GREG WHITE, Magistrate Judge.
Plaintiff Yadira Melendez ("Melendez") challenges the final decision of the Commissioner of Social Security, Carolyn W. Colvin ("Commissioner"), denying Melendez's claim for Supplemental Security Income ("SSI") benefits under Title XVI of the Social Security Act ("Act"), 42 U.S.C. §1381 et seq. This matter is before the Court pursuant to 42 U.S.C. § 405(g) and Local Rule 72.2(b).
For the reasons set forth below, it is recommended that the final decision of the Commissioner be VACATED and the case REMANDED.
On December 16, 2010, Melendez filed an application for SSI alleging a disability onset date of December 30, 2008, claiming she was disabled due to hip dysplasia and major depression.
On April 19, 2012, an Administrative Law Judge ("ALJ") held a hearing during which Melendez, represented by counsel, and an impartial vocational expert ("VE") testified. (Tr. 91.) On April 24, 2012, the ALJ found Melendez was able to perform a significant number of jobs in the national economy and, therefore, was not disabled. (Tr. 96-97.) The ALJ's decision became final when the Appeals Council denied further review.
Age twenty-seven (27) at the time of her administrative hearing, Melendez is a "younger person" under social security regulations. See 20 C.F.R. § 416.963(c). Melendez dropped out of school in Puerto Rico during her final year of high school. She has past relevant work as a housekeeper/cleaner. (Tr. 270.) She is unable to communicate in English. (Tr. 96.)
At the hearing, with the assistance of a Spanish translator, Melendez testified to the following:
The ALJ posed the following hypothetical question to the VE:
(Tr. 41.) The VE testified such an individual could not perform Melendez's past relevant work. Id. However, the VE identified the following as representative examples of jobs such an individual could perform: Small Product Assembler I, Dictionary of Occupational Titles ("DOT") § 706.684-022; Assembler II, DOT § 723.684-018; and, Electrical Accessories Assembler I, DOT § 729.687-010. (Tr. 41-43.)
The ALJ then posed a second hypothetical, adding the limitation that, due to symptoms from medically determinable impairments, the individual would be off task twenty (20) percent of the time. (Tr. 43.) The VE testified that no jobs would be available for such an individual. Id.
Next, Melendez's attorney added to the ALJ's first hypothetical that the individual would need to be able to lay down one to two times per average work day for approximately thirty (30) minutes in addition to regularly scheduled breaks. (Tr. 44.) The VE testified such a person would be unemployable. Id. Melendez's attorney then added to the ALJ's first hypothetical that the individual would require a sit/stand option as well as the ability to walk around a bit while standing to relieve pain and other symptoms. Id. The VE again testified that no jobs would be available. Id. Finally, Melendez's attorney posed a third hypothetical adding that the person would be limited to standing and walking two hours out of a regular eight hour work day and sitting for two hours out of an eight hour day. Id. The VE testified that such an individual "would not fulfill the sedentary level of work of the DOT and therefore would not be competitive work in the labor market as it's acceptable." Id.
A disabled claimant may be entitled to receive SSI benefits. 20 C.F.R. § 416.905; Kirk v. Sec'y of Health & Human Servs., 667 F.2d 524 (6
The ALJ found Melendez established a medically determinable, severe impairment, due to left hip dysplasia with chronic dislocation; however, her impairments, either singularly or in combination, did not meet or equal one listed in 20 C.F.R. Pt. 404, Subpt. P, App. 1. (Tr. 93-94.) Melendez was found incapable of performing her past relevant work, but was determined to have a Residual Functional Capacity ("RFC") for a limited range of sedentary work. (Tr. 94, 96.) The ALJ then used the Medical Vocational Guidelines ("the grid") as a framework and VE testimony to determine that Melendez was not disabled. (Tr. 97.)
This Court's review is limited to determining whether there is substantial evidence in the record to support the ALJ's findings of fact and whether the correct legal standards were applied. See Elam v. Comm'r of Soc. Sec., 348 F.3d 124, 125 (6
The findings of the Commissioner are not subject to reversal merely because there exists in the record substantial evidence to support a different conclusion. Buxton v. Halter, 246 F.3d 762, 772-3 (6
In addition to considering whether the Commissioner's decision was supported by substantial evidence, the Court must determine whether proper legal standards were applied. Failure of the Commissioner to apply the correct legal standards as promulgated by the regulations is grounds for reversal. See, e.g.,White v. Comm'r of Soc. Sec., 572 F.3d 272, 281 (6
Finally, a district court cannot uphold an ALJ's decision, even if there "is enough evidence in the record to support the decision, [where] the reasons given by the trier of fact do not build an accurate and logical bridge between the evidence and the result." Fleischer v. Astrue, 774 F.Supp.2d 875, 877 (N.D. Ohio 2011) (quoting Sarchet v. Chater, 78 F.3d 305, 307 (7
In her only assignment of error, Melendez argues that the ALJ failed to properly evaluate the medical opinion of her treating physician, Dr. Gillespie. (ECF No. 17 at 8-12.) She maintains the ALJ failed to articulate "good reasons" for only affording "some weight" to his opinion. Id. at 10. Specifically, Melendez argues the ALJ failed to cite any specific evidence regarding how her daily activities were inconsistent with Dr. Gillespie's opinion. Id. She also emphasizes that the ALJ did not mention any of the factors set forth in 20 C.F.R. § 416.927. (ECF No. 17 at 11.) Consequently, this failure to follow agency rules and regulations resulted in a lack of substantial evidence supporting the decision. Id. Conversely, the Commissioner argues the ALJ did not err by ascribing only some weight to Dr. Gillespie's opinion, because it was not supported by the record as a whole. (ECF No. 18 at 11.)
