SUZANNE H. SEGAL, Magistrate Judge.
Plaintiff Laray Johnson ("Plaintiff") brings this action seeking to reverse or, in the alternative, to remand the decision of the Commissioner of the Social Security Administration (the "Commissioner" or the "Agency") denying his application for social security benefits. The parties consented, pursuant to 28 U.S.C. § 636(c), to the jurisdiction of the undersigned United States Magistrate Judge. (Dkt. Nos. 11-13). For the reasons stated below, the decision of the Agency is REVERSED and REMANDED for further administrative proceedings.
On November 27, 2013, Plaintiff filed an application for disability benefits claiming that he became disabled on July 2, 2012. ("Certified Administrative Record (`AR')," Dkt. No. 16 at 175-83). The Agency denied his application on March 7, 2014. (AR 95-6). Plaintiff then requested a hearing, which was held before Administrative Law Judge ("ALJ") Joel B. Martinez on February 1, 2016. (AR 40-74). Plaintiff appeared with counsel and testified. (AR 42-69). Alan E. Cummings, a vocational expert, also testified at the hearing. (AR 69-72).
On March 21, 2016, the ALJ issued a decision denying benefits. (AR 19-36). Plaintiff sought review before the Appeals Council, which denied his request on July 25, 2017. (AR 1-6). Plaintiff filed the instant action on September 15, 2017. ("Complaint," Dkt. No. 1).
To qualify for disability benefits, a claimant must demonstrate a medically determinable physical or mental impairment that prevents her from engaging in substantial gainful activity
To decide if a claimant is entitled to benefits, an ALJ conducts a five-step inquiry. 20 C.F.R. § 416.920. The steps are:
The claimant has the burden of proof at steps-one through — four and the Commissioner has the burden of proof at step-five.
The ALJ employed the five-step sequential evaluation process. At step-one, the ALJ found that Plaintiff has not engaged in substantial gainful activity since his alleged onset date. (AR 24). At step-two, the ALJ found that Plaintiff's bilateral shoulder sprain/strain with ultrasound findings, degenerative disc disease of the cervical spine, kidney disease, and obesity are severe impairments. (AR 24-27). At step-three, the ALJ found that does not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (AR 27). At step-four, the ALJ found that Plaintiff is unable to perform any past relevant work. (AR 30). However, the ALJ determined that despite Plaintiff's severe impairments, he retains the RFC to perform light work, which is defined in 20 C.F.R. § 404.1567(b) and § 416.967(b) as:
(AR 27-28). At step-five, the ALJ found that Plaintiff can perform jobs that exist in significant numbers in the national economy, such as a bench inspector. (AR 30-31). Accordingly, the ALJ found that Plaintiff was not disabled. (AR 31).
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. "[The] court may set aside the Commissioner's denial of benefits when the ALJ's findings are based on legal error or are not supported by substantial evidence in the record as a whole."
"Substantial evidence is more than a scintilla, but less than a preponderance."
Plaintiff asserts two claims. First, Plaintiff disputes the ALJ's evaluation of Daniel J. Paveloff's, M.D., opinion. ("Plaintiff's Memo," Dkt. No. 17 at 3-6). Plaintiff specifically argues that despite stating that he gave great weight to Dr. Paveloff's opinion, the ALJ failed to include in the RFC the lifting limitation and the likely absenteeism found by Dr. Paveloff. (
Second, Plaintiff contends the ALJ failed to articulate clear and convincing reasons for rejecting Plaintiff's testimony. (Plaintiff's Memo at 6-8). However, because the Court finds the ALJ committed reversible error in evaluating Dr. Paveloff's opinion, it is unnecessary for the Court to address Plaintiff's second claim.
"`In disability benefits cases . . . physicians may render medical, clinical opinions, or they may render opinions on the ultimate issue of disability — the [plaintiff's] ability to work.'"
Generally, the treating physician's medical opinion is given "`controlling weight' so long as it `is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the claimant's] case record.'"
During the evaluation, the ALJ is not required to comment on every piece of medical evidence.
Despite stating he gave great weight to Dr. Paveloff's medical opinion, the ALJ failed to include or address two of Dr. Paveloff's limitations within the ALJ's RFC assessment.
After evaluating the medical opinions of Plaintiff's treating physicians, the ALJ determined in his RFC assessment that Plaintiff has the "capacity to perform light work, which is defined . . . as lifting and/or carrying up to 20 pounds occasionally and 10 pounds frequently. . . ." (AR 27). Dr. Paveloff's opinion, however, stated that Plaintiff could lift and/or carry up to 20 pounds occasionally and
The ALJ failed to provide a specific and legitimate reason for rejecting Dr. Paveloff's opinion regarding a lifting limitation. While the ALJ included a different lifting restriction in his decision, he failed to provide any reason for rejecting the treating physician's limitation on lifting, a more restrictive limitation. This failure requires remand.
After assessing Dr. Paveloff's medical opinion and giving it great weight, the ALJ failed to address Plaintiff's potential to miss work more than three days a month. (AR 932). As discussed previously, an ALJ need not discuss every piece of medical evidence, but he must explain his actions if he rejects significant probative evidence.
If an individual will experience multiple absences during a single month, that individual may be found disabled.
With no explanation or acknowledgment as to why the ALJ did not take into account Plaintiff's lifting limitation and absenteeism as identified in Dr. Paveloff's medical opinion, remand is required.
Accordingly, IT IS ORDERED that Judgment be entered REVERSING the decision of the Commissioner and REMANDING this matter for further proceedings consistent with this decision. IT IS FURTHER ORDERED that the Clerk of the Court serve copies of this Order and the Judgment on counsel for both parties.