ABDUL K. KALLON, District Judge.
Plaintiff Veronica Perry ("Perry") brings this action on behalf of her daughter, T.L.P. ("Claimant"), pursuant to Section 205(g) of the Social Security Act ("the Act"), 42 U.S.C. § 405(g), seeking review of the final adverse decision of the Commissioner of the Social Security Administration ("SSA"). This court finds that the Administrative Law Judge's ("ALJ") decision — which has become the decision of the Commissioner — is supported by substantial evidence. Therefore, for the reasons elaborated herein, the court will affirm the decision denying benefits.
Perry protectively filed an application on behalf of her minor child T.L.P. for the child's Supplemental Security Income ("SSI"), alleging a disability onset date of December 22, 1994, due to heart problems.
The only issues before this court are whether the record contains substantial evidence to sustain the ALJ's decision, See 42 U.S.C. § 405(g); Walden v. Schweiker, 672 F.2d 835, 838 (11th Cir. 1982), and whether the ALJ applied the correct legal standards, see Lamb v. Bowen, 847 F.2d 698, 701 (11th Cir. 1988); Chester v. Bowen, 792 F.2d 129, 131 (11th Cir. 1986). Title 42 U.S.C. § 405(g) mandates that the Commissioner's "factual findings are conclusive if supported by `substantial evidence.'" Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The district court may not reconsider the facts, reevaluate the evidence, or substitute its judgment for that of the Commissioner; instead, it must review the final decision as a whole and determine if the decision is "reasonable and supported by substantial evidence." See id. (citing Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)). Substantial evidence falls somewhere between a scintilla and a preponderance of evidence; "[i]t is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Martin, 849 F.2d at 1529 (quoting Bloodsworth, 703 F.2d at 1239) (other citations omitted). If supported by substantial evidence, the court must affirm the Commissioner's factual findings even if the preponderance of the evidence is against the Commissioner's findings. See Martin, 894 F.2d at 1529. While the court acknowledges that judicial review of the ALJ's findings is limited in scope, it notes that the review "does not yield automatic affirmance." Lamb, 847 F.2d at 701.
A claimant under the age of eighteen is considered disabled if she has a medically determinable physical or mental impairment which results in marked and severe functional limitations, and which is expected to result in death, or which has lasted or is expected to last for a continuous period of not less than 12 months. 42 U.S.C. § 1382c(a)(3)(C)(I). The regulations define the statutory standard of "marked and severe functional limitations" in terms of "listing-level severity." 20 C.F.R. §§ 416.902, 416.906, 416.924(a), 416.926a(a); see 20 C.F.R. pt. 404, subpt. P, app. 1 (the listings). The Commissioner has developed a specific sequential evaluation process for determining whether a child claimant is disabled. 20 C.F.R. § 416.924. The three-step process requires a child to show: (1) that she is not working; (2) that she has a "severe" impairment or combination of impairments; and (3) that her impairment or combination of impairments is of listing-level severity, that is, the impairments meet, medically equal, or functionally equal the severity of an impairment in the listings. 20 C.F.R. § 416.924.
If a child claimant is not working and has a severe impairment, the ALJ must determine if the child's impairments meet or medically equal an impairment listed in the listings. 20 C.F.R. § 416.924(a)-(d). An impairment medically equals a listing "if it is at least equal in severity and duration to the criteria of any listed impairment." If a claimant's impairments do not meet or medically equal a listed impairment, the ALJ must then determine if the child's impairments are, instead, functionally equivalent in severity. 20 C.F.R. §§ 416.924(d), 416.926a(a). For the child's impairments to functionally equal a listed impairment, they must result in "marked" limitations in two domains of functioning or an "extreme" limitation in one domain. 20 C.F.R. § 416.926a(a). The ALJ considers the child's functioning in terms of six domains: (1) acquiring and using information; (2) attending and completing tasks; (3) interacting and relating with others; (4) moving about and manipulating objects; (5) caring for herself; and (6) health and physical well-being. 20 C.F.R. § 416.926a(b)(1)(I)-(vi). If the impairments do not satisfy the duration requirements, or do not meet, medically equal, or functionally equal one of the listings in the Regulations, a finding of not disabled is reached and the claim is denied. See 20 C.F.R. § 416.924(d)(2).
In performing the three step analysis, initially, the ALJ determined that the Claimant had not engaged in any substantial gainful activity since February 25, 2009, the date of her application. (R. 19). Next, in satisfaction of Step Two the ALJ noted that the Claimant suffers from the severe impairments of "congenital heart disease, depression, DiGeorge Syndrome, and borderline intelligence." Id. Finally, at Step Three, the ALJ concluded that the Claimant's impairments did not meet, medically equal, or functionally equal any of the listed impairments and, therefore, found that the Claimant was not disabled. (R. 20, 28).
