopathy on
    October 17, 2014; and (3) substantial evidence of record establishes that the
    description of Claimant’s October 17, 2014 work-related injury as set forth in the
    NCP is materially incorrect.6
    III. DISCUSSION
    A. Reasoned Decision
    Claimant argues that the Board committed an error of law by affirming the
    WCJ’s decision because the WCJ failed to issue a reasoned decision as required by
    Section 422(a) of the Act. More specifically, Claimant contends that the WCJ’s
    decision is not reasoned because she failed to offer any explanation as to why she
    4
    “Our review is limited to determining whether an error of law was committed, whether
    necessary findings of fact are supported by substantial evidence[,] and whether constitutional
    rights were violated.” Combine v. Workers’ Comp. Appeal Bd. (Nat’l Fuel Gas Distrib. Corp.),
    
    954 A.2d 776
    , 778 n.1 (Pa. Cmwlth. 2008), appeal denied, 
    967 A.2d 961
    (Pa. 2009). Further,
    where appropriate, under Leon E. Wintermyer, Inc. v. Workers’ Compensation Appeal Board
    (Marlowe), 
    812 A.2d 478
    (Pa. 2002) (Wintermyer), we must also review a WCJ’s decision for
    capricious disregard of evidence.
    5
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 834.
    6
    We have reordered Claimant’s arguments for the purposes of discussion. In addition, we
    note that, while Claimant has raised different theories of error—i.e., failure to issue a reasoned
    decision, capricious disregard of evidence, and substantial evidence—all of her arguments revolve
    around the alleged conflict between Dr. Tadduni’s testimony and his initial treatment records.
    Given, however, that each theory of error requires us to consider a separate legal standard, we will
    address each of Claimant’s arguments separately.
    11
    rejected the uncontroverted evidence set forth in Dr. Tadduni’s initial treatment
    records that Claimant sustained a work-related neck injury and work-related lumbar
    radiculopathy on October 17, 2014, or why she found Dr. Tadduni to be credible
    when he refused to answer questions regarding his initial treatment records during
    his deposition. Claimant further suggests that the WCJ was wrong to accept
    Dr. Tadduni’s opinion that Claimant did not suffer a work-related neck injury and
    work-related lumbar radiculopathy as credible because such opinion was essentially
    impeached and contradicted by his own treatment records for Claimant.
    In response, Employer argues that the WCJ issued a reasoned decision as
    required by Section 422(a) of the Act, because, in her decision, the WCJ considered
    all of the medical evidence presented in this case, including, but not limited to,
    Dr. Tadduni’s testimony, Dr. Murphy’s testimony, and Dr. Tadduni’s initial
    treatment records for Claimant. Employer suggests that Dr. Tadduni’s refusal to
    answer questions from Claimant’s attorney regarding his prior treatment of Claimant
    stems from Claimant’s threat of legal action against Dr. Tadduni and that, regardless
    of any such refusal, the WCJ considered Dr. Tadduni’s initial treatment records in
    her decision. Employer further contends that the WCJ’s decision provides an “ample
    basis for this Court, like the Board, to perform its appellate function and to verify
    that there is an identifiable and objective basis within the record” to support the
    WCJ’s findings and conclusions. (Employer’s Br. at 19.) Employer also contends
    that Claimant’s “arguments on appeal are broad and scattered[ and] are an attempt
    to have this Court reweigh evidence and serve as a secondary fact finder which is in
    general outside the scope of review on appeal.” (Id. at 22.)
    Section 422(a) of the Act provides, in pertinent part, that all parties in a
    workers’ compensation case are “entitled to a reasoned decision containing findings
    12
    of fact and conclusions of law based upon the evidence as a whole which clearly and
    concisely states and explains the rationale for the decisions so that all can determine
    why and how a particular result was reached.” The decision of a WCJ is “reasoned”
    if it allows for meaningful appellate review without further elucidation.
    Daniels v. Workers’ Comp. Appeal Bd. (Tristate Transp.), 
    828 A.2d 1043
    , 1052
    (Pa. 2003). In order to satisfy this standard, a WCJ does not need to discuss every
    detail of the evidence in the record.        Dorsey v. Workers’ Comp. Appeal Bd.
    (Crossing Constr. Co.), 
    893 A.2d 191
    , 194 n.4 (Pa. Cmwlth. 2006), appeal denied,
    
