NOEL L. HILLMAN, District Judge.
This matter comes before the Court pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C. § 405(g), to review the final decision of the Commissioner of the Social Security Administration, denying Plaintiff's application for Disability Insurance Benefits and Supplemental Security Income ("Social Security benefits") under Title II and Title XVI of the Social Security Act. 42 U.S.C. § 401, et seq. The issue before the Court is whether the Administrative Law Judge ("ALJ") erred in finding that there was substantial evidence that Plaintiff did not have a disability following his alleged onset date of disability. For the reasons stated below, the Court will affirm the ALJ's decision.
Plaintiff, Francis Xavier McGraw, whose date of birth is January 9, 1959, was 48 years old at the onset of his disability and turned 50 on January 9, 2009. Plaintiff's date last insured for benefits was December 31, 2011. The Plaintiff is a high school graduate, with some additional training in electronics. The Plaintiff has past relevant work installing cable television and security systems. The Plaintiff suffers from ulcerative colitis and anxiety disorder.
Plaintiff protectively filed an application for Social Security disability benefits and Supplemental Security Income benefits, on February 19, 2010, alleging an onset date of disability beginning April 30, 2006, later amended at the Plaintiff's hearing to January 2, 2008. The claim was denied on September 29, 2010.
A Request for Reconsideration was timely submitted on December 7, 2010. The claim was denied again on February 1, 2011. A written Request for Hearing before an Administrative Law Judge ("ALJ") was filed on March 14, 2011. A hearing was held on February 27, 2012.
On March 5, 2012, the ALJ issued an unfavorable decision for both the Title II and the Title XVI claims. Subsequently, Plaintiff filed a Request for Review of Hearing Decision with the Appeals Council on April 30, 2012. The Appeals Council denied the request on June 4, 2013.
Plaintiff filed the present action seeking appeal of the ALJ's final decision. Plaintiff argues that the ALJ erred in relying solely on unskilled sedentary jobs at Step Five, in assigning little weight to the opinion of Plaintiff's treating physician, Dr. Richard Simon, in failing to adequately evaluate the Plaintiff's ulcerative colitis, and in determining Plaintiff's alleged onset date.
Under 42 U.S.C. § 405(g), Congress provided for judicial review of the Commissioner's decision to deny a complainant's application for Disability Insurance Benefits.
A reviewing court has a duty to review the evidence in its totality.
The Commissioner "must adequately explain in the record his reasons for rejecting or discrediting competent evidence."
The Third Circuit has held that access to the Commissioner's reasoning is essential to a meaningful court review
Although an ALJ, as the fact finder, must consider and evaluate the medical evidence presented,
The Social Security Act defines "disability" for purposes of an entitlement to a period of disability and disability insurance benefits as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death, or which has lasted or can be expected to last for a continuous period of not less than 12 months.
The Commissioner has promulgated regulations for determining disability that require application of a five-step sequential analysis.
20 C.F.R. § 404.1520(b)-(f). Entitlement to benefits is therefore dependent upon a finding that the claimant is incapable of performing work in the national economy.
This five-step process involves a shifting burden of proof.
Plaintiff does not dispute the ALJ's findings at steps one through four of the sequential evaluation, that (1) he had not engaged in substantial gainful activity during the relevant period; (2) he had severe impairments; (3) his impairments did not meet or medically equal any listed impairments; or (4) that he is unable to perform any past relevant work. Plaintiff takes issue with the ALJ's conclusions in step five.
The ALJ concluded that the plaintiff had the RFC to perform "medium" work, limited to lifting and carrying 50 pounds occasionally and 25 pounds frequently, sitting for six hours in an eight hour day; standing and walking for six hours in an eight hour day; limited to occasionally climbing ladders, ropes, and scaffolds, and needs to be close proximity to a restroom; and limited to jobs involving one-two step tasks. The ALJ found that jobs exist in siginificant numbers in the national economy that the plaintiff could perform.
Plaintiff argues that if he does not have any transferrable skills (or is limited to unskilled work, eliminating any potentially transferable skills), a limitation to sedentary occupations should have resulted in a finding of disability pursuant to Medical Vocational Rule 201.14. Plaintiff states that Medical Vocational Rule 201.14 provides that, when an individual reaches age 50, is limited to sedentary work, is unable to perform his or her past relevant work, has a high school or equivalent education, and has skilled or semi-skilled past relevant work, in which the skills are not transferable, there is a finding of disability.
