CHARLES J. SIRAGUSA, District Judge.
Elizabeth Erin Harvey ("Plaintiff") brings this action pursuant to Titles II and XII of the Social Security Act ("the Act"), seeking review of the final decision of the Commissioner of Social Security ("the Commissioner") denying her application for Supplemental Security Income ("SSI") and disability benefits. The Court has jurisdiction over this matter pursuant to 42 U.S.C. §§ 405(g), 1383(c). Both the Commissioner and Plaintiff have filed motions for judgment on the pleadings. Pl.'s Mot., Jun. 18, 2018,
Plaintiff filed her applications on March 21, 2014, for SSI and disability insurance benefits alleging a disability beginning March 13, 2014. R.
The Commissioner denied her claim initially on July 23, 2014, and at her request, Plaintiff appeared before an Administrative Law Judge ("ALJ") in Rochester, New York, on September 20, 2016. A vocational expert also testified. Justin Goldstein, Esq., represented Plaintiff. R. 10.
The ALJ issued a twelve-page decision dated January 31, 2017, finding that Plaintiff was capable of light work and was, therefore, not disabled. R. 21. The Appeals Council denied Plaintiff's appeal on September 20, 2017, making the ALJ's decision the final decision of the Commissioner. R. 1. Plaintiff filed suit on November 27, 2017,
Title 42 U.S.C. § 405(g) grants jurisdiction to district courts to hear claims based on the denial of Social Security benefits. Section 405(g) provides that the District Court "shall have the power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing." 42 U.S.C. § 405(g) (2007). The section directs that when considering such a claim, the Court must accept the findings of fact made by the Commissioner, provided that such findings are supported by substantial evidence in the record. Substantial evidence is defined as "`more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.'" Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)); see also Metro. Stevedore Co. v. Rambo, 521 U.S. 121, 149 (1997).
When determining whether substantial evidence supports the Commissioner's findings, the Court's task is "to examine the entire record, including contradictory evidence and evidence from which conflicting inferences can be drawn." Brown v. Apfel, 174 F.3d 59, 62 (2d Cir. 1999) (quoting Mongeur v. Heckler, 722 F.2d 1033, 1038 (2d Cir. 1983) (per curiam)). Section 405(g) limits the scope of the Court's review to two inquiries: determining whether the Commissioner's findings were supported by substantial evidence in the record as a whole, and whether the Commissioner's conclusions are based upon an erroneous legal standard. Green—Younger v. Barnhart, 335 F.3d 99, 105-06 (2d Cir. 2003); see also Mongeur, 722 F.2d at 1038 (finding a reviewing court does not try a benefits case de novo).
Under Rule 12(c), the Court may grant judgment on the pleadings where the material facts are undisputed and where judgment on the merits is possible merely by considering the contents of the pleadings. Sellers v. M.C. Floor Crafters, Inc., 842 F.2d 639, 642 (2d Cir. 1988).
On August 16, 2016, John Marino, M.D., Plaintiff's treating psychiatrist, completed a Mental Medical Source Statement concerning Plaintiff, whom he had been treating monthly since 2014. His detailed report concluded that she could engage in full-time competitive employment on a sustained basis, "provided the work place is an environment in which she feels low stress." R. 370. In discussing Dr. Marino's opinion, the ALJ gave it significant weight "based on the doctor's treating relationship with the claimant." Plaintiff complains that although the ALJ gave Dr. Marino's opinion significant weight, he failed "to explain why material elements of that opinion have not been adopted" in the RFC assessment. Pl.'s Mem. of Law 9, Jun. 18, 2018,
The ALJ's RFC determination is as follows:
R. 15. Dr. Marino's statement supports the RFC assessment. However, the ALJ's assessment does not consider the items Plaintiff enumerated. It fails to reflect that she would be off task 15% of an 8-hour workday (1 hour and 12 minutes per day), R. 369, or that she would miss about two days per month of work, R. 370.
LCSWR
Notwithstanding that both Dr. Marino, to whom the ALJ accredited great weight, and Young, to whom the ALJ gave limited weight, both stated that Plaintiff would be out of work days per month, and off task at least an hour each day, the ALJ's decision makes no mention of these elements of both statements. The ALJ fails to explain his rejection of those aspects of, especially, Dr. Marino's statement, which he evidently relied upon a great deal in forming his RFC. The Court finds that Dr. Marino's conclusion, that Plaintiff could sustain full time work (although he recommended she begin with part time work and slowly move to full time), is inconsistent with his conclusion that she would be off task 15% of the day, and miss two days per month, two factors that her treating psychotherapist also noted, although with greater off task and days missed numbers.
It is not as if the ALJ overlooked the off task and days missed issue. When questioning the vocational expert, the ALJ specifically asked about a limitation of missing four
The district court in Smith v. Bowen, 687 F.Supp. 902, 904-05 (S.D.N.Y. 1988), evaluated a similar situation in which the ALJ there picked out statements from a treating source that supported his RFC determination, while ignoring opinions from the same source that contradicted it:
Smith, 687 F. Supp. at 904-05. The Court is concerned that the ALJ's reliance on the portions of Dr. Marino's report that supported his RFC determination failed to account for the portions that did not. To the extent that the ALJ found Dr. Marino's conclusion about Plaintiff's ability to work inconsistent with portions of his statement, the ALJ was duty bound to seek clarification. Pratts v. Chater, 94 F.3d 34, 37 (2d Cir. 1996). This duty applies even, as here, when counsel represents a plaintiff. Perez v. Chater, 77 F.3d 41, 46 (2d Cir. 1996). To the extent that the ALJ relied solely on Dr. Marino's conclusion that Plaintiff could engage in full time work, he abdicated his responsibility to make an independent RFC based on the medical opinions in the Record.
The Commissioner's memorandum explains that the ALJ relied on other medical evidence in the record to support his exclusion of Dr. Marino's limitations, and that he also relied on Plaintiff's own testimony. Comm'r Mem. of Law 19, Sept. 14, 2018,
The Court recognizes that "``where the medical evidence shows relatively little physical impairment, an ALJ permissibly can render a common sense judgment about functional capacity even without a physician's assessment.'' Walker v. Astrue, No. 08-CV-0828, 2010 WL 2629832, at *7 (W.D.N.Y. June 11, 2010) (quoting Manso-Pizarro v. Sec'y of Health and Human Servs., 76 F.3d 15, 17 (1st Cir. 1996)).'" House v. Astrue, No. 5:11-CV-915 GLS, 2013 WL 422058, at *4 (N.D.N.Y. Feb. 1, 2013). That situation is not present here.
Accordingly, the Court finds that substantial evidence does not support the ALJ's RFC determination. Thus, the Court reverses the Commissioner's decision and remands the case pursuant to the fourth sentence of 42 U.S.C. § 405(g).
For the foregoing reasons, the Court reverses the Commissioner's decision and remands this matter for a new hearing pursuant to the fourth sentence of 42 U.S.C. § 405(g).