JOHN T. CURTIN, District Judge.
This matter has been transferred to the undersigned for all further proceedings, by order of Chief United States District Judge William M. Skretny dated April 23, 2015 (Item 25).
Plaintiff Christine Marie Porter initiated this action on February 7, 2013, pursuant to the Social Security Act, 42 U.S.C. § 405(g) ("the Act"), for judicial review of the final determination of the Commissioner of Social Security ("Commissioner") denying plaintiff's application for Social Security Disability Insurance ("SSDI") and Supplemental Security Income ("SSI") benefits under Title II and Title XVI of the Act, respectively. Both parties have moved for judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure (see Items 12, 20). For the reasons that follow, plaintiff's motion is denied, and the Commissioner's motion is granted.
Plaintiff was born on July 4, 1978 (Tr. 18, 152).
On October 12, 2011, the ALJ issued a decision finding that plaintiff was not disabled within the meaning of the Act (Tr. 53-66). Following the sequential evaluation process outlined in the Social Security Administration regulations governing claims for benefits under Titles II and XVI (see 20 C.F.R. §§ 404.1520, 416.920), the ALJ found that plaintiff's impairments (identified as bilateral carpal tunnel syndrome, depressive disorder with anger, and obesity), while "severe" within the meaning of the Act and considered alone or in combination, did not meet or medically equal the criteria of any impairment listed at 20 C.F.R. Part 404, Subpart P, Appendix 1 (the "Listings") (Tr. 58-60). The ALJ discussed the evidence in the record regarding the functional limitations caused by plaintiff's impairments, including the objective medical evidence, opinions from medical sources, and plaintiff's testimony and written statements about her symptoms, and determined that plaintiff had the residual functional capacity ("RFC") to perform work at the "light"
The ALJ's decision became the final decision of the Commissioner on December 13, 2012, when the Appeals Council denied plaintiff's request for review (Tr. 1-4), and this action followed.
In her motion for judgment on the pleadings, plaintiff contends that the Commissioner's determination should be reversed because the ALJ improperly assessed plaintiff's RFC and credibility, and improperly relied on the VE's testimony. See Items 12-1, 22. The government contends that the Commissioner's determination should be affirmed because the ALJ's decision was made in accordance with the pertinent legal standards and is based on substantial evidence. See Item 20-1.
The Social Security Act provides that, upon district court review of the Commissioner's decision, "[t]he findings of the Commissioner . . . as to any fact, if supported by substantial evidence, shall be conclusive . . . ." 42 U.S.C. § 405(g). Substantial evidence is defined as evidence which "a reasonable mind might accept as adequate to support a conclusion." Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229 (1938), quoted in Richardson v. Perales, 402 U.S. 389, 401 (1971); see also Tejada v. Apfel, 167 F.3d 770, 773-74 (2d Cir. 1999). The substantial evidence test applies not only to findings on basic evidentiary facts, but also to inferences and conclusions drawn from the facts. Giannasca v. Astrue, 2011 WL 4445141, at *3 (S.D.N.Y. Sept. 26, 2011) (citing Rodriguez v. Califano, 431 F.Supp. 421, 423 (S.D.N.Y. 1977)).
Under these standards, the scope of judicial review of the Commissioner's decision is limited, and the reviewing court may not try the case de novo or substitute its findings for those of the Commissioner. Richardson, 402 U.S. at 401; see also Cage v. Comm'r of Soc. Servs., 692 F.3d 118, 122 (2d Cir. 2012). The court's inquiry is "whether the record, read as a whole, yields such evidence as would allow a reasonable mind to accept the conclusions reached" by the Commissioner. Sample v. Schweiker, 694 F.2d 639, 642 (9th Cir. 1982), quoted in Hart v. Colvin, 2014 WL 916747, at *2 (W.D.N.Y. Mar. 10, 2014).
