SHARON LOVELACE BLACKBURN, District Judge.
Plaintiff Mary A. Kimbrell brings this action pursuant to 42 U.S.C. § 405(g), seeking review of the final decision of the Commissioner of Social Security denying her application for supplemental security income ["SSI"]. Upon review of the record, the submissions of the parties, and the relevant law, the court is of the opinion that the Commissioner's decision is due to be affirmed.
On February 23, 2010, plaintiff filed an application for SSI, alleging a disability onset date of January 1, 1997, which plaintiff later amended to February 16, 2010. (R. 166, 183.)
Plaintiff petitioned the Appeals Council to review the ALJ's decision, and on May 11, 2013, the Appeals Council denied plaintiff's request for review, thereby rendering the ALJ's decision the final decision of the Commissioner of Social Security. (R. 1.) Following denial of review by the Appeals Council, plaintiff filed an appeal in this court on August 16, 2013. (Doc. 1.)
In reviewing claims brought under the Social Security Act, this court "is limited to an inquiry into whether there is substantial evidence to support the findings of the Commissioner, and whether the correct legal standards were applied." Wilson v. Barnhart, 284 F.3d 1219, 1221 (11th Cir. 2002); see also Lamb v. Bowen, 847 F.2d 698, 701 (11th Cir. 1988). The court gives deference to factual findings and reviews questions of law de novo. Cornelius v. Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991). The court "may not decide the facts anew, reweigh the evidence, or substitute [its] judgment for that of the [Commissioner]; rather the court must scrutinize the record as a whole to determine if the decision reached is reasonable and supported by substantial evidence." Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990) (quoting Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983)) (internal quotations and other citation omitted). "The Commissioner's factual findings are conclusive if supported by substantial evidence." Wilson, 284 F.3d at 1221 (citing Martin, 894 F.2d at 1529; Allen v. Bowen, 816 F.2d 600, 602 (11th Cir. 1987)). "Substantial evidence is more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion." Winschel v. Comm'r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011) (internal quotations and citations omitted).
Conclusions of law made by the Commissioner are reviewed de novo. Cornelius, 936 F.2d at 1145. "[N]o . . . presumption of validity attaches to the [Commissioner's] conclusions of law." Wiggins v. Schweiker, 679 F.2d 1387, 1389 (11th Cir. 1982).
The regulations require the Commissioner to follow a five-step sequential evaluation to determine whether a claimant is eligible for DIB or SSI.
First, the Commissioner must determine whether the claimant is engaged in "substantial gainful activity." Bowen v. Yuckert, 482 U.S. 137, 137 (1987).
The ALJ found that plaintiff had not engaged in substantial gainful activity since February 16, 2010, the alleged onset date. (R. 36.) While the ALJ noted that plaintiff previously and currently worked up to twenty hours a week as a home health provider, the ALJ found that plaintiff's work activity did not rise to the level of substantial gainful activity, considering plaintiff's posted earnings and the record as a whole. (Id.)
If the claimant is not engaged in substantial gainful activity, the Commissioner must next determine whether the claimant suffers from a severe impairment or combination of impairments that significantly limits the claimant's physical or mental ability to do basic work activities. 20 C.F.R. § 404.1520(a)(4)(ii), (c); § 416.920(a)(4)(ii), (c). "[A] `physical or mental impairment' is an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques." 42 U.S.C. § 423(d)(3); § 1382c(a)(3)(D). The regulations provide: "[I]f you do not have any impairment or combination of impairments which significantly limits your physical or mental ability to do basic work activities, we will find that you do not have a severe impairment and are, therefore, not disabled. We will not consider your age, education, and work experience." 20 C.F.R. § 404.1520(c); § 416.920(c).
An impairment is "severe" if it "significantly limits [a] claimant's physical or mental ability to do basic work activities."
The ALJ found that plaintiff had severe impairments of "osteoarthritis, diabetes, post-traumatic stress disorder, major depressive disorder, panic disorder with agoraphobia, and obesity." (R. 36.)
If the claimant has a severe impairment, the Commissioner must then determine whether the claimant's impairment meets the duration requirement and whether it is equivalent to any one of the listed impairments. 20 C.F.R. § 404.1520(a)(4)(iii), (d)-(e); § 404.1525; § 404.1526. Listed impairments are so severe that they prevent an individual from performing substantial gainful activity. 20 C.F.R. § 416.920(a)(4)(iii), (d)-(e); see 20 C.F.R. pt. 404, Subpart P, Appendix 1 [The Listings]. If the claimant's impairment meets or equals a Listing, the Commissioner must find the claimant disabled, regardless of the claimant's age, education, and work experience. 20 C.F.R. § 404.1520(d); § 416.920(d). The claimant has the burden of proving that her impairment meets or equals the criteria contained in one of the Listings. Reynolds-Buckley, 457 Fed. App'x. at 863.