    916 A.2d 635
    (Pa. 2007). Rather, Section 422(a) of the Act requires WCJs to issue
    reasoned decisions so that this Court does not have to “imagine” the reasons why a
    WCJ finds the testimony of one witness more credible than the testimony of another
    witness.
    Id. at 196.
          Under Section 422(a) of the Act, a WCJ must articulate the objective rationale
    underlying his or her credibility determinations where there is conflicting witness
    testimony.
    Id. A WCJ may
    satisfy the reasoned decision requirement if she
    summarized the witnesses’ testimony “and adequately explained [her] credibility
    determinations.” Clear Channel Broad. v. Workers’ Comp. Appeal Bd. (Perry),
    
    938 A.2d 1150
    , 1157 (Pa. Cmwlth. 2007), appeal denied, 
    951 A.2d 1167
    (Pa. 2008).
    “Thus, while summaries of testimony alone would be insufficient to satisfy the
    reasoned decision requirement, where a WCJ summarizes testimony and also
    objectively explains [her] credibility determinations, the decision will satisfy the
    requirement.”    Amandeo v. Workers’ Comp. Appeal Bd. (Conagra Foods),
    
    37 A.3d 72
    , 76 (Pa. Cmwlth. 2012). In addition, a WCJ cannot simply ignore
    uncontroverted evidence but, rather, must adequately explain the reasons why she
    has rejected such evidence. 77 P.S. § 834.
    13
    The crux of Claimant’s argument is that the WCJ’s decision is not reasoned
    because she failed to explain why she rejected the uncontroverted evidence set forth
    in Dr. Tadduni’s initial treatment records of Claimant, which Claimant suggests
    establishes that Claimant sustained a work-related neck injury and work-related
    lumbar radiculopathy while working for Employer on October 17, 2014. Claimant
    fails to recognize, however, that the WCJ did not ignore and/or reject Dr. Tadduni’s
    initial treatment records. Quite to the contrary, in Findings of Fact Nos. 16 and 17,
    the WCJ specifically discussed Dr. Tadduni’s initial treatment records and explained
    why she did not believe they were contradictory to Dr. Tadduni’s opinions that
    Claimant did not sustain a neck injury or lumbar radiculopathy as a result of the
    October 17, 2014 work-related motor vehicle accident.          Dr. Tadduni’s initial
    treatment records are also not uncontroverted in the manner in which Claimant
    asserts—i.e., the records establish that Claimant complained of low back pain and
    neck pain that radiated into her left upper extremity, not, as Claimant suggests, that
    Dr. Tadduni opined that Claimant sustained a neck injury and lumbar radiculopathy
    as a result of the October 17, 2014 work-related motor vehicle accident. In other
    words, the WCJ accepted Dr. Tadduni’s initial treatment records for what they
    were—documentation of Claimant’s complaints relative to her neck, left upper
    extremity, and low back—and thereafter explained how Dr. Tadduni’s testimony
    was not contradictory to his initial treatment records. For these reasons, we cannot
    conclude that the WCJ failed to issue a reasoned decision as required by
    Section 422(a) of the Act.
    B. Capricious Disregard
    Claimant argues that the Board committed an error of law by affirming the
    WCJ’s decision because the WCJ capriciously disregarded competent evidence of
    14
    record—i.e., Dr. Tadduni’s initial treatment records for Claimant. More specifically,
    Claimant contends that the WCJ’s decision “reflect[s] a deliberate disregard of
    competent evidence that logically could not have been avoided” in rendering her
    decision.7 We disagree. A capricious disregard of evidence only occurs when the
    WCJ deliberately ignores relevant, competent evidence.               Capasso v. Workers’
    Comp. Appeal Bd. (RACS Assocs., Inc.), 
    851 A.2d 997
    , 1002 (Pa. Cmwlth. 2004).
    As explained more fully above, the WCJ did not deliberately ignore Dr. Tadduni’s
    initial treatment records of Claimant. Rather, the WCJ specifically addressed and
    discussed Dr. Tadduni’s initial treatment records of Claimant in Findings of Fact
    Nos. 16 and 17 and thereafter explained why she did not believe they were
    contradictory to Dr. Tadduni’s opinions that Claimant did not sustain a work-related
    neck injury or work-related lumbar radiculopathy on October 17, 2014. For these
    reasons, we cannot conclude that the WCJ capriciously disregarded competent
    evidence of record.
    C. Substantial Evidence
    Claimant argues that the Board committed an error of law by affirming the
    WCJ’s decision because the substantial evidence of record establishes that the
    description of Claimant’s October 17, 2014 work-related injury as set forth in the
    NCP is materially incorrect. More specifically, Claimant essentially contends that
    the initial treatment records of Dr. Tadduni, Employer’s own expert, establish that
    Claimant sustained a work-related neck injury and work-related lumbar
    Employer does not advance a specific argument in response to Claimant’s contention that
    7
    the WCJ capriciously disregarded competent evidence of record.
    15
    radiculopathy on October 17, 2014, and, therefore, the WCJ should have amended
    the NCP to include such injuries.8 Again, we disagree.
    In workers’ compensation proceedings, the WCJ is the ultimate finder of fact.
    Williams v. Workers’ Comp. Appeal Bd. (USX Corp.-Fairless Works), 
    862 A.2d 137
    ,
    143 (Pa. Cmwlth. 2004). As fact-finder, matters of credibility, conflicting medical
    evidence, and evidentiary weight are within the WCJ’s exclusive province.
    Id. If the WCJ’s
    findings are supported by substantial evidence, they are binding on
    appeal. Agresta v. Workers’ Comp. Appeal Bd. (Borough of Mechanicsburg),
    
