ERIN L. SETSER, Magistrate Judge.
Plaintiff, Mark S. McVey, brings this action pursuant to 42 U.S.C. § 405(g), seeking judicial review of a decision of the Commissioner of the Social Security Administration (Commissioner) denying his claim for supplemental security income (SSI) under the provisions of Title XVI of the Social Security Act (Act). In this judicial review, the Court must determine whether there is substantial evidence in the administrative record to support the Commissioner's decision.
Plaintiff filed his application for SSI on October 28, 2010, alleging an inability to work since September 7, 2010, due to "Chronic depression, chronic pain, back pain, hypertension." (Tr. 158-163, 175, 179). An administrative hearing was held on September 22, 2011, at which Plaintiff appeared with counsel and testified. (Tr. 27-66).
By written decision dated October 26, 2011, the ALJ found that Plaintiff had an impairment or combination of impairments that were severe — back disorder, hypertension, substance abuse disorder and seizures. (Tr. 13). However, after reviewing all of the evidence presented, the ALJ determined that Plaintiff's impairments did not meet or equal the level of severity of any impairment listed in the Listing of Impairments found in Appendix I, Subpart P, Regulation No. 4. (Tr. 13). The ALJ found Plaintiff retained the residual functional capacity (RFC) to:
(Tr. 15). With the help of the vocational expert (VE), the ALJ determined that Plaintiff was unable to perform any past relevant work, but that there were other jobs Plaintiff could perform, such as cashier, machine tender, and inspector. (Tr. 21).
Plaintiff then requested a review of the hearing decision by the Appeals Council, which denied the request on January 26, 2012. (Tr. 1-4). Subsequently Plaintiff filed this action. (Doc. 1). This case is before the undersigned pursuant to the consent of the parties. (Doc. 5). Both parties have filed appeal briefs, and the case is now ready for decision. (Docs. 8, 9).
The Court has reviewed the entire transcript. The complete set of facts and arguments are presented in the parties' briefs, and are repeated here only to the extent necessary.
This Court's role is to determine whether the Commissioner's findings are supported by substantial evidence on the record as a whole.
It is well established that a claimant for Social Security disability benefits has the burden of proving his disability by establishing a physical or mental disability that has lasted at least one year and that prevents him from engaging in any substantial gainful activity.
The Commissioner's regulations require him to apply a five-step sequential evaluation process to each claim for disability benefits: (1) whether the claimant had engaged in substantial gainful activity since filing his claim; (2) whether the claimant had a severe physical and/or mental impairment or combination of impairments; (3) whether the impairment(s) met or equaled an impairment in the listings; (4) whether the impairment(s) prevented the claimant from doing past relevant work; and (5) whether the claimant was able to perform other work in the national economy given his age, education, and experience.
What causes the Court concern is the fact that on August 26, 2011, Plaintiff suffered from an acute infarct
The most recent Physical RFC Assessment in this case was completed on November 19, 2010, by Dr. Julius Petty. (Tr. 239-246). Dr. Petty concluded that Plaintiff would be able to perform medium work. (Tr. 246). Plaintiff's most recent mental evaluation was conducted on January 13, 2011, by Nancy A. Bunting, Ph.D. (Tr. 248-252). Dr. Bunting diagnosed Plaintiff as follows:
(Tr. 251).
The ALJ found Plaintiff would be able to perform light work with certain limitations, based upon the record as a whole. However, based upon the recent stroke-like incident that occurred on August 26, 2011, the Court is of the opinion that a Physical RFC Assessment should be completed by an examining physician in order to determine the effect the August 2011 stroke-like incident had on his physical ability to function in the workplace. The Court also recommends that the ALJ obtain a Mental RFC Assessment from an examining consultant, to determine whether the stroke-like incident impacted Plaintiff's mental ability to function in the workplace. Once received, the ALJ should then re-evaluate the RFC Assessment in light of the new information.
Accordingly, the Court believes it is necessary to remand this matter to the Defendant in order for him to obtain more recent Physical and Mental RFC Assessments from examining consultants.
Accordingly, the Court concludes that the ALJ's decision is not supported by substantial evidence, and therefore, the denial of benefits to Plaintiff should be reversed and this matter should be remanded to the Commissioner for further consideration pursuant to sentence four of 42 U.S.C. § 405(g).
ORDERED.