The ALJ found that plaintiff did not have an impairment or combination of impairments that met or medically equaled a Listing. (R. 36.)
If the impairment does not meet or equal the criteria of a Listing, the claimant must prove that her impairment prevents her from performing her past relevant work. See 20 C.F.R. § 404.1520(a)(4)(iv), (f); § 416.920(a)(4)(iv), (f). At step four, the Commissioner "will first compare [the Commissioner's] assessment of [the claimant's] residual functional capacity ["RFC"] with the physical and mental demands of [the claimant's] past relevant work." 20 C.F.R. § 404.1560(b); § 416.960(b). "Past relevant work is work that [the claimant has] done within the past 15 years, that was substantial gainful activity, and that lasted long enough for [her] to learn to do it." 20 C.F.R. § 404.1560(b)(1); § 416.960(b)(1). If the claimant is capable of performing her past relevant work, the Commissioner will find that she is not disabled. 20 C.F.R. § 404.1560(b)(3); § 416.920(f). The claimant bears the burden of establishing that the impairment prevents her from performing past work. Reynolds-Buckley, 457 F. App'x at 863.
The ALJ found that plaintiff has a limited education and was 54 years old, which is defined as an individual closely approaching advanced age, on the alleged onset date. (R. 48.) The ALJ also found that plaintiff was unable to perform any past relevant work. (R. 47.) The ALJ made the following findings regarding plaintiff's RFC:
(R. 38.)
If the claimant establishes that she is unable to perform her past relevant work, the Commissioner must show that the claimant—in light of her RFC, age, education, and work experience—is capable of performing other work that exists in substantial numbers in the national economy. Reynolds-Buckley, 457 F. App'x at 863; see also 20 C.F.R. § 404.1520(c)(1); § 416.920(g). The regulations provide:
20 C.F.R. § 404.1560(c)(1); § 416.960(c)(1). If the claimant is not capable of performing such other work, the Commissioner must find the claimant disabled. 20 C.F.R. § 404.1520(g); § 416.920(g).
The ALJ consulted a Vocational Expert ["VE"] to determine whether any jobs exist in the national economy that plaintiff could perform, considering her RFC, age, education, and work experience. The VE testified that an individual with plaintiff's limitations and vocational factors could perform the jobs of maid/cleaner, hand packer, and laundry worker, which are jobs that exist in significant numbers in Alabama and in the national economy. (R. 90.) Because the ALJ found that jobs consistent with plaintiff's RFC and vocational factors exist in significant numbers, the ALJ found that plaintiff was not disabled. (R. 49.)
Plaintiff argues that (1) the ALJ erred in discrediting plaintiff's complaints of pain, (2) the ALJ erroneously relied on VE testimony that conflicted with plaintiff's RFC assessment to find that plaintiff could perform other work in the national economy, and (3) even if the court affirms the ALJ's RFC findings, the court should remand for a determination of plaintiff's proper age category at the time of the ALJ decision. (Doc. 10 at 11, 16.) Upon reviewing the record and the parties' briefs, the court finds that the Commissioner's decision is due to be affirmed.
Plaintiff argues that the ALJ did not rely on substantial evidence in discrediting her complaints of pain. (Doc. 10 at 16.) Social Security Ruling 96-7p explains the two step process set out in 20 C.F.R. § 404.1529 and § 416.929 that the ALJ must follow
SSR 96-7p. The ALJ found that, under step one, "the claimant's medically determinable impairments could reasonably be expected to cause the alleged symptoms," but under step two, "the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not credible to the extent they are inconsistent with the above residual functional capacity assessment." (R. 40.)