The court now turns to Perry's contentions that the ALJ erred in (1) rejecting the opinions of the consultative psychological examiner; (2) failing to consider whether the Claimant's impairments medically equaled a listing; and (3) failing to develop the record. See doc. 11 at 6-10. The court addresses each contention in turn.
Perry contends the ALJ erred in rejecting the opinions of Dr. H. Randall Griffith, Ph.D., a clinical neuropsychologist, who examined the Claimant after her ALJ hearing at the request of the Commissioner. (R. 338-345). Dr. Griffith described the Claimant's past medical history as follows:
(R. 338). In conjunction with his examination, Dr. Griffith completed a form indicating the Claimant had "marked" impairments in the domains of "Interacting and Relating with Others" and "Caring for Self." (R. 343-45). These findings conflict with the ALJ's finding of a less than marked limitation in interacting and relating with others, and no limitation in the ability to care for herself. (R. 25-27).
In assessing Dr. Griffith's opinions, the ALJ gave Dr. Griffith's opinions no weight, in part, because Dr. Griffith "based [them] on a single examination and it is not apparent that Dr. Griffith had the benefit of the medical evidence of record in making his determination."
Id. The ALJ committed no error here because even a treating physician's opinion may be rejected if it is inconsistent with the doctor's own medical records. See Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997) (good cause exists to reject a treating physician's opinion when it is inconsistent with his own medical records).
Based on the court's review of the record, the ALJ properly applied the regulations and articulated good cause for rejecting Dr. Griffith's opinions. Therefore, substantial evidence supports the ALJ's decision and there is no reversible error.
Perry next contends the ALJ "did not recite or apply the medical equivalence standard," Doc. 8 at 8, and asserts the ALJ should have "considered medical equivalence on the basis of a chronic condition affecting multiple areas of functioning and body systems, including DiGeorge syndrome." Id. at 9. Contrary to Perry's contention, the ALJ specifically stated that he "evaluated the claimant's impairments under the multiple body system listings, 110.00 et seq., cardiovascular system, 104.00 et seq., organic mental disorders, 112.02, and mood disorders, 112.04, and found that the claimant's impairments do not meet or equal the criteria of any of the impairments described [in those listings]." (R. 20) (emphasis added). The ALJ further found that "there are no opinions in the record from medical experts or any other type of medical or psychological consultants designated by the Commissioner, which indicate that the claimant's impairments alone or in combination equal a listing." Id. Indeed, one of the Commissioner's medical consultants, Dr. Richard Whitney, who is a specialist in pediatrics,
Ultimately, the Claimant bears the burden of presenting medical evidence showing her impairments equal a listing:
Sullivan v. Zebley, 493 U.S. 521, 531 (1990) (emphasis in original). Unfortunately, here, Perry points to no medical evidence or opinion that shows the Claimant's impairments equal a listing. Therefore, Perry failed to meet her burden of establishing that the ALJ committed reversible error by finding the Claimant's impairments did not equal a listing.
Finally, Perry contends the ALJ erred by failing to develop the record after rejecting the opinions of Dr. Griffith. Doc. 8 at 8. However, before remanding a case for further development, a reviewing court must consider "whether the record reveals evidentiary gaps which result in unfairness or `clear prejudice.'" Smith v. Schweiker, 677 F.2d 826, 830 (11th Cir.1982) (quoting Ware v. Schweiker, 651 F.2d 408, 413 (5th Cir. Unit A July 1981). Consequently, "there must be a showing of prejudice before [a reviewing court] will remand for further development of the record." Robinson v. Astrue, 365 F. App'x 993, 995 (11th Cir. 2010) (unpublished) (citing Brown v. Shalala, 44 F.3d 931, 935 (11th Cir. 1995). Remand is not warranted here because the record contains extensive treatment notes documenting the Claimant's impairments, school records, and a consultative examination by Dr. Decontee Jimmeh, which includes an opinion as to the Claimant's physical limitations. (R. 244-47). Moreover, Perry failed to identify the existence of any evidentiary gaps that prevent the ALJ from making an informed decision on the Claimant's application for benefits. To the contrary, the current record contains sufficient medical and other evidence to allow the ALJ to make a determination on whether the Claimant was disabled. As such, no additional development was required, see 20 C.F.R. § 416.913(e), and Perry's contention to the contrary is unavailing.
Based on the foregoing, the court concludes that the ALJ's determination that the Claimant is not disabled is supported by substantial evidence, and that the ALJ applied proper legal standards in reaching this determination. Therefore, the Commissioner's final decision is
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