JAY C. GANDHI, Magistrate Judge.
Gilbert Cambaliza ("Plaintiff") challenges the Social Security Commissioner's decision denying his application for disability benefits. Four issues are presented for decision here:
1. Whether the Administrative Law Judge ("ALJ") made contradictory findings regarding the severity of Plaintiff's impairments and whether he meets a Listing, (see Joint Stip. at 3-4, 6-7);
2. Whether the ALJ's decision to utilize the Medical-Vocational Guidelines ("Grids") at step five was proper, (see id. at 7-10, 13-14);
3. Whether the ALJ properly evaluated Plaintiff's credibility, (see id. at 14-15, 17-18); and
4. Whether the ALJ improperly rejected Plaintiff's treating physicians. (See id. at 18, 20-21.)
The Court addresses, and rejects, each argument in turn.
Plaintiff first argues that the ALJ contradicted himself because "it is erroneous to find that a Plaintiff has a severe mental impairment, but no more than mild limitations in terms of the "B" criteria. This is a legal impossibility." (Id. at 4.) Plaintiff, however, is mistaken.
The ALJ properly found Plaintiff's mental impairments to be severe at step two. Step two serves as a "`de minimis screening device to dispose of groundless claims.'" Edlund v. Massanari, 253 F.3d 1152, 1158 (9th Cir. 2001) (citation omitted). The regulations direct an ALJ to find a mental impairment severe when a claimant either suffers moderate limitations in activities of daily living, social functioning, or concentration, persistence, or pace, or has "more than a minimal limitation on [his] ability to do basic work activities." 20 C.F.R. § 404.1520a(c)(4).
Here, the ALJ found that Plaintiff's depression and anxiety had no effect on his daily activities or social functioning, and a mild effect on his concentration, persistence, or pace. (Administrative Record ("AR") at 15.) Nevertheless, the ALJ gave Plaintiff the benefit of the doubt that his impairments constituted "more than a minimal limitation" on his ability to work, and properly found them to be severe.
But in so holding, the ALJ was not required to find that Plaintiff's depression and anxiety rise to the level of a Listing. To the contrary, it is Plaintiff's burden to set forth evidence supporting the findings of a listed impairment. Burch v. Barnhart, 400 F.3d 676, 683 (9th Cir. 2005). To meet his burden for Listing 12.04, 12.06 or 12.09 specifically, Plaintiff must demonstrate, among other things, that he satisfies the "Paragraph B" criteria. See 20 C.F.R. Pt. 404, Subpt. P, App. 1 § 12.00A. In particular, Plaintiff must prove that his mental impairments cause at least two of the following: marked deficiencies in either activities of daily living, maintaining social functioning, or concentration, persistence or pace, or repeated episodes of deterioration or decompensation. See id. §§ 12.04B, 12.06B, 12.09B.
Here, Plaintiff fails to prove that he meets a Listing. As noted above, the ALJ found that Plaintiff's depression and anxiety had no effect on his daily activities or social functioning, and only a mild effect on his concentration, persistence, or pace. (AR at 15.) Likewise, the ALJ found no episodes of decompensation. (Id.) In support of these findings, the ALJ relied on consultative examiner Deborah Digiaro and state agency consultant S. Bortner. (See id. at 15, 18.)
Dr. Digiaro examined Plaintiff and found that he:
(AR at 16, 226-27); see Orn v. Astrue, 495 F.3d 625, 632 (9th Cir. 2007) (when an examining physician provides "independent clinical findings . . .," such findings constitute "substantial evidence.") (citation omitted). Dr. Bortner, for his part, reviewed Plaintiff's medical record, specifically considering the "Paragraph B" criteria, and found no more than mild limitations, and no episodes of decompensation. (AR at 16, 228-41); see Thomas v. Barnhart, 278 F.3d 948, 957 (9th Cir. 2002) ("The opinions of non-treating or nonexamining physicians may also serve as substantial evidence when the opinions are consistent with independent clinical findings or other evidence in the record.").
Accordingly, there is no contradiction between the ALJ's severity and Listing findings, and the ALJ properly determined that Plaintiff does not meet a Listing.
Plaintiff next contends that the ALJ erred at step five by relying on the Grids instead of testimony from a vocational expert ("VE"). (See Joint Stip. at 7-10, 13-14.) Specifically, Plaintiff argues that reliance on the Grids is improper where, as here, non-exertional limitations are present. (Id. at 9-10.)