However, "[b]efore the insulation of the substantial evidence test comes into play, it must first be determined that the facts of a particular case have been evaluated in the light of correct legal standards." Klofta v. Mathews, 418 F.Supp. 1139, 1411 (E.D.Wis. 1976), quoted in Sharbaugh v. Apfel, 2000 WL 575632, at *2 (W.D.N.Y. Mar. 20, 2000); Nunez v. Astrue, 2013 WL 3753421, at *6 (S.D.N.Y. July 17, 2013) (citing Tejada, 167 F.3d at 773). "Failure to apply the correct legal standard constitutes reversible error, including, in certain circumstances, failure to adhere to the applicable regulations." Kohler v. Astrue, 546 F.3d 260, 265 (2d Cir. 2008) (citations omitted). Thus, the Commissioner's determination cannot be upheld when it is based on an erroneous view of the law, or misapplication of the regulations, that disregards highly probative evidence. See Grey v. Heckler, 721 F.2d 41, 44 (2d Cir. 1983); see also Johnson v. Bowen, 817 F.2d 983, 985 (2d Cir. 1987) ("Failure to apply the correct legal standards is grounds for reversal."), quoted in McKinzie v. Astrue, 2010 WL 276740, at *6 (W.D.N.Y. Jan. 20, 2010).
If the Commissioner's findings are free of legal error and supported by substantial evidence, the court must uphold the decision. 42 U.S.C. § 405(g) ("The findings of the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive, and where a claim has been denied . . . the court shall review only the question of conformity with [the] regulations. . . ."); see Kohler, 546 F.3d at 265. "Where the Commissioner's decision rests on adequate findings supported by evidence having rational probative force, [the court] will not substitute [its] judgment for that of the Commissioner." Veino v. Barnhart, 312 F.3d 578, 586 (2d Cir. 2002). Even where there is substantial evidence in the record weighing against the Commissioner's findings, the determination will not be disturbed so long as substantial evidence also supports it. See Marquez v. Colvin, 2013 WL 5568718, at *7 (S.D.N.Y. Oct. 9, 2013) (citing DeChirico v. Callahan, 134 F.3d 1177, 1182 (2d Cir. 1998) (upholding the Commissioner's decision where there was substantial evidence for both sides)).
In addition, it is the function of the Commissioner, not the reviewing court, "to resolve evidentiary conflicts and to appraise the credibility of witnesses, including claimant." Carroll v. Sec'y of Health and Human Services, 705 F.2d 638, 642 (2d Cir. 1983); cf. Cichocki v. Astrue, 534 F. App'x 71, 75 (2d Cir. Sept. 5, 2013). "Genuine conflicts in the medical evidence are for the Commissioner to resolve," Veino, 312 F.3d at 588, and the court "must show special deference" to credibility determinations made by the ALJ, "who had the opportunity to observe the witnesses' demeanor" while testifying. Yellow Freight Sys. Inc. v. Reich, 38 F.3d 76, 81 (2d Cir. 1994).
To be eligible for SSDI or SSI benefits under the Social Security Act, plaintiff must present proof sufficient to show that she suffers from a 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), and is "of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy . . . ." 42 U.S.C. § 423(d)(2)(A); see also 20 C.F.R. §§ 404.1505(a), 416.905(a). As indicated above, the regulations set forth a five-step process to be followed when a disability claim comes before an ALJ for evaluation of the claimant's eligibility for benefits. See 20 C.F.R. §§ 404.1520, 416.920. First, the ALJ must determine whether the claimant is presently engaged in substantial gainful activity. If the claimant is not, the ALJ must decide if the claimant has a "severe" impairment, which is an impairment or combination of impairments that has lasted (or may be expected to last) for a continuous period of at least 12 months which "significantly limits [the claimant's] physical or mental ability to do basic work activities . . . ." 20 C.F.R. §§ 404.1520(c), 416.920(c); see also §§ 404.1509, 416.909 (duration requirement). If the claimant's impairment is severe and of qualifying duration, the ALJ then determines whether it meets or equals the criteria of an impairment found in the Listings. If the impairment meets or equals a listed impairment, the claimant will be found to be disabled. If the claimant does not have a listed impairment, the fourth step requires the ALJ to determine if, notwithstanding the impairment, the claimant has the residual functional capacity to perform his or her past relevant work. If the claimant has the RFC to perform his or her past relevant work, the claimant will be found to be not disabled, and the sequential evaluation process comes to an end. Finally, if the claimant is not capable of performing the past relevant work, the fifth step requires that the ALJ determine whether the claimant is capable of performing any work which exists in the national economy, considering the claimant's age, education, past work experience, and RFC. See Curry v. Apfel, 209 F.3d 117, 122 (2d Cir. 2000); Lynch v. Astrue, 2008 WL 3413899, at *2 (W.D.N.Y. Aug. 8, 2008).