First, plaintiff argues that the ALJ improperly relied on plaintiff's failure to follow her prescribed treatment. (Doc. 10 at 19.) Specifically, plaintiff argues that the ALJ could not rely on plaintiff's failure to follow prescribed treatment to determine that plaintiff was not disabled without "evidence from a treating source that such treatment would restore [plaintiff's] ability to work." (Doc. 10 at 21.) The Commissioner may rely on a claimant's failure to follow prescribed treatment only if the following requirements are met:
SSR 82-59; see also Lucas v. Sullivan, 918 F.2d 1567, 1572 (11th Cir. 1990) ("[T]he Secretary may not deny SSI disability benefits on the basis of noncompliance with treatment unless it is shown that compliance would restore the claimant's ability to work . . . ."). Contrary to defendant's argument, the ALJ did not properly consider plaintiff's noncompliance with her prescribed mental health treatment. The ALJ stated:
(R. 44.) The ALJ erred in relying on plaintiff's noncompliance because the ALJ did not determine that plaintiff was under a disability or that compliance would restore plaintiff's ability to work. The court agrees with defendant that the ALJ "considered [p]laintiff's noncompliance only as evidence undermining [p]laintiff's credibility." (See Doc. 11 at 8.) However, an ALJ is not permitted to rely on a claimant's noncompliance for this reason. See Dawkins v. Bowen, 848 F.2d 1211, 1213 (11th Cir. 1988) ("In order to deny benefits on the ground of failure to follow prescribed treatment, the ALJ must find that had the claimant followed the prescribed treatment, the claimant's ability to work would have been restored.") (emphasis added).
Therefore, plaintiff's argument on this point is meritorious. Nevertheless, because the ALJ did not primarily base her disability determination on plaintiff's noncompliance and additionally relied on substantial evidence in assessing plaintiff's credibility, the court will not remand for a correction of the ALJ's error. See Mack v. Comm'r of Soc. Sec., 420 F. App'x 881, 883 (11th Cir. 2011) ("Because (1) the ALJ did not significantly base his determination that Mack was not disabled on her noncompliance with prescribed treatment; and (2) there is no dispute that substantial evidence supports the ALJ's credibility finding, the ALJ's assessment of both the medical evidence and Mack's RFC, and the VE's testimony . . ., we affirm.").
Plaintiff next contests the ALJ's reliance on plaintiff's conservative treatment history and hearing testimony. The ALJ found that:
(R. 44.) The ALJ also noted that:
(R. 47.)
Plaintiff argues that, contrary to the ALJ's determination, plaintiff stated she could walk a block before her knees and hips hurt, rather than only four or five feet, and the court agrees. At the hearing, plaintiff stated that she walked four to five feet from her car to the front steps of the residence where plaintiff provided home health care. (R. 72-73.) She did not indicate that four or five feet was the maximum distance she could walk, and she had previously stated in a Function Report that she could walk a block before she was in pain. (See id.; R. 197.) Despite this error, the ALJ relied on substantial evidence in finding that plaintiff's impairments were not as limiting as alleged.
Treatment notes from March 19, 2010 showed that plaintiff's diabetes and hyperlipidemia were at the "goal" level and that the doctor treated plaintiff through prescription medication. (R. 302.) Physicians at the Good Samaritan Health Clinic repeatedly treated plaintiff with medication, and on November 29, 2011, plaintiff stated that the medications helped with her pain. (R. 358, 362, 363, 457.) She also indicated on March 10, 2010 that the medications Seroquel and Lexapro helped stabilize her psychiatric impairments, (R. 309), and on February 3, 2011, plaintiff appeared "elated" at her therapy session and stated she felt Klonopin was helping her, (R. 396). Additionally, the ALJ noted that the treating notes in the record do not contain any restrictions on plaintiff. (R. 45.) While the record does show that plaintiff sought treatment for both her physical and mental impairments with regularity, plaintiff's treatment regime consisting primarily of medication, which appears to have alleviated plaintiff's pain, supports the ALJ's conclusion that plaintiff's impairments were not as limiting as alleged.
Plaintiff also challenges the ALJ's finding that the limited nature of plaintiff's activities could not be attributed to plaintiff's medical impairments, as opposed to other reasons, and could not be objectively verified. (Doc. 10 at 17.) While the ALJ did not support this finding with specific evidence from the record, the ALJ made additional findings regarding plaintiff's daily activities, stating that plaintiff did not limit her daily activities "to the extent one would expect, given the complaints of disabling symptoms and limitations." (R. 46.) The ALJ relied on plaintiff's testimony that she shopped for groceries about once or twice a week, prepared small meals for herself, and drove herself around. (R. 46, 73, 195.) Plaintiff also reported that she completed her daily activities without assistance, attended church, and visited with two of her neighbors. (R. 311.)
Additionally, in 2010, plaintiff worked part-time as a care provider for two disabled Veterans Affairs clients. (R. 193.) She helped the men maintain hygiene and helped one man move from his wheelchair to the bed if he could not stand. (Id.) She was fired in early 2011. (R. 65.) Although plaintiff stated that she no longer wanted to work as a caregiver, she reported working as a care provider for a woman in a wheelchair in June 2011, a few months after she was fired from her previous job, and plaintiff maintained this job until at least October 2011. (R. 386, 393, 447.) The ALJ noted that plaintiff's ability to work as a care provider "at that time strongly suggests that [plaintiff's impairments] would not currently prevent work." (R. 47.) Plaintiff's activities of daily living support a finding that her complaints of pain are not fully credible.
