PAIGE J. GOSSETT, Magistrate Judge.
This social security matter is before the court for a Report and Recommendation pursuant to Local Civil Rule 83.VII.02 (D.S.C.). The plaintiff, April Mae Nuneville, brought this action pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3) to obtain judicial review of a final decision of the defendant, Acting Commissioner of Social Security ("Commissioner"), denying her claims for Disability Insurance Benefits ("DIB"). Having carefully considered the parties' submissions and the applicable law, the court concludes that the Commissioner's decision should be remanded for further proceedings.
Under 42 U.S.C. § 423(d)(1)(A) and (d)(5), as well as pursuant to the regulations formulated by the Commissioner, the plaintiff has the burden of proving disability, which is defined as an "inability to do 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." 20 C.F.R. § 404.1505(a);
20 C.F.R. § 404.1520(a)(4).
Under this analysis, a claimant has the initial burden of showing that she is unable to return to her past relevant work because of her impairments. Once the claimant establishes a prima facie case of disability, the burden shifts to the Commissioner. To satisfy this burden, the Commissioner must establish that the claimant has the residual functional capacity, considering the claimant's age, education, work experience, and impairments, to perform alternative jobs that exist in the national economy. 42 U.S.C. § 423(d)(2)(A);
In April 2012, Nuneville applied for DIB, alleging disability beginning April 9, 2012. Nuneville's application was denied initially and upon reconsideration, and she requested a hearing before an ALJ. A hearing was held on September 17, 2014, at which Nuneville appeared and testified, and was represented by Steven D. Haymond, Esquire. During the hearing, Nuneville amended her alleged disability onset date to April 28, 2012. After hearing testimony from a vocational expert, the ALJ issued a decision on April 9, 2015 finding that Nuneville was not disabled. (Tr. 11-20.)
Nuneville was born in 1967 and was forty-four years old on her amended disability onset date. (Tr. 19.) She has a high school education and past relevant work experience as a deli and hot food associate, and a kitchen worker at a cafeteria/restaurant. (Tr. 184.) Nuneville alleged disability due to lower back pain, blood clots, stiffness, sharp shooting pains, post traumatic stress disorder, high blood pressure, depression, and high cholesterol. (Tr. 183.)
In applying the five-step sequential process, the ALJ found that Nuneville had not engaged in substantial gainful activity since her amended alleged onset date of April 28, 2012. The ALJ also determined that Nuneville's deep vein thrombosis, history of pulmonary embolism with inferior vena cava filter placement, degenerative disc disease of the cervical spine, degenerative disc disease of the lumbar spine, depression, anxiety, and post-traumatic stress disorder were severe impairments. However, the ALJ found that Nuneville did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1 (the "Listings"). The ALJ further found that Nuneville retained the residual functional capacity to
(Tr. 16.) The ALJ found that Nuneville was unable to perform any past relevant work, but that, considering Nuneville's age, education, work experience, and residual functional capacity, there were jobs that existed in significant numbers in the national economy that Nuneville could perform. Therefore, the ALJ found that Nuneville was not disabled from the amended alleged onset date of April 28, 2012 through the date of the decision.
Nuneville submitted additional evidence to the Appeals Council, which denied Nuneville's request for review on July 20, 2016, making the decision of the ALJ the final action of the Commissioner. (Tr. 1-6.) This action followed.
Pursuant to 42 U.S.C. § 405(g), the court may review the Commissioner's denial of benefits. However, this review is limited to considering whether the Commissioner's findings "are supported by substantial evidence and were reached through application of the correct legal standard."
Nuneville appears to raise the following issues for this judicial review:
(
Nuneville first argues that the ALJ erred by improperly discredited the records of Nuneville's treating physicians. Although Nuneville appears to challenge the ALJ's evaluation of the opinion evidence from more than one source, for the reasons that follow, the court agrees that the ALJ failed to properly evaluate the opinion evidence from Dr. Dennis Jensen, one of Nuneville's treating physicians, and therefore the court addresses this argument first.
The law applicable to Nuneville's application provides that regardless of the source, the Commissioner will evaluate every medical opinion received. 20 C.F.R. § 404.1527(c). Typically, the Social Security Administration accords greater weight to the opinion of treating medical sources because treating physicians are best able to provide "a detailed, longitudinal picture" of a claimant's alleged disability.
Additionally, SSR 96-2p provides that a finding that
SSR 96-2p, 1996 WL 374188, at *5. This Ruling also requires that an ALJ's decision "contain specific reasons for the weight given to the treating source's medical opinion, supported by the evidence in the case record, and must be sufficiently specific to make clear to any subsequent reviewers the weight the adjudicator gave to the treating source's medical opinion and the reasons for that weight."
In his decision, the ALJ afforded "little probative weight" to Dr. Jensen's opinions. However, upon review of the ALJ's decision and the record, the court is unable to determine whether the ALJ's evaluation of this evidence is supported by substantial evidence. The entirety of the ALJ's evaluation of Dr. Jensen's opinions reads as follows:
(Tr. 18.) As an initial matter, the court observes that one of Dr. Jensen's opinions, in addition to opining that Nuneville is unable "to maintain meaningful employment," states that Nuneville "does require frequent periods of time where she will need to lie down and rest throughout the day and cannot remain seated or standing for more than short periods of time." (Tr. 1022.) The ALJ's discussion only mentions Dr. Jensen's opinion that Nuneville is unable to work, and it is unclear whether the ALJ considered and evaluated these additional opined functional limitations from Dr. Jensen. Therefore, the court is simply unable to determine whether the ALJ's evaluation of this evidence is supported by substantial evidence.
Because it is unclear whether the evaluation of Dr. Jensen's opinions included consideration of the opined functional limitations, the court is unable to determine whether it is supported by substantial evidence and is constrained to recommend that this matter be remanded for further consideration of Dr. Jensen's opinions.
Further consideration of this evidence may impact Nuneville's remaining issues. Therefore, in light of the court's recommendation that this matter be remanded for further consideration, the court need not address the plaintiff's remaining issues, as they may be rendered moot on remand.
Based on the foregoing, the court recommends that the Commissioner's decision be reversed pursuant to sentence four of 42 U.S.C. § 405(g) and that the case be remanded to the Commissioner for further consideration as discussed above.
The parties are advised that they may file specific written objections to this Report and Recommendation with the District Judge. Objections must specifically identify the portions of the Report and Recommendation to which objections are made and the basis for such objections. "[I]n the absence of a timely filed objection, a district court need not conduct a de novo review, but instead must `only satisfy itself that there is no clear error on the face of the record in order to accept the recommendation.'"
Specific written objections must be filed within fourteen (14) days of the date of service of this Report and Recommendation. 28 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72(b);