The claimant bears the burden of proof with respect to the first four steps of the analysis. If the claimant meets this burden, the burden shifts to the Commissioner to show that there exists work in the national economy that the claimant can perform. Lynch, 2008 WL 3413899, at *3 (citing Rosa v. Callahan, 168 F.3d 72, 77 (2d Cir. 1999)). "In the ordinary case, the Commissioner meets h[er] burden at the fifth step by resorting to the applicable medical vocational guidelines (the grids), . . . [which] take into account the claimant's residual functional capacity in conjunction with the claimant's age, education, and work experience." Rosa, 168 F.3d at 78 (internal quotation marks, alterations and citations omitted). If, however, a claimant has non-exertional limitations (which are not accounted for in the grids) that "significantly limit the range of work permitted by his exertional limitations then the grids obviously will not accurately determine disability status . . . ." Bapp v. Bowen, 802 F.2d 601, 605 (2d Cir. 1986) (internal quotation marks and citation omitted). In such cases, "the Commissioner must `introduce the testimony of a vocational expert (or other similar evidence) that jobs exist in the national economy which claimant can obtain and perform.'" Rosa, 168 F.3d at 78 (quoting Bapp, 802 F.2d at 603).
In this case, ALJ Whang determined at step one of the sequential evaluation that plaintiff had not engaged in substantial gainful activity since March 27, 2010, the alleged onset date (Tr. 58). At step two, the ALJ determined that plaintiff's mental and physical impairments are "severe" as that term is defined in the regulations because they "cause more than minimal functional limitations in the [plaintiff]'s ability to perform some basic work activities" (id.).
At step three, the ALJ determined that plaintiff's impairments, considered singly or in combination, did not meet or medically equal the severity of any impairment in the Listings. With regard to plaintiff's mental impairments, the ALJ considered the criteria for Listings 12.04 (Affective Disorders), 12.06 (Anxiety Related Disorders), and 12.09 (Substance Addiction Disorders). To satisfy the criteria of any of these Listings, the claimant must show (among other things) that his or her mental impairment resulted in at least two of the following:
20 C.F.R. Pt. 404, Subpt. P. App. 1, §§ 12.04(B), 12.06(B) (Paragraph "B" criteria).
With regard to plaintiff's physical impairments, the ALJ discussed the objective medical evidence and hearing testimony indicating that plaintiff has received no physical therapy or other treatment for her carpal tunnel problems subsequent to successful release surgery on her right hand in August 2010 (Tr. 62). The ALJ also referred to the report and opinion of Dr. Karl Eurenius, M.D., who performed a consultative orthopedic examination on October 18, 2010, and found that plaintiff's bilateral carpal tunnel syndrome caused her to be "mildly limited in reaching or handling objects" and "moderately limited in carrying heavy objects" (Tr. 469).
The ALJ then determined that plaintiff had the RFC for light work, with the following limitations: she can do frequent, but not constant, pushing, pulling, handling and fingering with the bilateral upper extremities; she is limited to simple routine and repetitive tasks; she requires a low stress job, defined as having only occasional decision making and occasional changes in work setting; and she should work in isolation with only occasional supervision (Tr. 60). In making this finding, the ALJ discussed the medical evidence in the record, along with plaintiff's hearing testimony regarding her past work experience, activities of daily living, and the functional limitations caused by the symptoms of her impairments (Tr. 61). The ALJ gave "little weight" to the opinion of plaintiff's treating physician Dinesh Nanavati, M.D., set forth on a "Mental Residual Functional Capacity Questionnaire" form dated July 14, 2010, indicating that plaintiff was unable to engage in full-time competitive employment on a sustained basis (Tr. 62, 253-56). The ALJ gave "great weight" to the opinions of Drs. Hochberg and Eurenius, as well as to the opinion of Thomas Zastowny, Ph.D., who performed a consultative psychiatric evaluation on October 18, 2010, and determined that plaintiff could follow simple directions and perform simple tasks; she could perform more complex tasks with supervision; her concentration and attention appeared to be "mildly to somewhat impaired;" her judgment, decision making, and ability to handle stress were limited; and her anger "appears to be one of her primary coping skills" (Tr. 466-67).
