DAVID C. KEESLER, Magistrate Judge.
Plaintiff Melissa Ann Burr ("Plaintiff"), through counsel, seeks judicial review of an unfavorable administrative decision on her application for disability benefits. (Document No. 1). On or about June 24, 2014, Plaintiff filed applications for a period of disability and disability insurance benefits ("DIB") under Title II of the Social Security Act, 42 U.S.C. § 405,
The Commissioner of Social Security (the "Commissioner" or "Defendant") denied Plaintiff's application initially on or about August 18, 2014, and again after reconsideration on November 13, 2014. (Tr. 44, 123, 133). In its "Notice of Reconsideration," the Social Security Administration ("SSA") included the following explanation of its decision:
(Tr. 133).
Plaintiff filed a timely written request for a hearing on January 13, 2015. (Tr. 44, 150). On December 14, 2016, Plaintiff appeared and testified at a hearing before Administrative Law Judge Michelle D. Cavadi (the "ALJ"). (Tr. 44, 62-86). In addition, Barbara Azzam, a vocational expert ("VE"), and Robert A. Whitlow, Plaintiff's attorney, appeared at the hearing.
The ALJ issued an unfavorable decision on January 25, 2017, denying Plaintiff's claim. (Tr. 44-56). On March 20, 2017, Plaintiff filed a request for review of the ALJ's decision, which was denied by the Appeals Council on August 9, 2017. (Tr. 1-4, 198). The ALJ decision became the final decision of the Commissioner when the Appeals Council denied Plaintiff's review request. (Tr. 1).
Plaintiff's "Complaint" seeking a reversal of the ALJ's determination was filed in this Court on November 21, 2017. (Document No. 1). On December 12, 2017, the parties consented to Magistrate Judge jurisdiction in this matter. (Document No. 6).
Plaintiff's "Motion For Summary Judgment" (Document No. 7) and "Plaintiff's Memorandum Of Law In Support Of Motion For Summary Judgment" (Document No. 7-1) were filed January 23, 2018; and "Defendant's Motion For Summary Judgment" (Document No. 8) and "Memorandum Of Law In Support Of Defendant's Motion For Summary Judgment" (Document No. 9) were filed March 27, 2018.
The Social Security Act, 42 U.S.C. § 405(g) and § 1383(c)(3), limits this Court's review of a final decision of the Commissioner to: (1) whether substantial evidence supports the Commissioner's decision; and (2) whether the Commissioner applied the correct legal standards.
The Fourth Circuit has made clear that it is not for a reviewing court to re-weigh the evidence or to substitute its judgment for that of the Commissioner — so long as that decision is supported by substantial evidence.
Ultimately, it is the duty of the Commissioner, not the courts, to make findings of fact and to resolve conflicts in the evidence.
The question before the ALJ was whether Plaintiff was under a "disability" as that term of art is defined for Social Security purposes, at any time between June 24, 2014, and the date of her decision.
The Social Security Administration has established a five-step sequential evaluation process for determining if a person is disabled. 20 C.F.R. § 404.1520(a). The five steps are:
20 C.F.R. § 404.1520(a)(4)(i-v).
The burden of production and proof rests with the claimant during the first four steps; if the claimant is able to carry this burden, then the burden shifts to the Commissioner at the fifth step to show that work the claimant could perform is available in the national economy.
First, the ALJ determined that Plaintiff had not engaged in any substantial gainful activity since August 8, 2013, her alleged disability onset date. (Tr. 46). At the second step, the ALJ found that rheumatoid arthritis; diabetes mellitus with neuropathy; obesity; hypertension; and history of two back surgeries secondary to lumbar degenerative disk disease, were severe impairments.
Next, the ALJ assessed Plaintiff's RFC and found that she retained the capacity to perform light work activity, with the following limitations:
(Tr. 49). In making her finding, the ALJ stated that she "considered all symptoms and the extent to which these symptoms can reasonably be accepted as consistent with the objective medical evidence and other evidence, based on the requirements of 20 CFR 404.1529 and 416.929 and SSR 96-4p."