    850 A.2d 890
    , 893 (Pa. Cmwlth. 2004). In determining whether the WCJ’s findings
    are supported by substantial evidence, we may not reweigh the evidence or the
    credibility of the witnesses but must simply determine whether the WCJ’s findings
    have the requisite measure of support in the record as a whole. Elk Mountain Ski
    Resort, Inc. v. Workers’ Comp. Appeal Bd. (Tietz, deceased), 
    114 A.3d 27
    , 32 n.5
    (Pa. Cmwlth. 2015). It is irrelevant whether there is evidence to support contrary
    findings; the relevant inquiry is whether substantial evidence supports the WCJ’s
    necessary findings. Hoffmaster v. Workers’ Comp. Appeal Bd. (Senco Prods., Inc.),
    
    721 A.2d 1152
    , 1155 (Pa. Cmwlth. 1998).
    Pursuant to Section 413(a) of the Act,9 “the WCJ may amend [or correct] the
    NCP at any time during litigation of any petition if the evidence shows that the injury
    sustained in the original work incident is different or more expansive than that listed
    in the NCP.” Harrison v. Workers’ Comp. Appeal Bd. (Auto Truck Transp. Corp.),
    
    78 A.3d 699
    , 703 (Pa. Cmwlth. 2013), appeal denied, 
    92 A.3d 812
    (Pa. 2014) (citing
    8
    Employer also does not advance a specific argument in response to Claimant’s contention
    that the substantial evidence of record supports a finding that the description of her injury as set
    forth in the NCP is materially incorrect.
    9
    77 P.S. § 771.
    16
    Cinram Mfg., Inc. v. Workers’ Comp. Appeal Bd. (Hill), 
    975 A.2d 577
    , 580-81
    (Pa. 2009)). “The party seeking to amend the NCP has the burden of proving that
    the NCP is materially incorrect.”
    Id. A review petition
    seeking to add additional
    injuries to the NCP that were not previously accepted by Employer carries the same
    burden as a claim petition.       Liveringhouse v. Workers’ Comp. Appeal Bd.
    (ADECCO), 
    970 A.2d 508
    , 512 (Pa. Cmwlth.), appeal denied, 
    985 A.2d 220
    (Pa. 2009). Pursuant to Section 301(c)(1) of the Act,10 an employee’s injuries are
    compensable if they “(1) arise[] in the course of employment and (2) [are] causally
    related thereto.” ICT Grp. v. Workers’ Comp. Appeal Bd. (Churchray˗Woytunick),
    