Based upon her consideration of this evidence, and relying upon the testimony of the vocational expert regarding the physical and mental demands of plaintiff's past relevant work, the ALJ found at step four of the sequential evaluation that plaintiff was capable of performing her past relevant work as a housekeeping cleaner as that job was actually performed. The ALJ also relied on the vocational expert's testimony for the alternative finding at step five that, considering plaintiff's age, education, work experience and RFC, there were other jobs existing in substantial numbers in the national economy that plaintiff could perform (Tr. 64-65). Finally, using Rule 202.20 of the Grids as a framework for decisionmaking, the ALJ determined that plaintiff was "not disabled" within the meaning of the Act at any time during the relevant period (Tr. 65-66).
Plaintiff contends that the Commissioner's determination should be reversed because the ALJ's RFC assessment was based on an improper application of the rules set forth in the regulations for determining the weight to be given to the medical opinion of the claimant's treating physician. As explained in numerous Second Circuit opinions, the Social Security regulations "recognize a `treating physician' rule of deference to the views of the physician who has engaged in the primary treatment of the claimant." Green-Younger v. Barnhart, 335 F.3d 99, 106 (2d Cir. 2003); see also Cichocki v. Astrue, 534 F. App'x 71, 74 (2d Cir. 2013). However, "[a] treating physician's statement that the claimant is disabled cannot itself be determinative." Snell v. Apfel, 177 F.3d 128, 133 (2d Cir. 1999). Rather, "a treating source's opinion on the issue(s) of the nature and severity of [a claimant's] impairment(s)" will be given "controlling weight" if the opinion is "well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the claimant's] case record." 20 C.F.R. §§ 404.1527(c)(2), 416.927(c)(2); see also Burgess v. Astrue, 537 F.3d 117, 128 (2d Cir. 2008) (noting that it is the Commissioner's role to resolve "genuine conflicts in the medical evidence," and that a treating physician's opinion is generally "not afforded controlling weight where the treating physician issued opinions that are not consistent with the opinions of other medical experts").
When the ALJ does not accord controlling weight to the medical opinion of a treating physician, the regulations require that the ALJ's written determination must reflect the consideration of various factors, including: "(i) the frequency of examination and the length, nature and extent of the treatment relationship; (ii) the evidence in support of the treating physician's opinion; (iii) the consistency of the opinion with the record as a whole; (iv) whether the opinion is from a specialist; and (v) other factors brought to the Social Security Administration's attention that tend to support or contradict the opinion." Halloran v. Barnhart, 362 F.3d 28, 32 (2d Cir. 2004). The ALJ must then "comprehensively set forth his reasons for the weight assigned to a treating physician's opinion." Burgess, 537 F.3d at 129 (internal alteration and citation omitted). The notice of determination must "always give good reasons" for the weight given to a treating source's opinion, 20 C.F.R. § 416.927(c)(2), and the ALJ "cannot arbitrarily substitute h[er] own judgment for competent medical opinion." McBrayer v. Secretary of Health and Human Servs., 712 F.2d 795, 799 (2d Cir. 1983), quoted in Rosa, 168 F.3d at 79; see also Schaal v. Apfel, 134 F.3d 496, 503-04 (2d Cir. 1998) (stating that the Commissioner must provide a claimant with "good reasons" for the lack of weight attributed to a treating physician's opinion); Halloran, 362 F.3d at 32-33 ("This requirement greatly assists our review of the Commissioner's decision and `let[s] claimants understand the disposition of their cases.'") (quoting Snell, 177 F.3d at 134).
