KENDALL J. NEWMAN, Magistrate Judge.
Plaintiff James Smith seeks judicial review of a final decision by the Commissioner of Social Security ("Commissioner") denying plaintiff's application for Disability Insurance Benefits ("DIB") under Title II of the Social Security Act ("Act").
After carefully considering the record and the parties' briefing, the court DENIES plaintiff's motion for summary judgment, GRANTS the Commissioner's cross-motion for summary judgment, and AFFIRMS the Commissioner's final decision.
Plaintiff was born on May 16, 1969; has at least a high school education; can communicate in English; and previously worked as a meter inspector, house repairer, electrician, diesel mechanic, and appliance installer. (Administrative Transcript ("AT") 472.)
On remand, the ALJ conducted a supplemental hearing on September 10, 2015, at which plaintiff (represented by counsel), a medical expert, and a vocational expert testified. (AT 479-529.) Thereafter, on October 13, 2015, the ALJ issued a decision again finding that plaintiff was not disabled, for purposes of the Act, from October 2, 2009, through September 30, 2011, plaintiff's date last insured. (AT 463-73.) The ALJ's October 13, 2015 decision became the final decision of the Commissioner when the Appeals Council denied plaintiff's request for review on May 9, 2016. (AT 448-50.) Plaintiff then filed this second district court action on July 8, 2016, to obtain judicial review of the Commissioner's final decision. (ECF No. 1.)
On appeal, plaintiff raises the following issues: (1) whether the ALJ erred by exceeding the scope of this court's prior remand order; and (2) whether the ALJ improperly rejected the opinions of examining physicians Dr. Johnson and Dr. Hsia.
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 DIB pursuant to the Commissioner's standard five-step analytical framework.
Before proceeding to step four, the ALJ assessed plaintiff's RFC as follows:
(AT 466.) At step four, the ALJ determined that plaintiff was unable to perform any past relevant work through the date last insured. (AT 472.) However, at step five the ALJ found that, in light of plaintiff's age, education, work experience, RFC, and the vocational expert's ("VE") testimony, there were jobs that existed in significant numbers in the national economy that plaintiff could have performed through the date last insured. (AT 472-73.)
Thus, the ALJ concluded that plaintiff had not been under a disability, as defined in the Act, from October 2, 2009, through September 30, 2011, plaintiff's date last insured. (AT 473.)
Whether the ALJ erred by exceeding the scope of this court's prior remand order?
Plaintiff contends that the ALJ exceeded the scope of this court's prior remand by actually assessing a less favorable RFC compared to the original ALJ decision. Plaintiff notes that the new decision omits several previously-assessed functional limitations that were not at issue in the prior federal court appeal. That argument is unavailing.
In the original ALJ decision, the ALJ purported to give significant weight to the opinions of examining physicians Dr. Johnson and Dr. Hsia, but failed to include several of their assessed limitations without explanation. Consequently, this court remanded for proper consideration of their opinions, as well as "further development of the record and/or further findings addressing the deficiencies" noted in the court's order. (
Whether the ALJ improperly rejected the opinions of examining physicians Dr. Johnson and Dr. Hsia?
The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals.
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.
In this case, it is undisputed that the opinions of examining physicians Dr. Johnson and Dr. Hsia were significantly more restrictive than the ALJ's RFC. Dr. Johnson, a consultative examiner for the Commissioner, opined, inter alia, that plaintiff could never lift more than 10 pounds and was unable to complete an eight-hour workday. (AT 399.) Dr. Hsia, the qualified medical evaluator in plaintiff's workers compensation case, assessed, among other restrictions, that plaintiff was unable to sit for more than 60 minutes or stand for more than 15 minutes. (AT 445.) However, contrary to plaintiff's contention, the ALJ provided specific and legitimate reasons for discounting their opinions.
The ALJ reasonably relied on the opinion of plaintiff's treating neurosurgeon, Dr. John Yen, who on July 20, 2009, after plaintiff's second surgery, noted that plaintiff was doing very well with much improved sciatica, and assessed restrictions that plaintiff should never lift more than 25-30 pounds and try to avoid repetitive bending. (AT 323.) Thereafter, on March 4, 2011, Dr. Yen observed that plaintiff "still has residual discomfort in his back and discomfort in his left leg as more of a numbness and tingling. He states that the severe pain he had before his surgery has basically been resolved. However, he has to be careful how much bending and lifting he does." (AT 435.) Dr. Yen stated that plaintiff's last January 2011 MRI showed postoperative changes and some degenerative changes, but no evidence of significant disc herniation, recurrent discs, or significant spinal stenosis. (
(AT 436.) The ALJ permissibly gave great weight to Dr. Yen's opinion, because he was plaintiff's treating physician, and the ALJ's RFC assessment fully incorporated Dr. Yen's assessed restrictions (no lifting more than 25-30 pounds and avoiding repetitive bending). (AT 468-69.)
The ALJ also rationally relied on the opinion of the orthopedic surgeon and medical expert who reviewed plaintiff's records and testified at the supplemental administrative hearing, Dr. Eric Schmitter. (AT 468-71.) Dr. Schmitter opined that plaintiff's back surgery had been "very successful" and that plaintiff, after October 2009, could lift and carry 50 pounds occasionally and 25 pounds frequently; had limited overhead reaching ability with his left arm; could stand and walk for 6 hours; had no sitting limitations; had no problems with climbing stairs and ramps; could never climb ropes and scaffolds; could occasionally climb ladders; could occasionally crawl, bend, and stoop; could never kneel; and could only occasionally be exposed to vibration. (AT 470, 492-95.) The ALJ substantial adopted Dr. Schmitter's functional assessment, which was generally consistent with the opinion of Dr. Yen.
In sum, the medical opinion evidence in this case was clearly inconsistent, and the ALJ appropriately discounted the opinions of examining physicians Dr. Johnson
For the foregoing reasons, the court concludes that the ALJ's decision was free from prejudicial 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. 20) is DENIED.
2. The Commissioner's cross-motion for summary judgment (ECF No. 27) 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.
IT IS SO ORDERED.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.