At the fourth step, the ALJ held that Plaintiff could not perform her past relevant work as a housekeeper, or hospital cleaner. (Tr. 54). At the fifth and final step, the ALJ concluded based on the testimony of the VE and "considering the claimant's age, education, work experience, and residual functional capacity" that jobs existed in significant numbers in the national economy that Plaintiff could perform. (Tr. 55). Specifically, the VE testified that according to the factors given by the ALJ, occupations claimant could perform included a photocopy editor, a mail clerk, and an inspector. (Tr. 55). Therefore, the ALJ concluded that Plaintiff was not under a "disability," as defined by the Social Security Act, at any time between August 8, 2013, and the date of her decision, January 25, 2017. (Tr. 56).
Plaintiff on appeal to this Court makes the following assignments of error: (1) the ALJ erred in giving little weight to any medical evidence in the record, rendering a decision based upon her own medical opinion; (2) the ALJ's RFC assessment is conclusory and without supporting medical evidence in the record as required by SSR 96-8p; (3) the ALJ erred in failing to consider Plaintiff's pain in formulating a residual functional capacity assessment in violation of SSR 96-7p; (4) the ALJ erred in failing to give proper weight and consideration to the opinion of Plaintiff's long-term treating rheumatologist, D. Dennis Payne, M.D. ("Dr. Payne"), and treating Board certified family practice physician, John P. Velasco, M.D. ("Dr. Velasco"), as required by SSR 96-2p and 260 C.F.R. § 404.1527; and (5) the ALJ erred in failing to consider Plaintiff's ability to obtain treatment as required by the SSR 96-7p. (Document No. 7-1, p. 10). The undersigned will discuss each of these contentions in turn.
In the first assignment of error, Plaintiff argues that the ALJ gave little or no weight to any medical evidence in the record and rendered a decision based upon her own medical opinion. (Document No. 7-1, p.10). Plaintiff asserts that where an ALJ rejects evidence, the Fourth Circuit requires the ALJ to identify and specifically reference the evidence supporting her rejection. (Document No. 7-1, p. 10-11) (citing
In response, Defendant asserts that the ALJ properly weighed all the available evidence and found that "the evidence did not show that Plaintiff was disabled." (Document No. 9, p. 6). Specifically, Defendant argues that the ALJ found Plaintiff's rheumatoid arthritis was adequately controlled with treatment.
The undersigned finds that the ALJ did not render a decision based on her own opinion. The ALJ provided adequate explanation and support for her finding that the evidence presented did not show that Plaintiff was disabled.
Next, Plaintiff argues that the ALJ's RFC assessment is conclusory and without supporting medical evidence in the record. Plaintiff maintains that "[t]here is no medical evidence in the record supporting this RFC." (Document No. 7-1, p. 11). Plaintiff explains that the ALJ gave "little weight" to the medical assessments conducted and that the only functional impairment evaluation performed limited Plaintiff to "less than a full range of sedentary work."
In response, Defendant asserts the ALJ sufficiently explained the evidentiary support for her finding that Plaintiff could perform light work with additional limitations. (Document No. 9, p. 7-8) (citing Tr. 50-54). Defendant argues that it is the duty of the ALJ to evaluate and decide Plaintiff's RFC, and the RFC should be decided based on all the relevant evidence in the record. (Document No. 9, p. 8) (citing 20 C.F.R. §§ 404.1545(a), 416.945(a)). Defendant further argues that the ALJ properly addressed all the evidence of record, including each medical opinion. (Document No. 9, p. 9) (citing Tr. 52-54).
The undersigned finds the ALJ's RFC assessment is supported by sufficient evidence in the record. The RFC "is an administrative assessment made by the Commissioner on
Additionally, the ALJ found that Dr. Velasco "reli[ed] on Dr. Payne's opinions without any supporting objective evidence." (Tr. 53). As explained above, the ALJ thoroughly examined the medical record as well as the Consultant's opinion in her determination of Plaintiff's RFC.
Next, Plaintiff argues that the ALJ erred in failing to consider Plaintiff's pain in formulating her RFC assessment. (Document No. 7-1, p. 12). Plaintiff asserts that the ALJ did not consider the pain questionnaire completed by Dr. Payne.