In this case, ALJ Whang explained that Dr. Nanavati's opinion as to plaintiff's inability to engage in full-time employment, as indicated on the Mental RFC Questionnaire form, was entitled to little weight because of his limited knowledge of the nature of plaintiff's mental impairment, as indicated by Unity Mental Health Clinic records revealing a treatment relationship described by the ALJ as "tenuous, at best" (Tr. 62-63). The ALJ referred to Dr. Nanavati's notation on the form which indicates that his knowledge was based on his contact with plaintiff at the clinic every three months, which the clinic treatment records show consisted mainly of adjustment or renewal of plaintiff's pyschotropic prescriptions with occasional follow-up of regular therapy and treatment provided by a licensed clinical social worker, Nancy Stitzel, and a registered nurse, Lauren O'Meal (Tr. 62). The ALJ also noted the inconsistency of Dr. Nanavati's "seriously limited" findings regarding several areas of mental abilities and aptitudes necessary for unskilled work with his assessment of plaintiff's Global Assessment of Functioning ("GAF") at 58 (indicating "moderate" symptoms),
The ALJ further explained the substantial weight she gave to the opinions of Dr. Zastowny, the state mental consultative examiner, and Dr. Hochberg, the state consultative reviewer, which indicated that plaintiff's impairments caused no more than moderate limitations in a range of mental performance categories. According to the ALJ, and as indicated by this court's review of the medical evidence of record, these consultative findings are consistent with the overall level of functional limitation reflected in the mental health treatment notes from Unity Mental Health Clinic staff (see, e.g., Tr. 259-78; 298-336), and were given full consideration in the ALJ's assessment of plaintiff's RFC limiting her to simple routine and repetitive tasks, and working in isolation with only occasional supervision in order to minimize stress-producing conditions and anger-triggering disruptions (see Tr. 63-64).
Plaintiff also contends that the ALJ completely ignored or otherwise failed to properly consider the findings and opinions of Ms. Stitzel, the licensed clinical social worker who saw plaintiff on a regular basis at Unity Mental Health Clinic, under the regulations and rulings directing the ALJ to evaluate the opinions of "other sources" regarding the nature of plaintiff's mental impairments using essentially the same factors as are used to evaluate the opinions of "acceptable medical sources" set forth in 20 C.F.R. §§ 404.1527 and 416.927. See 20 C.F.R. §§ 404.1513(d), 416.913(d); Social Security Ruling ("SSR") 06-03p, 2006 WL 2329939 (S.S.A. Aug. 9, 2006). Plaintiff specifically refers to Ms. Stitzel's August 25, 2010 "Psychological Assessment for Determination of Employment Eligibility" form on which she indicated that plaintiff should be limited to 10 hours of work activity per week (see Tr. 619-21). However, as indicated above, the ALJ fully considered the Unity Mental Health Clinic records—including Ms. Stitzel's assessment form (see Tr. 56) — in determining the appropriate weight to be accorded to the medical source opinion evidence, and sufficiently articulated the reasons for that weight. In the court's view, this demonstrates adequate compliance with the regulations and rulings governing the ALJ's consideration of opinion evidence from treating sources who are not "acceptable medical sources."
Based on this review, and upon consideration of the record as a whole, the court finds that the ALJ's RFC assessment in this case was accomplished in accordance with the requirements of the regulations, administrative rulings, and case law regarding the weight to be accorded to the opinions of medical sources in a manner sufficient to allow plaintiff and the court to follow her reasoning, and is supported by substantial evidence. Accordingly, plaintiff is not entitled to reversal or remand on the ground that the ALJ improperly assessed plaintiff's RFC.
