THOMAS B. SMITH, Magistrate Judge.
Plaintiff brings this action pursuant to the Social Security Act ("Act"), as amended, 42 U.S.C. § 405(g), to obtain judicial review of a final decision of the Commissioner of the Social Security Administration ("Commissioner") denying her claim for Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under the Act.
I have reviewed the record, including the administrative law judge's ("ALJ") decision, a transcript of the proceedings, the exhibits, administrative record, and the pleadings and memoranda submitted by the parties. For the reasons that follow, I respectfully recommend that the Commissioner's final decision in this case be reversed and remanded for further proceedings consistent with the findings in this report, pursuant to sentence four of 42 U.S.C. § 405(g).
Plaintiff filed for DIB and SSI benefits on December 11, 2009. (Tr. 14, 165). She alleges disability beginning on May 5, 2006 due to osteoarthritis, uncontrolled diabetes, back problems, high blood pressure, depression, and arthritis. (Tr. 165, 204). She was 42 years old on the date of the ALJ decision. (Tr. 25, 35). She has a high school education and reported past work as a file clerk, assembler, and data entry clerk. (Tr. 54). Her application was denied initially and on reconsideration. (Tr. 78-97). On October 25, 2011, at Plaintiff's request, a hearing was held before the ALJ who issued a decision on November 2, 2011. (Tr. 31-59). On March 11, 2013, the Appeals Council denied her timely request for review. (Tr. 1). She has exhausted her administrative remedies and this case is now ripe for consideration under 42 U.S.C. § 405(g).
When determining whether an individual is disabled, the ALJ must follow the five-step sequential evaluation process established by the Commissioner and set forth in 20 C.F.R. §§ 404.1520(a)(4) and 416.920(a)(4). Specifically, the ALJ must determine whether the claimant (1) is currently employed; (2) has a severe impairment; (3) has an impairment or combination of impairments that meets or medically equals an impairment listed at 20 C.F.R. Part 404, Subpart P, Appendix 1; (4) can perform past relevant work; and (5) retains the ability to perform any work in the national economy.
The ALJ determined at step one that Plaintiff had not engaged in substantial gainful activity since May 5, 2006, her alleged onset date. (Tr. 16). At step two, the ALJ found that Plaintiff suffered from the following severe impairments: diabetes mellitus II (insulin dependent), disorders of the knees, morbid obesity, affective disorder, and arthritis. (
The scope of this Court's review is limited to determining whether the ALJ applied the correct legal standards and whether the ALJ's findings are supported by substantial evidence.
When the Commissioner's decision is supported by substantial evidence the district court will affirm even if the reviewer would have reached a contrary result as finder of fact, and even if the reviewer finds that the preponderance of the evidence is against the Commissioner's decision.
Weighing the opinions and findings of treating physicians is an integral part of steps four and five of the sequential evaluation process. In
Absent good cause, the opinions of treating physicians must be accorded substantial or considerable weight.
When a treating physician's opinion does not warrant controlling weight, the ALJ must still consider the following factors in deciding how much weight to give the opinion: "(1) the length of the treatment relationship and the frequency of examination; (2) the nature and extent of the treatment relationship; (3) the medical evidence supporting the opinion; (4) consistency with the record as a whole; (5) specialization in the medical issues at issue; (6) other factors which tend to support or contradict the opinion."
Plaintiff argues,
The Commissioner's argument is not an accurate characterization of Dr. Anayas's opinions. In his treatment notes, Dr. Anayas rendered opinions on (1) Plaintiff's diagnosis: uncontrolled diabetes and severe osteoarthritis in the right knee, (2) the nature and severity of Plaintiff's impairments: severe, unable to work sitting down or standing up (3) prognosis: permanent condition, and (4) Plaintiff's physical restrictions: no heavy lifting, and no prolonged sitting, standing, or bending. (Tr. 184, 326, 443-44). These findings and opinions constitute a "medical opinion" that triggers the ALJ's duty to state with particularity the weight given to it and the reasons therefor. 631 F.3d at 1178-79 (citing 20 C.F.R. §§ 404.1527(a)(2), 416.927(a)(2));
I also respectfully recommend that the Court reject the Commissioner's post hoc argument that Dr. Anayas's statements were not "entitled to any significant weight." (Doc. 22 at 12). The Court is not interested in what argument the Commissioner makes at this stage in the proceedings, rather, it is concerned with the reasoning the ALJ offered (or failed to offer) when the ALJ made her decision.
For these reasons, I respectfully recommend that the district court reverse the ALJ's decision and remand the case. Plaintiff's remaining arguments focus on the ALJ's alleged error in (a) failing to properly analyze other treating physician testimony, (b) failing to make a finding on the side effects of Plaintiff's medications, and (c) violating
Upon consideration of the foregoing, I respectfully recommend that:
1. The Commissioner's final decision in this case be
2. The Clerk be directed to enter judgment accordingly and
3. Plaintiff be advised that the deadline to file a motion for attorney's fees pursuant to 42 U.S.C. § 406(b) shall be thirty (30) days after Plaintiff receives notice from the Social Security Administration of the amount of past due benefits awarded.
4. Plaintiff be directed that upon receipt of such notice, he shall promptly email Mr. Rudy and the OGC attorney who prepared the Commissioner's brief to advise that the notice has been received.
Specific written objections to this report and recommendation may be filed in accordance with 28 U.S.C. § 636, and M.D. FLA. R. 6.02, within fourteen (14) days after service of this report and recommendation. Failure to file timely objections shall bar the party from a de novo determination by a district judge and from attacking factual findings on appeal.