However, as a matter of law, testimony from a VE is required only if a claimant's non-exertional impairments are sufficiently severe so as to "significantly limit the range of work permitted by the claimant's exertional limitations." Hoopai v. Astrue, 499 F.3d 1071, 1076 (9th Cir. 2007) (citing Burkhart v. Bowen, 856 F.2d 1335, 1340 (9th Cir. 1988)).
In this case, Plaintiff's Residual Functional Capacity ("RFC") restricted him to medium exertion, unskilled work with two non-exertional limitations:
With respect to the first limitation, the Social Security Rulings indicate that a limitation to avoid working at heights would not ordinarily have a significant impact on the range of available work. See Social Security Ruling ("SSR") 85-15, 1985 WL 56857, at *6; see Salgado v. Astrue, 2011 WL 717251, at *5 (C.D. Cal. Feb. 22, 2011) (ALJ did not err in relying on the Grids where claimant's non-exertional limitations included, among other things, unprotected elevations) (citation omitted). Thus, at least on this ground, Hoopai is not violated.
As for the second restriction, the Ninth Circuit has opined that mild to moderate mental limitations are insufficiently severe to have a significant impact on a claimant's base of unskilled work. See Hoopai, 499 F.3d at 1077 (discussing mild to moderate symptoms of depression); see 20 C.F.R. §§ 404.1568(a), 416.98(a) (defining unskilled work as needing little or no judgment to do simple duties that can be learned in a short period of time).
Here, as described above, the ALJ properly accepted the opinions of Drs. Digiaro and Bortner in finding that Plaintiff had only mild limitations in concentration, persistence, or pace. (See AR at 16.) Because Plaintiff's limitations are well below moderate, they are insufficiently severe under Hoopai.
Accordingly, the ALJ's step-five determination did not improperly rely on the Grids, and is, therefore, supported by substantial evidence. See Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001).
Next, Plaintiff argues that the ALJ improperly rejected his credibility. (See Joint Stip. at 14-15, 17-18.) The Court disagrees for the following four reasons.
An ALJ can reject a claimant's subjective complaints by expressing clear and convincing reasons for doing so. Benton ex rel. Benton v. Barnhart, 331 F.3d 1030, 1040 (9th Cir. 2003).
First, the ALJ properly found that the objective medical evidence does not support Plaintiff's alleged degree of disability. See Rollins v. Massanari, 261 F.3d 853, 856-57 (9th Cir. 2001) (lack of objective evidence, when combined with other factors, is a valid reason for rejecting Plaintiff's testimony). Specifically, Plaintiff's objective testing results for arthritis and hypertension appear consistently mild. (See, e.g., AR at 218, 220, 246-51.) Indeed, treatment notes indicate that on November 10, 2011, Plaintiff reported a "pain assessment level of zero." (Id. at 17, 259.) As to his mental impairments, Plaintiff reported that "his medications are helping his anxiety." (Id. at 17, 258.) Moreover, Plaintiff's two consultative examiners indicated that he is able to work with minor limitations. (Id. at 217-41.)
Second, the ALJ properly discounted the alleged severity of Plaintiff's symptoms because the record reflects minimal and conservative treatment. (Id. at 19); see Fair v. Bowen, 885 F.2d 597, 604 (9th Cir. 1989) (ALJ properly considered discrepancies between allegations of "persistent and increasingly severe" pain, and the extent of treatment obtained). Here, despite complaining of severe pain, Plaintiff only visited his physicians for general health issues, and never reported disabling pain. (AR at 166-213, 259.)
Third, the ALJ properly noted that Plaintiff was not forthcoming with the extent of his alcohol use. (Id. at 16); see Batson v. Comm'r of Soc. Sec. Admin., 359 F.3d 1190, 1196 (9th Cir. 2004) (ALJ may rely on inconsistent statements to find claimant not credible). Here, Plaintiff testified that he stopped drinking entirely in 2010. (AR at 16, 48.) To the contrary, however, Plaintiff told his treating physician that he was drinking 48 ounces of beer a day in 2011. (Id. at 273.)
Lastly, the ALJ properly considered Plaintiff's poor work history. (Id. at 19); see Thomas, 278 F.3d at 959 (claimant's "extremely poor work history" supports negative credibility determination). In particular, Plaintiff's earnings records reflect that he worked only sporadically in the six years before he alleged disability. (AR at 113.) On these facts, the ALJ reasonably concluded that Plaintiff's lack of work was not due to his alleged disability, but to some other factor. (Id. at 19-20); see Andrews v. Shalala, 53 F.3d 1035, 1039-40 (9th Cir. 1995) (ALJ's findings must be upheld if supported by inferences reasonably drawn from the record).