Lastly, plaintiff challenges the ALJ's finding that the objective medical evidence did not support plaintiff's contention that her pain prevented her from working. Plaintiff argues that an x-ray of plaintiff's lumbar spine revealed that plaintiff's spine lacks a normal lordotic curvature and that this impairment, known as flat back syndrome,
Regarding plaintiff's complaints of pain in her hands, a medical examination by Dr. Vakharia showed that plaintiff has 4/5 grip strength in both hands and, although Dr. Vakharia found evidence of osteoarthritis in plaintiff's DIP joints, there were no signs of "muscle wasting" in plaintiff's hands. (R. 41, 334.) The medical evidence of record also did not support plaintiff's complaints of hip pain. Dr. Vakharia found that plaintiff's hip movements were "minimally limited and painful," (R. 334), and an x-ray of plaintiff's right hip joint "revealed interarticular joint space is normal[, and] [b]ony structure is normal. There is no evidence of fracture or dislocation. There is no significant degenerative arthritic changes noted," (R. 338). The court finds that substantial evidence supports the ALJ's credibility determination.
Plaintiff next contends that two of the three jobs the VE testified that plaintiff could perform require a reasoning level of two, which exceeds plaintiff's RFC limiting her to "one-and two-step tasks." (Doc. 10 at 13-14.)
Morgan v. Colvin, Civil Action No. 12-00204-B, 2013 WL 5445690, at *6 (S.D. Ala. Sept. 30, 2013). Further, Social Security Ruling 00-4p requires an ALJ to affirmatively ask the VE whether a conflict exists between the VE's testimony and the DOT.
The ALJ's RFC assessment limited plaintiff to "one- and two-step tasks," which plaintiff argues should limit her to only jobs requiring a reasoning level of one, defined as "[applying] commonsense understanding to carry out simple one- or two-step instructions [and dealing] with standardized situations with occasional or no variables in or from these situations encountered on the job." See 1991 WL 672783. The VE testified that, given plaintiff's age, education, work experience, and RFC, including plaintiff's limitation to one-and two-step jobs, plaintiff could perform the jobs of maid/cleaner (DOT 323.687-014), hand packer (DOT 920.686-083), and laundry worker (DOT 361.687-014). (R. 90.) The jobs of hand packer and laundry worker require a reasoning level of two, which entails "[applying] commonsense understanding to carry out detailed but uninvolved written or oral instructions [and dealing] with problems involving a few concrete variables in or from standardized situations." See 1991 WL 687959; 1991 WL 672991. Before relying on the VE's testimony regarding the jobs plaintiff could perform, the ALJ asked the VE if his testimony was consistent with the DOT, and the VE responded that there was no conflict. (R. 95.)
First, the court finds that no conflict exists between plaintiff's RFC limiting her to one- and two-step tasks and the VE's testimony that plaintiff is capable of performing jobs requiring a reasoning level of two. "Most courts which have addressed this issue have held that the requirement of Reasoning Level 2 or 3 is not inconsistent with the ability to perform only simple tasks." Riddle v. Colvin, Civil Action No. 1:12-cv-787-WC, 2013 WL 6772419, at *6 (M.D. Ala. Dec. 20, 2013) (citations and internal quotations omitted); see also Campbell v. Colvin, Civil Action No. 12-00656-B, 2014 WL 1315600, at *12 (S.D. Ala. Mar. 28, 2014) (finding that the plaintiff failed to show a conflict between her RFC limitation of "very short and simple instructions" and the VE's testimony that plaintiff could perform jobs requiring level two reasoning, "given that the level two reasoning requirement of these jobs is consistent with carrying out simple, one and two step tasks and instructions"); George v. Astrue, Civil Action No. 10-00113-B, 2011 WL 4550131, at *5 (S.D. Ala. Sept. 30, 2011) (holding that plaintiff's RFC limiting him "to carrying out simple one and two step tasks and instructions" did not conflict with the VE's testimony that plaintiff could perform a job requiring a reasoning level of two).
