KENDALL J. NEWMAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision by the Commissioner of Social Security ("Commissioner") denying plaintiff's application for Supplemental Security Income ("SSI") under Title XVI of the Social Security Act ("Act").
After carefully considering the parties' written briefing, the court's record, and the applicable law, the court DENIES plaintiff's motion for summary judgment, GRANTS the Commissioner's cross-motion for summary judgment, and AFFIRMS the final decision of the Commissioner.
Plaintiff was born on January 4, 1955; has at least a high school education; is able to communicate in English; and previously worked primarily as a janitor and parking lot attendant. (Administrative Transcript ("AT") 25, 67, 90, 176, 178.)
On appeal, plaintiff raises the sole issue of whether the ALJ erroneously failed to incorporate into the residual functional capacity assessment a limitation that plaintiff was restricted to carrying out one- to two-step instructions.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
The ALJ evaluated plaintiff's entitlement to SSI pursuant to the Commissioner's standard five-step analytical framework.
Before proceeding to step four, the ALJ assessed plaintiff's residual functional capacity ("RFC") as follows:
(AT 21.)
At step four, the ALJ determined that plaintiff was unable to perform any past relevant work. (AT 25.) However, at step five, the ALJ found that, in light of plaintiff's age, education, work experience, and RFC, and based on the VE's testimony, there were jobs that existed in significant numbers in the national economy that plaintiff could perform. (AT 26.) Specifically, the VE testified that plaintiff would be able to perform the representative occupations of stubber, patient transporter, and bagger. (
Plaintiff does not challenge the ALJ's findings with respect to her physical impairments and limitations; nor does she challenge the ALJ's adverse credibility findings. Instead, plaintiff only challenges the ALJ's evaluation of the mental component of the RFC; more specifically, the restriction limiting plaintiff to work involving simple, routine, and repetitive tasks.
Plaintiff's argument is relatively straightforward: according to plaintiff, non-examining state agency physician Dr. Balson restricted plaintiff to carrying out one- to two-step instructions, and although the ALJ purportedly gave substantial weight to Dr. Balson's opinion, the ALJ erroneously failed to incorporate that specific limitation into the RFC or explain why that limitation was not adopted. Furthermore, plaintiff argues that such purported error was not harmless. Based on the ALJ's RFC for simple, routine, repetitive tasks, the VE identified the representative occupations of stubber, patient transporter, and bagger, which are all reasoning level 2 occupations. In reliance on
The fundamental problem with plaintiff's argument is its initial premise: that Dr. Balson actually restricted plaintiff to only carrying out one- to two-step instructions. Although that is one potential interpretation, Dr. Balson's opinion, considered as a whole, is in fact ambiguous. To be sure, in one portion of his opinion, Dr. Balson indicates that plaintiff was able to "carry out one and two-step instructions with adequate concentration, persistence and pace over a normal workday/workweek." (AT 87.) However, in other portions of the opinion, Dr. Balson states that plaintiff was able to understand, remember, and carry out short and simple instructions; only moderately limited in her ability to understand, remember, and carry out detailed instructions; and that he recommended limiting plaintiff merely to unskilled work. (AT 81-82, 86.)
Moreover, based on the record, the court cannot say that the ALJ's resolution of the ambiguity was irrational. Indeed, the ALJ's interpretation of state agency physician Dr. Balson's opinion is more consistent with the opinion of the consultative examiner, Dr. Ko Fang, who did not restrict plaintiff to only carrying out one- to two-step instructions, but instead found that plaintiff's ability to perform simple and repetitive tasks was only mildly impaired, her ability to perform detailed and complex tasks was only moderately impaired, and her ability to perform work activities on a consistent basis without special or additional instruction was only mildly impaired. (AT 339.) Dr. Fang also observed that plaintiff was able to concentrate during the interview with no redirection needed. (AT 337.) Because Dr. Fang personally examined plaintiff and made independent clinical findings, his opinion constitutes substantial evidence on which the ALJ was entitled to rely. Significantly, in this case, Dr. Balson's opinion also specifically indicated that he agreed with Dr. Fang's findings from the consultative examination, further supporting the ALJ's interpretation. (AT 87.) Indeed, even if the ALJ had interpreted Dr. Balson's opinion to be inconsistent with Dr. Fang's opinion, he would have been required by applicable law to provide specific and legitimate reasons to reject Dr. Fang's examining opinion and could not have relied solely on Dr. Balson's non-examining opinion to do so.
Finally, the court notes that the ALJ's interpretation of Dr. Balson's opinion is also consistent with other evidence in the record. Notably, the record contains minimal evidence of any mental health treatment. On May 20, 2013, after the consultative examination with Dr. Fang, plaintiff requested her treating provider, Dr. Thao Nguyen, to fill out disability paperwork and complained of a depressed mood since her mother passed away 26 years prior. Dr. Nguyen assessed a sad mood, but linear thought processes and intact insight and judgment; did not declare plaintiff disabled or issue any specific mental limitations; prescribed Zoloft; and referred plaintiff for therapy, although the record does not show any evidence of subsequent therapy. (AT 344-45.) On her next visit to the same clinic on July 18, 2013, plaintiff did not report any mental health symptoms. (AT 342-43.) Additionally, although plaintiff alleged disability as of 1998, she actually worked full time from 2006-2010 until she was laid off due to a conflict with her supervisor, and at the time of the hearing she continued to work as a janitor for five full days a month. (AT 38, 46-48, 51-52, 58-59, 177-78.) Plaintiff herself testified that she had no problems thinking at work and was able to follow the directions of her supervisors. (AT 46.)
In sum, the ALJ did not improperly reject a portion of Dr. Balson's opinion. Instead, Dr. Balson's opinion was ambiguous; the ALJ's interpretation of that opinion was reasonable, rational, and consistent with the record as a whole; and the court defers, as it must, to that interpretation.
In light of the above, the ALJ's decision was free from prejudicial legal error and supported by substantial evidence in the record as a whole. Accordingly, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 12) is DENIED.
2. The Commissioner's cross-motion for summary judgment (ECF No. 16) is GRANTED.
3. The final decision of the Commissioner is AFFIRMED, and judgment is entered for the Commissioner.
4. The Clerk of Court shall close this case.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.