Plaintiff also contends that the ALJ failed to properly assess plaintiff's credibility with respect to her testimony and statements about the limiting effects of her mental impairment. The general rule in this regard is that the ALJ is required to evaluate the credibility of testimony or statements about the claimant's impairments when there is conflicting evidence about the extent of pain, limitations of function, or other symptoms alleged. See Paries v. Colvin, 2013 WL 4678352, at *9 (N.D.N.Y. Aug. 30, 2013) (citing Snell v. Apfel, 177 F.3d 128, 135 (2d Cir. 1999)). The Commissioner has established a two-step process to evaluate a claimant's testimony regarding his or her symptoms:
Matejka v. Barnhart, 386 F.Supp.2d 198, 205 (W.D.N.Y. 2005), quoted in Hogan v. Astrue, 491 F.Supp.2d 347, 352 (W.D.N.Y. 2007); see 20 C.F.R. §§ 404.1529, 416.929.
The Regulations outline the following factors to be considered by the ALJ in conducting the credibility inquiry: (1) the claimant's daily activities; (2) the location, duration, frequency, and intensity of the pain; (3) precipitating and aggravating factors; (4) the type, dosage, effectiveness, and side effects of any medications taken to alleviate the pain; (5) any treatment, other than medication, that the claimant has received; (6) any other measures that the claimant employs to relieve the pain; and (7) other factors concerning the claimant's functional limitations and restrictions as a result of the pain. 20 C.F.R. §§ 404.1529(c)(3)(i)-(vii), 416.929(c)(3)(i)-(vii); see Meadors v. Astrue, 370 F. App'x 179, 184 n. 1 (2d Cir. 2010). The Commissioner's policy interpretation ruling on this process provides the following further guidance:
SSR 96-7p, 1996 WL 374186, at *4 (S.S.A. July 2, 1996).
In this case, the court's review of the ALJ's determination in light of the record as a whole reveals that the ALJ's credibility assessment was performed in accordance with this guidance. The ALJ conducted a thorough examination of the treatment records, treating source opinions, and other medical evidence in finding that plaintiff's mental and physical impairments could reasonably be expected to cause the symptoms complained of, but that plaintiff's testimony regarding the intensity, persistence, and limiting effects of her symptoms were not credible to the extent they were inconsistent with the ALJ's RFC assessment (Tr. 61). The ALJ noted plaintiff's testimony regarding her activities of daily living, including doing her own cooking and cleaning and otherwise maintaining her own apartment, and visiting her parents and helping them with chores. Her testimony and written statements of record also indicate a further range of daily activities, including visiting her boyfriends; taking care of pets; mowing the lawn and doing other yard work; doing laundry; driving; riding a bicycle; using public transportation; and helping to care for her nephew (see Tr. 24, 30, 186-88, 188, 262, 269, 464, 573). The ALJ also referred to clinic notes chronicling plaintiff's reports of "a moderate degree of social interaction . . . which indicate that her symptoms, while severe, are not disabling to the degree she asserts in her testimony and self-reported statements" (Tr. 64).
In the court's view, the ALJ's credibility finding is sufficiently grounded in the evidence and specific enough to make clear to plaintiff, to this court, and to any subsequent reviewers the weight the ALJ gave to plaintiff's statements about the limiting effects of her symptoms, and the reasons for that weight. As such, and upon review of the record as a whole, the court finds that the ALJ's credibility assessment in this case was performed in accordance with the requirements of the Social Security regulations and rulings, and the weight of controlling authority. Accordingly, plaintiff is not entitled to reversal or remand on this ground.
Finally, plaintiff contends that the ALJ improperly relied upon the VE's testimony in determining that there were jobs existing in the economy that plaintiff could perform, because the hypothetical question posed by the ALJ to the expert was incomplete and presented an inaccurate portrayal of plaintiff's functional limitations. However, the court's review of the hearing testimony reveals that the ALJ posed a hypothetical
Accordingly, plaintiff is not entitled to remand on the basis of improper reliance on the VE's testimony.
For the foregoing reasons, the court finds that the ALJ's decision is based on correct legal standards and supported by substantial evidence, and the Commissioner's determination must therefore be upheld. Accordingly, plaintiff's motion for judgment on the pleadings (Item 12) is denied, the government's motion for judgment on the pleadings (Item 20) is granted, and the case is dismissed.
The Clerk of the Court is directed to enter judgment in favor of the Commissioner, and to close the case.
So ordered.
20 C.F.R. §§ 404.1567(b), 416.967(b).
(Tr. 37).