EDMUND F. BRENNAN, District Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying her applications for a period of disability and Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act. The parties have filed cross-motions for summary judgment. For the reasons discussed below, plaintiff's motion is granted, the Commissioner's motion is denied, and the matter is remanded for further proceedings.
Plaintiff filed applications for a period of disability, DIB and SSI, alleging that she had been disabled since October 31, 2009. Administrative Record ("AR") 197-224. Plaintiff's applications were denied initially and upon reconsideration. Id. at 139-143, 147-152. On September 13, 2013, a hearing was held before administrative law judge ("ALJ") William C. Thompson, Jr. Id. at 53-70. Plaintiff was represented by counsel at the hearing, at which she and a vocational expert testified. Id.
On October 25, 2013, the ALJ issued a decision finding that plaintiff was not disabled under sections 216(i), 223(d), and 1614(a)(3)(A) of the Act.
Id. at 31-43.
Plaintiff's request for Appeals Council review was denied on April 3, 2015, leaving the ALJ's decision as the final decision of the Commissioner. Id. at 1-6.
The Commissioner's decision that a claimant is not disabled will be upheld if the findings of fact are supported by substantial evidence in the record and the proper legal standards were applied. Schneider v. Comm'r of the Soc. Sec. Admin., 223 F.3d 968, 973 (9th Cir. 2000); Morgan v. Comm'r of the Soc. Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999); Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999).
The findings of the Commissioner as to any fact, if supported by substantial evidence, are conclusive. See Miller v. Heckler, 770 F.2d 845, 847 (9th Cir. 1985). Substantial evidence is more than a mere scintilla, but less than a preponderance. Saelee v. Chater, 94 F.3d 520, 521 (9th Cir. 1996). "`It means such evidence as a reasonable mind might accept as adequate to support a conclusion.'" Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol. Edison Co. v. N.L.R.B., 305 U.S. 197, 229 (1938)).
"The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving ambiguities." Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001) (citations omitted). "Where the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the ALJ's conclusion must be upheld." Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002).
Plaintiff argues that the ALJ erred in rejecting the opinion from her examining physician without providing legally sufficient reasons. ECF No. 12 at 5-12.
The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals. Lester, 81 F.3d at 834. Ordinarily, more weight is given to the opinion of a treating professional, who has a greater opportunity to know and observe the patient as an individual. Id.; Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996). To evaluate whether an ALJ properly rejected a medical opinion, in addition to considering its source, the court considers whether (1) contradictory opinions are in the record; and (2) clinical findings support the opinions. An ALJ may reject an uncontradicted opinion of a treating or examining medical professional only for "clear and convincing" reasons. Lester, 81 F.3d at 831. In contrast, a contradicted opinion of a treating or examining medical professional may be rejected for "specific and legitimate" reasons that are supported by substantial evidence. Id. at 830. While a treating professional's opinion generally is accorded superior weight, if it is contradicted by a supported examining professional's opinion (e.g., supported by different independent clinical findings), the ALJ may resolve the conflict. Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995) (citing Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)). However, "[w]hen an examining physician relies on the same clinical findings as a treating physician, but differs only in his or her conclusions, the conclusions of the examining physician are not `substantial evidence.'" Orn v. Astrue, 495 F.3d 625, 632 (9th Cir. 2007).
Plaintiff underwent a comprehensive orthopedic evaluation, which was performed by Dr. Dale Van Kirk. AR 364-368. Based on his examination, Dr. Kirk opined that plaintiff could cumulatively stand and/or walk for four hours in an eight-hour workday, with periodic breaks; cumulatively sit for four hours in an eight-hour workday, with period stretch breaks; and lift and carry 20 pounds occasionally and 10 pounds frequently. Id. at 367. He further opined that plaintiff could only occasionally bend, stoop, crouch, climb, kneel, balance, crawl, push, or pull. Id.