    995 A.2d 927
    , 930 (Pa. Cmwlth. 2010). Further, an employee must demonstrate that
    she is disabled as a consequence of the work-related injury. Cromie v. Workmen’s
    Comp. Appeal Bd. (Anchor Hocking Corp.), 
    600 A.2d 677
    , 679 (Pa. Cmwlth. 1991).
    Here, Claimant has framed her issue in terms of whether there is substantial
    evidence to support a finding that was not made by the WCJ—i.e., whether there is
    substantial evidence of record to establish that the description of Claimant’s
    work-related injury as set forth in the NCP is materially incorrect and should include
    a neck injury and lumbar radiculopathy. The real issue before this Court, however,
    is whether there is substantial evidence of record to support the WCJ’s necessary
    findings, in this instance, that the NCP is not materially incorrect because Claimant’s
    alleged neck injury and lumbar radiculopathy are not causally related to the
    October 17, 2014 work-related motor vehicle accident. While Dr. Murphy may have
    opined that Claimant sustained both a neck injury and lumbar radiculopathy as a
    result of the October 17, 2014 work-related motor vehicle accident, Dr. Tadduni
    opined that Claimant’s neck injury and lumbar radiculopathy were not causally
    10
    77 P.S. § 411(1).
    17
    related to the October 17, 2014 work-related motor vehicle accident and that the only
    work-related injuries that Claimant sustained on October 17, 2014, were a lumbar
    sprain superimposed on baseline degenerative changes, a left wrist sprain, and a left
    hand sprain. As discussed more fully above, Dr. Tadduni’s initial treatment records
    do not contradict his testimony and/or establish that Claimant sustained a
    work-related neck injury or work-related lumbar radiculopathy on October 17, 2014.
    Rather, such records simply document Claimant’s reported complaints. Ultimately,
    the WCJ credited Dr. Tadduni’s testimony over Dr. Murphy’s testimony.
    Dr. Tadduni’s credible testimony constitutes substantial evidence to support the
    WCJ’s finding that the NCP is not materially incorrect—i.e., that Claimant did not
    sustain a neck injury or lumbar radiculopathy as a result of the October 17, 2014
    work-related motor vehicle accident. We stress that it does not matter if there is
    evidence in the record that could support a finding contrary to that made by the WCJ;
    the only inquiry is whether there is substantial evidence of record to support the
    WCJ’s findings.     
    Hoffmaster, 721 A.2d at 1155
    .       The WCJ, as the ultimate
    fact-finder, had the discretion to credit Dr. Tadduni’s testimony over Dr. Murphy’s
    testimony. For these reasons, we cannot conclude that the Board committed an error
    of law by affirming the WCJ’s decision because there is substantial evidence of
    record to support the WCJ’s finding that the description of Claimant’s injury as set
    forth in the NCP is not materially incorrect.
    IV. CONCLUSION
    Accordingly, we affirm the Board’s order.
    P. KEVIN BROBSON, Judge
    18
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Christine Stacy-McCormick,            :
    Petitioner     :
    :
    v.                        :   No. 1698 C.D. 2019
    :
    Workers’ Compensation Appeal          :
    Board (Ridley School District),       :
    Respondent          :
    ORDER
    AND NOW, this 10th day of November, 2020, the order of the Workers’
    Compensation Appeal Board, dated November 5, 2019, is hereby AFFIRMED.
    P. KEVIN BROBSON, Judge