Accordingly, the Court finds that the ALJ's determination of Plaintiff's credibility is supported by substantial evidence. See Mayes, 276 F.3d at 458-59.
Finally, Plaintiff argues that "the ALJ erred by not assigning controlling weight to the opinions of [his] treating physicians," Drs. Gilbert Saul and Ashley Benjamin. (See Joint Stip. at 17-18.) But the "treating physician's opinion is not necessarily conclusive as to either a physical condition or the ultimate issue of disability." Morgan v. Comm'r of Soc. Sec. Admin., 169 F.3d 595, 600 (9th Cir. 1999). Moreover, an ALJ may discount the treating physician's opinion entirely when it is not supported by objective evidence. Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989).
The ALJ properly gave "very little" weight to Dr. Saul's "Short-Form Evaluation for Mental Disorders" for three reasons. (See AR at 18-19.)
First, the ALJ properly noted that Dr. Saul's check-off form is not supported by "appropriate diagnostic examination along with a description of results." (Id. at 19); see Batson, 359 F.3d at 1195 (ALJ properly rejects a treating physician's opinion when it is conclusory, brief, and unsupported); Crane v. Shalala, 76 F.3d 251, 253 (9th Cir. 1996) (ALJ may reject check-off forms that do not explain bases for their conclusions). Indeed, Dr. Saul met Plaintiff only once before filling out his questionnaire and provided no treatment notes whatsoever. (See AR at 270-79.)
Next, the ALJ properly rejected Dr. Saul's opinion because it lacked objective support in the record. (Id. at 25); see Magallanes, 881 F.2d at 753. Preliminarily, as noted above, Plaintiff's records are limited because he did not routinely seek medical care.
Finally, the ALJ rejected Dr. Saul's opinion as "based primarily on the subjective statements of [Plaintiff]." (Id. at 19); see Fair, 885 F.2d at 605 (ALJ properly rejected treating physician's report because that opinion was premised on claimant's subjective complaints, which the ALJ properly discounted). Here Dr. Saul's check-off form appears to mimic Plaintiff's subjective statements, which were properly rejected above. (See AR at 270-79.)
As such, the ALJ properly gave limited weight to Dr. Saul's opinion.
Similarly, the ALJ properly rejected Dr. Benjamin's Global Assessment of Functioning ("GAF") score because the GAF, as a method for evaluating the severity of impairments, has been specifically rejected by the Social Security Administration. See 65 Fed. Reg. 50746-01, 2000 WL 1173632, at *50746-47 (Aug. 21, 2000). As the regulations point out, a GAF score fails to capture a claimant's longitudinal health. Id. Indeed, as the ALJ further expounded, "such subjectively assessed scores review only snapshots of impaired, then improved behavior." (AR at 19.) Accordingly, a GAF score alone cannot establish disability.
Further, in rejecting Drs. Saul and Benjamin, the ALJ gave great weight to the two consultative examiners and state agency consultant. (Id. at 18.) All three opinions constitute substantial evidence in support of the ALJ's decision.
The examining opinions of Drs. Digiaro and Sodager-Marvasti amount to substantial evidence because they rest on "independent clinical findings." See Orn, 495 F.3d at 63. Dr. Digiaro's clinical findings have already been detailed above. Dr. Shahrzad Sodager-Marvasti, for her part, likewise examined Plaintiff, performed objective testing, and provided an in-depth narrative report of her findings. (AR at 217-22.) Testing revealed normal muscle strength and average range of motion in Plaintiff's back, arms, and legs. (Id. at 220.) Based on her mild objective findings, Dr. Sodager-Marvasti opined that Plaintiff could perform medium work with minimal non-exertional limitations. (Id. at 222.) Notably, Dr. Sodager-Marvasti is the only physician of record to render an opinion concerning Plaintiff's physical limitations. (See generally id.)
Finally, Dr. Bortner's non-treating, non-examining opinion constitutes substantial evidence because "the opinion [is] consistent with independent clinical findings or other evidence in the record." See Thomas, 278 F.3d at 957. Here, Dr. Bortner's opinion is consistent with other evidence in the record. In particular, as discussed previously, Dr. Bortner's opinion closely coincides with that of Dr. Digiaro. For instance, both Drs. Bortner and Digiaro diagnosed Plaintiff with alcohol induced anxiety and depression. (AR at 226, 233.) Both doctors further found that Plaintiff suffered only mild difficulties in maintaining concentration, persistence or pace. (Id. at 222, 238.)
Accordingly, the ALJ properly rejected the opinions of Drs. Saul and Benjamin
Based on the foregoing, IT IS ORDERED THAT judgment shall be entered