The record also contains opinions from non-examining physicians E.L. Gilpeer and A. Resnik. Dr. Gilpeer opined that plaintiff could lift 20 pounds occasionally and 10 pounds frequently; stand and/or walk for a total of 2 hours in an eight-hour day; sit about 6 hours in an eight-hour day; push and pull without limitations; occasionally climb ramps and stairs, but never ladders, ropes, or scaffolds; and occasionally balance, stoop, kneel, crouch, and crawl. Id. 82-83; 92-93. Dr. Resnik opined that plaintiff could lift and carry 20 pounds occasionally and 10 pounds frequently; stand and/or walk for a total of 4 hours in an eight-hour day; sit about 6 hours in an eight-hour day; push and pull without limitations; occasionally climb ramps and stairs, but never ladders, ropes, or scaffolds; and occasionally balance, stoop, kneel, crouch, and crawl. Id. at 103-104, 111-112.
In assessing plaintiff's RFC, the ALJ purported to accord "great weight" to the opinions provided by all three physicians. Id. at 40. Plaintiff argues that despite the ALJ stating that great weight was given to Dr. Kirk's opinion, the ALJ actually rejected a portion of this examining opinion. Specifically, plaintiff argues that the ALJ rejected, without explanation, Dr. Kirk's opinion that plaintiff was limited to sitting and standing/walking for four-hours in a workday and would require a job that permits her to change positions or take periodic breaks. ECF No. 12 at 8.
The ALJ determined that plaintiff maintained the RFC to both stand/walk and sit for six hours in an eight-hour work day. AR 33-34. As Dr. Kirk limited plaintiff to standing/walking and sitting for four hours with breaks, it is apparent that the ALJ rejected this portion Dr. Kirk's opinion. The ALJ provided the following explanation for how the medical opinion evidence supported his RFC determination:
This general and vague explanation provides no insight into how the ALJ weighed the medical opinion evidence. Nor does it satisfy the ALJ's obligation to provide specific and legitimate reasons for rejecting Dr. Kirk's examining opinion. An ALJ may satisfy his burden of providing specific and legitimate reasons for rejecting a contradicted medical opinion "by setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings." Embrey v. Bowen, 849 F.2d 418, 421 (9th Cir. 1988). The ALJ's explanation fails to address any conflicting evidence that would support his tacit rejection of standing/walking and sitting limitations assessed by Dr. Kirk's opinion. Accordingly, the ALJ failed to give legally sufficient reasons for rejecting Dr. Kirk's opinion.
Further, the court also notes that while the ALJ purported to give "great weight" to all of the physicians' opinions, concluding that "all of these physicians are generally consistent in that they all assess the claimant is able to perform a range of work at the light exertional level with some difference in the degree of specific function-by function limitations" (AR 40), none of the opinions of record support the ALJ's determination that plaintiff maintains the ability to walk/stand for 6 hours in an eight-hour workday. Dr. Kirk and Dr. Resnik concluded that plaintiff was limited to no more than 4 hours of standing and walking in an eight-hour workday (id. at 111, 367), while Dr. Gilpeer limited plaintiff's ability to walk/stand to 2 hours (id. at 82). Although the ALJ asserts that he "adopted those specific restrictions on a function-by-function basis that are best supported by the objective evidence as a whole," the court (as well as plaintiff) must guess as to what evidence the ALJ actually relied upon in determining plaintiff's RFC.
Accordingly, the ALJ's decision is not supported by substantial evidence and the proper legal standards were not applied.
Accordingly, it is hereby ORDERED that:
1. Plaintiff's motion for summary judgment is granted;
2. The Commissioner's cross-motion for summary judgment is denied;
3. The matter is remanded for further considerations consistent with this order; and
4. The Clerk is directed to enter judgment in plaintiff's favor.
Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995).
The claimant bears the burden of proof in the first four steps of the sequential evaluation process. Yuckert, 482 U.S. at 146 n.5. The Commissioner bears the burden if the sequential evaluation process proceeds to step five. Id.