However, even assuming a conflict exists, the ALJ fulfilled her duty under SSR 00-4p by asking the VE if his testimony was consistent with the DOT. When the VE responded that it was, the ALJ was entitled to rely on the VE's testimony. See SSR 00-4p; see also Leigh v. Comm'r of Soc. Sec., 496 F. App'x 973, 975 (11th Cir. 2012) (rejecting an argument that the ALJ erroneously relied on the VE's testimony, where the ALJ inquired about any inconsistencies between the VE's opinion and the DOT, and the plaintiff did not offer evidence controverting the VE's testimony). Furthermore, "SSR 00-4p requires only that the ALJ resolve an `apparent unresolved conflict.'" Campbell, 2014 WL 1315600, at *13. Because the VE responded that his testimony was consistent with the DOT and plaintiff did not offer evidence challenging the VE's opinion on the record, no "apparent unresolved conflict" existed for the ALJ to resolve. The court finds that the VE did not identify jobs beyond plaintiff's ability level and that, even if he did, the ALJ did not err in relying on the VE's testimony to find that plaintiff could perform other work in the national economy.
Lastly, plaintiff argues that, even if the court affirms the ALJ's RFC determination, the court should remand this case for a determination of plaintiff's proper age category as of the date of the ALJ's decision. (Doc. 10 at 16.) At the time of the ALJ's decision, plaintiff was 54 years old, which is defined as a person closely approaching advanced age. (R. 48; see 20 C.F.R. § 416.963(d) (the category for "closely approaching advanced age" encompasses ages 50-54).) According to plaintiff, the ALJ should have applied the Medical Vocational Guidelines ("the Grids") Rule 202.06 for a claimant of advanced age because plaintiff was within six months of turning 55 years old
The Eleventh Circuit has explained:
Miller v. Comm'r of Soc. Sec., 241 F. App'x 631, 634 (11th Cir. 2007); see also 20 C.F.R. § 416.963(b) ("If you are within a few days to a few months of reaching an older age category, and using the older age category would result in a determination or decision that you are disabled, we will consider whether to use the older age category after evaluating the overall impact of all the factors of your case."). To show that plaintiff's ability to adapt to new work at the time of the ALJ decision was less than the ability level associated with individuals closely approaching advanced age, plaintiff proffers evidence that she had flat back syndrome, characterized by a lack of "normal lordotic curvature in her spine," and debilitating pain in her knees, hips, and hands, and that she could not sit longer than thirty minutes due to low back pain. (Doc. 13 at 3.)
First, the court finds that the ALJ did not rely solely on the Grids in deciding that plaintiff was not disabled, and thus, the ALJ was not required to determine in which age category plaintiff belonged. (See R. 48-49.)
Wolfe v. Chater, 86 F.3d 1072, 1077-78 (11th Cir. 1996) (internal and other citations omitted). The ALJ found that, under the Grids, if plaintiff were capable of performing a full range of light work, the ALJ would be required to find plaintiff "not disabled." (R. 48.) However, the ALJ found that plaintiff's limitations impeded her ability to perform all or substantially all of the requirements of light work, so the ALJ used the Grids only as a framework and introduced VE testimony regarding plaintiff's ability to make a vocational adjustment to other work. (Id.) Relying on the VE testimony, the ALJ found that plaintiff was capable of making a vocational adjustment to other work that existed in significant numbers in the national economy. (R. 49.) The ALJ properly relied on VE testimony that, given plaintiff's age, education, work experience, and RFC, plaintiff could perform three jobs that exist in significant numbers in Alabama and the national economy.
However, even assuming the ALJ relied exclusively on the Grids to make a disability determination, the ALJ correctly determined that plaintiff, who was 54 years old at the time of the ALJ's decision, was an individual closely approaching advanced age. To warrant remand, plaintiff must proffer evidence showing that her "ability to adapt was less than the level established under the grids for persons [her] age." Miller, 241 F. App'x at 636. Plaintiff proffered evidence that she had a lesser ability to adapt because of knee, hip, hand, and back pain and an inability to sit longer than thirty minutes. Plaintiff is right that age categories should not be mechanically applied, see 20 C.F.R. § 416.963(b), but as defendant points out, "simply because a claimant is close to an older age category does not mean that the claimant should be mechanically placed in the older age category." (Doc. 11 at 15.) The court finds that substantial evidence supports the ALJ's finding that plaintiff's allegations of pain were not fully credible, and therefore, plaintiff's proffered evidence does not establish that her ability to adapt to new work was less than other individuals closely approaching advanced age. To the extent the ALJ relied on the Grids, any mechanistic application of the Grids was harmless error, and remand is not warranted.
Based on the reasons set forth above, the decision of the ALJ, as adopted by the Commissioner, denying plaintiff's claim for SSI is due to be affirmed. An Order affirming the decision of the Commissioner will be entered contemporaneously with this Memorandum Opinion.
20 C.F.R. § 404.1520(a)(4).
20 C.F.R. § 404.1572.
20 C.F.R. § 404.1521(b)(1)-(6).