Specifically, Plaintiff argues that while the ALJ stated that he found the Plaintiff capable of a reduced range of "medium" work, the occupations identified by the vocational expert, and relied on by the ALJ were all "unskilled sedentary" occupations, such as telephone clerk, surveillance system monitor, and envelope addresser. Plaintiff points to ALJ's requirement that he have close proximity to a bathroom, and the Vocational Expert's ("VE") testimony that this limitation would require "more of a[n] office or clerical type of occupation."
The Commissioner responds that when a claimant cannot perform the full range of work at a given exertional level due to his non-exertional limitations, and such limitations do not significantly erode his occupational base, then the ALJ may use the Medical-Vocational Guidelines of Appendix 2 of 20 C.F.R. Part 404, Subpart P (the "Grids") as a framework for decision-making.
Plaintiff states that the VE could not identify any medium or light jobs that met the ALJ's RFC (unskilled medium work with non-exertional limitation of close proximity to a bathroom). Therefore, Plaintiff argues since the VE could only identify sedentary or clerical jobs, then he is limited to unskilled sedentary work and must be found disabled as of age 50 according to the Grids.
The Court finds that the Commissioner met her burden and that the ALJ properly concluded that Plaintiff has the RFC to perform medium work, and as a high school graduate who can communicate in English, is not disabled. Rule 203.00(a) of Medical Vocational Guidelines, Appendix 2, which covers maximum sustained work capability limited to medium work states "[t]he functional capacity to perform medium work includes the functional capacity to perform sedentary, light, and medium work." Rule 203.00(a) further states that "[a]pproximately 2,500 separate sedentary, light, and medium occupations can be identified, each occupant representing numerous jobs in the national economy which do not require skills or previous experience and which can be performed after a short demonstration or within 30 days." Therefore, even if the jobs identified by the VE are considered sedentary, such jobs are within the purview of "medium" work. Whether or not Plaintiff's job skills are transferrable did not enter into the ALJ's analysis because whether they are transferrable or not, the Grids support a finding of not disabled. This is also true whether Plaintiff's age is in the "younger" category of 18-49 year olds, or the "closely approaching advanced age" category of 50-54 year olds. Therefore, the ALJ did not err in step five.
The ALJ assigned little weight to Plaintiff's treating physician, Dr. Richard Simon, on grounds that it was not supported or based on any objective medical evidence or examination. Plaintiff argues that Dr. Simon's opinion is supported by the doctor's own examination notes, the reports of Dr. Savon, Dr. Kapoor, and Dr. Desipio. Plaintiff also argues that the ALJ failed to consider the factors set forth in 20 C.F.R. § 404.1527 in evaluating Dr. Simon's opinion, particularly, the length of treatment, frequency of examination, nature and extent of the treatment relationship, support of opinion afforded by medical evidence, consistency of opinion with the record as a whole, and specialization of the treating physician.
The Commissioner argues that the ALJ did not err in assigning little weight to the opinion of Dr. Simon because he referenced no clinical findings and, instead, stated that his opinion was based on Plaintiff's "history only." She further argues that Dr. Simon's opinion was inconsistent with the opinions of Dr. Jacknin because Dr. Simon assessed that Plaintiff needed to lie down for one to two hours of an eight-hour workday, while Dr. Jacknin assessed that Plaintiff could sit as well as stand/or walk for about six hours each. She also argues Dr. Simon's opinion was inconsistent with Dr. Colon's assessment that Plaintiff had no physical limitations due to an impairment, or Drs. Wielczko and Sanford's assessment of no significant limitations in maintaining attention and concentration for extended periods, while Dr. Simon assessed that Plaintiff's condition would interfere with the attention and concentration needed to perform even simple work tasks.
It is settled law that "[t]reating physicians' reports should be accorded great weight, especially when their opinions reflect expert judgment based on a continuing observation of the patient's condition over a prolonged period of time."
