STEPHAN M. VIDMAR, Magistrate Judge.
THIS MATTER is before the Court on Plaintiff's Motion to Reverse and Remand for Payment of Benefits, or in the Alternative, for Rehearing, with Supporting Memorandum [Doc. 16] ("Motion"), filed on September 6, 2016. The Commissioner responded on December 1, 2016. [Doc. 20]. Plaintiff replied on December 12, 2016. [Doc. 21]. The parties have consented to the undersigned's entering final judgment in this case. [Doc. 6]. Having meticulously reviewed the entire record and being fully advised in the premises, the Court finds that the Administrative Law Judge's ("ALJ") findings regarding the Listings and the residual functional capacity ("RFC") assessment are not susceptible to meaningful review. The Court cannot say that the ALJ applied the correct legal standards at step three or in formulating the RFC assessment. Accordingly, the Motion will be granted, and the case will be remanded for further proceedings. See 42 U.S.C. § 405(g) (sentence four).
The standard of review in a Social Security appeal is whether the Commissioner's final decision
"Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Langley, 373 F.3d at 1118. The decision "is not based on substantial evidence if it is overwhelmed by other evidence in the record or if there is a mere scintilla of evidence supporting it." Id. While a court may not re-weigh the evidence or try the issues de novo, its examination of the record as a whole must include "anything that may undercut or detract from the [Commissioner]'s findings in order to determine if the substantiality test has been met." Grogan v. Barnhart, 399 F.3d 1257, 1262 (10th Cir. 2005). "The possibility of drawing two inconsistent conclusions from the evidence does not prevent [the] findings from being supported by substantial evidence." Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007) (citing Zoltanski v. F.A.A., 372 F.3d 1195, 1200 (10th Cir. 2004)).
"The failure to apply the correct legal standard or to provide this court with a sufficient basis to determine that appropriate legal principles have been followed is grounds for reversal." Jensen v. Barnhart, 436 F.3d 1163, 1165 (10th Cir. 2005) (internal quotation marks omitted).
In order to qualify for disability benefits, a claimant must establish that he is unable "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." 42 U.S.C. § 423(d)(1)(A); 20 C.F.R. § 404.1505(a).
When considering a disability application, the Commissioner is required to use a five-step sequential evaluation process. 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140 (1987). At the first four steps of the evaluation process, the claimant must show: (1) he is not engaged in "substantial gainful activity"; and (2) he has a "severe medically determinable . . . impairment . . . or a combination of impairments" that has lasted or is expected to last for at least one year; and (3) his impairment(s) either meet or equal one of the "Listings"
Plaintiff applied for a period of disability and disability insurance benefits on May 12, 2012. Tr. 75. He alleged a disability-onset date of March 24, 2012. Id. His claims were denied initially and on reconsideration. Id. Plaintiff requested a hearing before an ALJ. Id. ALJ Ann Farris held a hearing on September 2, 2014, in Albuquerque, New Mexico. Id., Tr. 8-46. Plaintiff appeared with his then-attorney. Tr. 8, 75. The ALJ heard testimony from Plaintiff and an impartial vocational expert, Nicole B. King. Tr. 75, 41-45.
The ALJ issued her unfavorable decision on January 20, 2015. Tr. 82. She found that Plaintiff met the insured status requirements through December 31, 2017. Tr. 77. At step one, she found that Plaintiff had not engaged in substantial gainful activity since the onset date of his alleged disability. Id. Because Plaintiff had not engaged in substantial gainful activity for at least 12 months, the ALJ proceeded to step two. Id. There, she found that Plaintiff suffered from severe degenerative disc disease of the cervical spine with cervicalgia, plantar fasciitis, post-traumatic arthritis of the right knee, and mild osteoarthritis of the thumbs and the left fourth finger. Tr. 77-78.
At step three, the ALJ determined that none of Plaintiff's impairments, alone or in combination, met or medically equaled a Listing. Tr. 78. Because none of Plaintiff's impairments met or medically equaled a Listing, the ALJ went on to assess Plaintiff's RFC. Tr. 78-81. The ALJ found that:
Tr. 78. In explaining her RFC assessment, the ALJ recounted the symptoms Plaintiff reported and some of the medical evidence contained in the record. Tr. 78-81. After describing this evidence, she made the following findings:
Tr. 81.
Next, at step four, the ALJ found that Plaintiff was able to perform his past relevant work as a public information officer. Id. Ultimately, the ALJ found that Plaintiff had not been under a disability, as defined by the Act, during the relevant time period, and she denied the claim. Tr. 81-82. The Appeals Council denied review on April 20, 2016. Tr. 762-64. Plaintiff timely filed the instant action on May 6, 2016. [Doc. 1].
The Court finds that reversal and remand is warranted because the ALJ's findings regarding the Listings and the RFC are not susceptible to meaningful review. The Court cannot say that the correct legal standards were applied at step three or in assessing the RFC. Because remediation of these errors may make Plaintiff's other challenges moot, the Court declines to address those other challenges at this time.