Under Social Security regulations, the opinion of a treating physician is entitled to controlling weight if such opinion (1) "is well-supported by medically acceptable clinical and laboratory diagnostic techniques" and (2) "is not inconsistent with the other substantial evidence in [the] case record." Meece v. Barnhart, 192 F. App'x 456, 560 (6
Nonetheless, the opinion of a treating physician must be based on sufficient medical data, and upon detailed clinical and diagnostic test evidence. See Harris v. Heckler, 756 F.2d 431, 435 (6
On October 14, 2011, Dr. Gillespie completed a medical source statement regarding Melendez's functional limitations. Dr. Gillespie stated Melendez could lift/carry twenty pounds occasionally and ten pounds frequently, sit for two hours in an eight hour work day in thirty minute increments, and stand/walk for two hours in fifteen minute increments. (Tr. 507.) He indicated that Melendez could rarely or never climb, stoop, crouch, kneel, or crawl, but could occasionally balance and push/pull. Id. Dr. Gillespie added Melendez would require additional rest periods beyond regularly scheduled breaks and would require an at-will sit/stand option. (Tr. 508.) Dr. Gillespie cited chronic dislocation of Melendez's left hip as the basis for these restrictions. (Tr. 507-508.)
After summarizing Dr. Gillespie's October 2011 opinion, the ALJ found that "[w]hile this assessment is inconsistent with several of the claimant['s] activities, such as shopping, cleaning, cooking, and caring for her daughter, it does support several of the limitations contained within the [RFC]."
After correctly identifying Dr. Gillespie as Melendez's treating physician, the ALJ failed to provide good reasons for rejecting a significant number of the functional limitations he assessed. The only reason offered by the ALJ for rejecting material portions of Dr. Gillespie's assessment was the conclusory statement that it was allegedly inconsistent with Melendez's daily activities, specifically her shopping, cleaning, cooking, and child care for her daughter. (Tr. 96.) The decision fails to offer an adequate explanation of how these activities, some or perhaps most of which are not performed on a daily basis, are inconsistent with the limitations assessed by Dr. Gillespie. The decision is especially troubling in light of the fact that the ALJ appears to be relying on Melendez's self-reporting of her activities, but omits any discussion of Melendez's statements and testimony that these activities are performed only for a few hours each day with frequent breaks. (Tr. 35-36, 38-39, 249-252, 282-284.) For example, in her Function Report completed for the Social Security Administration (SSA), Melendez explained that while she prepares three simple meals a day, she rests throughout the cooking process.
The ALJ was not required to find Melendez's statements about her activities credible. Indeed, he found her allegations as to her symptoms not credible to the extent they were inconsistent with the RFC. (Tr. 95.) Nonetheless, to the extent the ALJ relies solely on a claimant's self-reported daily activities to discredit the medical opinion of her treating physician, the recitation of said activities should, at the very least, be thorough and accurate. The mere fact that Melendez is able to perform the activities discussed in the paragraph above in spite of her alleged disabling hip pain is not necessarily indicative of an ability to perform substantial gainful activity. See, e.g. Walston v. Gardner, 381 F.2d 580, 586 (6
The Commissioner's brief points to other evidence of record to justify the ALJ's rejection of Dr. Gillespie's opinion, including the September 26, 2007 opinion of Fredrick Oldenburg, M.D., an orthopedic specialist, that Melendez had "no activity restrictions." (ECF No. 18 at 12.) However, the ALJ's decision fails to mention Dr. Oldenburg. (Tr. 91-98.) Thus, the Commissioner's argument regarding the orthopedic specialist's opinion cannot be considered by this Court, as it constitutes post hoc rationale, and a reviewing court cannot use a Commissioner's brief to bolster the ALJ's decision with evidence and arguments never raised by the ALJ. See, e.g., Bable v. Astrue, 2007 U.S. Dist. LEXIS 83635, 27-28 (N.D. Ohio, Oct. 31, 2007) (citing NLRB v. Ky. River Cmty. Care, Inc., 532 U.S. 706, 715, n. 1, 121 S.Ct. 1861, 149 L.Ed.2d 939, (2001)); Sarchet v. Chater, 1113 (6
The Commissioner also references the opinion of non-treating consultative examiner Eulogio Sioson, M.D., to which the ALJ ascribed "some weight," and the opinions of nonexamining state agency physicians Gerald Klyop, M.D., and Gary Hinzman, M.D., to which the ALJ ascribed "great weight." (ECF No. 18 at 12-13, citing Tr. 68-69, 81-82, 95-96, 413.) The Commissioner asserts the opinions of Drs. Klyop and Hinzman were entitled to great weight, because they are highly qualified practitioners who are experts in Social Security disability evaluation under the law. Id. However, these opinions do not constitute "good reasons" for rejecting a treating physician's opinion.
Accordingly, the ALJ failed to provide good reasons for rejecting significant portions of Dr. Gillespie's assessment of Melendez's functional limitations. The Court, therefore, recommends this matter be remanded to afford the ALJ an opportunity to sufficiently evaluate and explain the weight ascribed to the limitations assessed by Dr. Gillespie and any other treating source.
For the foregoing reasons, the Court finds the decision of the Commissioner not supported by substantial evidence. Accordingly, the decision of the Commissioner should be VACATED and the case REMANDED, pursuant to 42 U.S.C. § 405(g) sentence four for further proceedings consistent with this Report and Recommendation.