"[I]f the treating physician's opinion is not given controlling weight, the ALJ applies the factors listed in 20 C.F.R. § 404.1527[]
When asked to describe the clinical findings or objective signs which support Plaintiff's diagnosis of ulcerative colitis, Dr. Simon wrote on the Crohn's & Colitis Medical Source Statement (Ex. 13F) that his clinical findings were based on "history only." The Court finds no error in the ALJ relying on the written notes by Dr. Simon and concluding that Dr. Simon's opinions are not based on objective medical evidence. Further, the ALJ stated that Dr. Simon's report, along with Dr. Przybyla's report, were not "substantiated by any objective finding, study or laboratory test." The ALJ further stated there was "no objective evidence or pulmonary function test to indicate chronic obstructive pulmonary disease (COPD) and the environmental, postural, and exertional limitations found by these doctors." Further, the ALJ cited to exhibit 13F, the Crohn's & Colitis Medical Source Statement filled out by Dr. Simon, in which Dr. Simon wrote that he only treated Plaintiff for nine months. There is also no evidence that Dr. Simon was a gastroenterologist or other type of IBD specialist. Further, the ALJ noted that an impartial medical expert, Dr. Vilma Colon, affirmed that there was no objective evidence of colitis or any other disabling impairment.
Thus, there is no error in the ALJ's assigning little weight to Dr. Simon's opinion on grounds that his opinion was not based on objective medical evidence.
Plaintiff argues that the ALJ failed to consider medical evidence related to plaintiff's ulcerative colitis. Plaintiff cites to a report by Dr. Kapoor, gastroenterologist, dated December 2, 1998, that states that plaintiff had undergone a colonoscopy that showed active ulcerative colitis. He also cites to a report by Dr. Savon, gastroenterologist, dated October 31, 2005, that states plaintiff underwent a colonoscopy on September 30, 2005, contained findings consistent with idiopathic inflammatory bowel disease.
Plaintiff states that the report by Dr. Kapoor was faxed on February 28, 2012. The hearing was held on February 27, 2012 and, therefore, the report was not before the ALJ at the time of hearing. Plaintiff also submitted the 2005 report by Dr. Savon after the hearing and, therefore, it was not considered by the ALJ.
The evidence submitted by plaintiff after the hearing is not part of the ALJ's decision but would be additional evidence submitted to the Appeals Council. "[A]lthough evidence considered by the Appeals Council is part of the administrative record on appeal, it cannot be considered by the District Court in making its substantial evidence review."
Therefore, even if new evidence was submitted to the Appeals Council but the Appeals Council denied review, the district court cannot consider it if it was not presented to the ALJ. Here, the Appeals Council denied Plaintiff's request for review. That decision is not reviewable. Rather, the issue before this Court is whether the new evidence is material and, if so, whether plaintiff has presented good cause for not submitting it to the ALJ.
Plaintiff has not presented any reason for why the reports were not presented to the ALJ prior to the hearing. Therefore, he has not shown good cause and the Court will not consider it. In addition the 1998 and 2005 reports pre-date the relevant time period and, therefore, are immaterial.
Plaintiff also argues that the ALJ failed to consider the reports of Dr. Joshua Desipio and Dr. Simon. The administrative record reveals that Dr. Desipio saw Plaintiff once in 2010 and confirmed a diagnosis of ulcerative colitis with increased bowel movements. Dr. Desipio also diagnosed him with liver function abnormalities which he attributed as "likely secondary to his alcohol consumption." Although the ALJ did not cite to this two page report from Desipio, failure to do so does not result in error by the ALJ.
With regard to Dr. Simon, the ALJ did consider his opinion but, as already discussed, gave Dr. Simon's opinion little weight because Dr. Simon had indicated on the Crohn's & Colitis Medical Source Statement that his opinion was based on history only. Therefore, failure of the ALJ to consider Dr. Simon's office notes is harmless error.
During the hearing, Plaintiff amended his onset date from April 30, 2006 to January 2, 2008. However, the ALJ's decision states that Plaintiff' onset date is April 30, 2006. Plaintiff argues that "[b]ecause the disability determination included a time period prior to the amended onset date when the Plaintiff did not contest that he was working at [substantial gainful activity] levels, and by interference was functioning at a higher level, it may very well have impacted the decision.
Plaintiff does not cite to any portion of the ALJ's opinion in which the earlier onset date was a material factor in any of the ALJ's decision. Also, Plaintiff has not indicated that there was any substantial change in his medical condition after January 2, 2008. A review of the ALJ's decision does not reveal that the ALJ applied more weight to the time period prior to January 2, 2008 in formulating his decision. Thus, simply concluding that it "may" have impacted the ALJ's decision is not grounds for remand.
For the reasons expressed above, the Court finds that the ALJ's decision is supported by substantial evidence. Accordingly, the decision of the ALJ is affirmed.
An accompanying Order will be issued.