The parties dispute whether the evidence of record would be sufficient to support a finding that Plaintiff meets Listing 1.04(A) for spine disorders. Plaintiff argues that a report from Dr. Adamson and other evidence establish that he meets the Listing. [Doc. 16] at 13 (citing Tr. 44-45 (VE's testimony), 239-42 (argument and citations to evidence from Plaintiff's former attorney); 594-95 (MRI dated September 13, 2013); 596 (Dr. Adamson's report)); [Doc. 21] at 2. Defendant argues that Dr. Adamson's report and the other evidence fail to establish all the criteria of the Listing (e.g., muscular weakness, sensory or reflex loss). [Doc. 20] at 8.
The ALJ expressly indicated that she had considered Listings 1.02 and 1.04. Tr. 78. These are her step-three findings, in their entirety:
Tr. 78. Plaintiff complains that these findings are inadequate considering that there is evidence to support the opposite finding. [Doc. 16] at 12-13; [Doc. 20] at 1-2. He argues that the ALJ was required to discuss the evidence and to provide reasons for her conclusion. [Doc. 16] at 13 (citing Peck v. Barnhart, 214 F. App'x 730, 734-35 (10th Cir. 2006)); [Doc. 20] at 1.
Certainly, ALJs are not required to discuss every piece of evidence. Clifton v. Chater, 79 F.3d 1007, 1009-10 (10th Cir. 1996). But they must give good reasons for their findings, reasons that are sufficiently specific to allow for meaningful review. Fischer-Ross, 431 F.3d at 734. At step three, it is preferable for ALJs to discuss the relevant evidence and make specific findings, but failure to do so does not always warrant remand. See id. For example, no "remand for a more thorough discussion of the listings" is required "when confirmed or unchallenged findings made elsewhere in the ALJ's decision confirm the step-three determination under review." Id.; see Carpenter v. Astrue, 537 F.3d 1264, 1268 (10th Cir. 2008).
The step-three findings in this case give no indication as to why the medical evidence did not establish the specific criteria of the Listing. The Court cannot tell what evidence the ALJ was considering or what legal standards she applied to weigh the evidence. The step-three findings in this case do not allow for meaningful review. Remand is warranted. See Fischer-Ross, 431 F.3d at 734.
Plaintiff challenges the RFC assessment because he argues that the ALJ omitted certain functional limitations without explaining the reasons for doing so. [Doc. 16] at 14-16, 18-19, 20. Physical therapist Plummer, Dr. Taylor, and Dr. Lawson all assessed limitations that were more restrictive than those assessed by the ALJ. Compare Tr. 577-93 (Ms. Plummer's opinion), and Tr. 507 (Dr. Taylor's opinion), and Tr. 613 (Dr. Lawson's opinion), with Tr. 78 (ALJ's RFC assessment). In fact, Ms. Plummer opined that Plaintiff could not perform full time work at all. Tr. 577, 590 (limiting Plaintiff to a four- to six-hour workday). Plaintiff complains that it was error for the ALJ to fail to explain why she omitted many of the limitations assessed by these providers. [Doc. 16] at 14-16, 18-19, 20.
Defendant argues that Ms. Plummer's assessed limitations are extreme and unsupported by the record and/or contradicted by the non-examining physicians' opinions. [Doc. 20] at 13 (citing Tr. 52-53 (Dr. Green's opinion), 65-66 (Dr. Lancaster's opinion)). Defendant argues that the ALJ was not required to credit Dr. Taylor's opinion because it was rendered seven months prior to the alleged onset date, and because other providers' opinions differed. [Doc. 20] at 14. She further cites to evidence that could support the ALJ's RFC assessment. Id. at 15-16.
Defendant's arguments, as Plaintiff correctly points out, amount to post hoc rationalizations for the ALJ's conclusions. The ALJ herself did not provide these explanations for rejecting these opinions. Thus, the Court may not rely on them. See Robinson v. Barnhart, 366 F.3d 1078, 1084-85 (10th Cir. 2004) (rejecting "post hoc effort to salvage the ALJ's decision").
Defendant also seems to argue that the ALJ did, in fact, sufficiently explain her reasoning. Defendant argues that the ALJ "detailed Ms. Plummer's findings and discussed contradictory evidence." [Doc. 20] at 13-14 (citing Tr. 78-81). The ALJ expressly stated that she accorded "equally significant weight" to all the opinion evidence. Id. at 14 (quoting Tr. 81). Therefore, Defendant's position is that the ALJ's reasoning is evident in her decision, which is what matters. Id. at 13-14 (citing Keyes-Zachary v. Astrue, 695 F.3d 1156, 1163 (10th Cir. 2012) ("In the case of a non-acceptable medical source . . . the ALJ's decision is sufficient if it permits us to `follow the adjudicator's reasoning.'")). The Court disagrees.
The ALJ described much of the medical evidence, including Ms. Plummer's report. (She did not mention Dr. Taylor's or Dr. Lawson's opinions.) These descriptions, however, merely recounted evidence. See Tr. 78-80. Contrary to Defendant's suggestion, beyond the RFC assessment itself, the decision includes very few findings on the medical evidence.
Remand is warranted to clarify the legal standards applied at step three and in assessing the RFC. Good reasons for the step-three determination and RFC assessment must be evident. Once these errors are addressed on remand, Plaintiff's other challenges may be rendered moot. Therefore, the Court declines to address Plaintiff's other challenges at this time.