In response, Defendant asserts that the ALJ properly analyzed Plaintiff's subjective claims of pain and that Plaintiff's claims did not match up with the objective evidence in the record. (Document No. 9, p. 12). Defendant explains that "[t]he ALJ must consider whether there are inconsistencies or conflicts in the evidence," and that Plaintiff's symptoms will only reduce the ability for work activities "to the extent that the alleged limitations and restrictions due to the symptoms can reasonably be accepted as consistent with the objective medical evidence." (Document No. 9, p.13) (citing 20 C.F.R. §§ 404.1529(c)(4), 416.929(c)(4);
The undersigned is not persuaded the ALJ erred in her assessment of Plaintiff's pain. As explained in
Next, Plaintiff argues that the ALJ erred in failing to give proper weight and consideration to the opinion of Plaintiff's long-term treating rheumatologist, Dr. Payne, and her treating family practice physician, Dr. Velasco. (Document No. 7-1, p. 13). Plaintiff asserts that an ALJ is required to give good reasons for the weight given to a treating source's opinion.
In response, Defendant asserts that the ALJ properly cited and explained her reasoning for affording little weight to the opinions of Dr. Payne and Dr. Velasco. (Document No. 9, p. 15). First, Defendant argues that the ALJ explained how she found Dr. Payne's opinion inconsistent and "largely unsupported by . . . the objective findings and medical impressions contained in Dr. Payne's treatment notes." (Document No. 9, p. 10) (citing Tr. 52-53). The ALJ cited specific evidence where Dr. Payne's notes repeatedly showed mild to moderate findings or instances where Plaintiff's symptoms improved. (Document No. 9, p. 10) (citing Tr. 50-53) (citing Tr. 293, 296, 299, 302, 307, 309, 311, 324, 327, 330, 465). Defendant explains that the ALJ compared the mild findings with the extreme limitations that were included in Dr. Payne's opinions. (Document No. 9, p.11) (citing Tr. 52-53) (citing Tr. 450, 464-465). Next, Defendant contends that Dr. Velasco has only treated Plaintiff since April 2016, and that his opinion was comprised of "checkbox statements," including his concurrence with Dr. Payne's assessment. (Document No. 9, p.11) (citing Tr. 430). Dr. Velasco's examination findings were also "consistently normal or mild with regard to pain and rheumatoid arthritis, aside from a single statement regarding `moderate' back pain." (Document No. 9, p.11) (citing Tr. 437, 442, 444).
The undersigned finds the ALJ gave proper weight to the opinions of Dr. Payne and Dr. Velasco. The ALJ provided sufficient justification for giving little weight to Plaintiff's treating physicians, and the ALJ's decision should be acceptable under
Finally, Plaintiff argues that the ALJ erred in failing to consider Plaintiff's ability to obtain treatment as required by SSR 96-7p. (Document No. 7-1, p. 17). Plaintiff maintains that an ALJ is not allowed to draw inferences about Plaintiff's symptoms from a failure or inability to receive treatment "without first considering the evidence of record which may explain the absence of this treatment."
In response, Defendant asserts that there is no support for the implication "that the ALJ drew an improper inference" from Plaintiff's inability to get treatment. (Document No. 9, p.16). Defendant explains that the ALJ repeatedly discussed Plaintiff's worsening symptoms when Plaintiff was unable to afford treatment.
The undersigned finds that the ALJ properly noted Plaintiff's ability to obtain treatment. The ALJ adequately references periods where Plaintiff experienced more severe symptoms because of an inability to access treatment. (Tr. 50-52). However, the ALJ also cited to evidence in the record showing that despite brief periods where Plaintiff lost her insurance due to changes in work, overall, Plaintiff has had adequate access to medical treatment. (Tr. 50-51)
Overall, the undersigned is persuaded that the ALJ conducted a thorough review and that substantial evidence supports her decision. As noted above, it is not for this Court to re-weigh the evidence.
The undersigned finds that there is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion," and thus substantial evidence supports the Commissioner's decision.