Johnson v. Astrue
Filing
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MEMORANDUM OPINION Granting Defendant's Motion for Summary Judgment. Signed by Magistrate Judge Thomas M. DiGirolamo on 12/11/2013. (am2s, Deputy Clerk)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
Southern Division
KEVIN JOHNSON
Plaintiff,
v.
CAROLYN W. COLVIN,
Commissioner of Social Security,
Defendant.
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Civil Action No. TMD 10-03581
MEMORANDUM OPINION GRANTING DEFENDANT’S
MOTION FOR SUMMARY JUDGMENT
Kevin Johnson (“Plaintiff” or “Claimant”) brought this action under 42 U.S.C. § 405(g)
for judicial review of the final decision of the Commissioner of the Social Security
Administration (“Commissioner”), denying his claim for Supplemental Security Income (“SSI”)
under Title XVI of the Social Security Act, 42 U.S.C.§§ 1381-83(c).
Before the Court are
Plaintiff’s Motion for Summary Judgment (Pl.’s Mot. Summ., ECF No. 19) and Defendant’s
Motion for Summary Judgment. (Def.’s Mot. Summ., ECF No. 21). No hearing is deemed
necessary. Local Rule 105.6 (D. Md.). For the reasons presented below, Defendant’s Motion
for Summary Judgment is GRANTED.
I. Procedural History
Plaintiff protectively filed his application for SSI on April 5, 2007 alleging disability
since February 1, 2003 (subsequently amended to April 5, 2007) on the basis of systemic pain
pain and an inability to stand for long periods of time. R. at 11, 72-78, 83. His claim was denied
initially and on reconsideration. R. at 36-38, 46-47. On September 25, 2009, a hearing was held
before an administrative law judge (“ALJ”). R. at 20-33. In a decision dated November 16,
2009, the ALJ denied Plaintiff’s request for benefits. R. at 11-19. The Appeals Council denied
Plaintiff’s request for review rendering the ALJ’s decision the final decision subject to judicial
review. R. at 1-5.
II. ALJ’s Decision
The ALJ evaluated Plaintiff’s claim for SSI using the sequential process set forth in 20
C.F.R. § 416.920. At the first step, the ALJ determined that Claimant had not engaged in
substantial gainful activity since April 5, 2007. At step two, the ALJ determined that Claimant
suffered from the following severe impairments: osteoarthritis of the hips; worse on the left; and
depression.
At step three, the ALJ found that his impairments did not meet or equal the
Listings of Impairments set forth in 20 C.F.R. pt. 404, subpt, P, app. 1. The ALJ concluded at
step four that, given his Residual Functional Capacity (“RFC”), Plaintiff was not capable of
performing his past relevant work. At step five, the ALJ concluded that Claimant was capable of
performing jobs that existed in significant numbers in the national economy. Accordingly, he
concluded that Claimant was not disabled. R. at 11-19.
III. Standard of Review
The role of this court on review is to determine whether substantial evidence supports the
Commissioner’s decision and whether the Commissioner applied the correct legal standards.
42 U.S.C. § 405(g)(1994 & Supp. V 1999); Pass v. Chater, 65 F.3d 1200, 1202 (4th Cir. 1995);
Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990). Substantial evidence is “such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion.” Richardson
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v. Perales, 402 U.S. 389, 401 (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197,
229 (1938)). It is more than a scintilla, but less than a preponderance, of the evidence
presented. Shively v. Heckler, 739 F.2d 987, 989 (4th Cir. 1984). It is such evidence that a
reasonable mind might accept to support a conclusion, and must be sufficient to justify a refusal
to direct a verdict if the case were before a jury. Hays, 907 F.2d at 1456 (quoting Laws v.
Celebrezze, 368 F.2d 640, 642 (4th Cir. 1966)). This court cannot try the case de novo or
resolve evidentiary conflicts, but rather must affirm a decision supported by substantial
evidence. Id.
IV. Discussion
Plaintiff argues that the ALJ erred in (1) analyzing his mental impairments; (2) his
assessment of his RFC; and (3) his reliance upon the VE testimony.
A.
Mental Impairment
After a lengthy recitation of the regulations governing the evaluation of a mental
impairment, Plaintiff makes a boilerplate argument that the ALJ failed to follow the special
technique laid out in the regulations and asserts without a single citation to a fact in the record
that it is “undisputed that the Plaintiff has a documented mental impairment, which impacts his
ability to work.” Pl.’s Mot. Summ., ECF No. 19 at 6. To the contrary, the Court finds that the
ALJ did not err in his analysis of Plaintiff’s mental impairment and that his findings regarding
his depression are supported by substantial evidence.
When evaluating the severity of mental impairments, the ALJ must follow a special
technique which begins with a determination of whether or not claimant has a medically
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determinable mental impairment. 20 C.F.R. §416.920a(a). He then must rate the degree of
functional limitation in the following four broad functional areas: activities of daily living,
social functioning, concentration, persistence or pace and episodes of decompensation. 20
C.F.R. §416.920a(c)(3). After rating these areas, the ALJ determines the severity of the mental
impairment, and if severe, the ALJ will assess whether it meets a listing and if not, proceeds to
the RFC analysis. 20 C.F.R. §416.920a(c)(4). Here, the ALJ found Claimant’s depression was a
medically determinable mental impairment that was severe. He then found that Claimant
suffered from only mild restrictions in activities of daily living, moderate difficulties in
maintaining social functioning, moderate difficulties in maintaining concentration, persistence
or pace and no episodes of decompensation. R. at 13. The ALJ determined that Claimant’s
mental condition did not satisfy any Listing. R. at 14.
The ALJ reviewed the consultative psychiatric evaluation completed by Dr. Hussain in
November, 2007 in which Dr. Hussain opined Claimant was unable to complete tasks or
tolerate work-related stress and demands and assigned him a Global Assessment of Functioning
of 45. The ALJ assigned these opinions little weight finding that they were based on a one-time
examination and almost entirely based on Claimant’s self-reporting. R. at 16. The ALJ noted
that Claimant did not allege any mental health impairment at the hearing but instead testified
that it was his hip that was his “biggest problem.” R. at 28. Significantly, the ALJ noted that
the record did not contain any evidence that Claimant was ever treated by a mental health
professional. R. at 16. In formulating his RFC, the ALJ, as a precautionary measure, limited
Claimant’s contact with the public based on possible moderate limitations in social functioning.
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R. at 17. Despite Plaintiff’s conclusory assertions, there is simply no basis to find that the ALJ
erred in his assessment of his mental impairment.
B.
RFC
Plaintiff next argues that the ALJ erroneously assessed his RFC by failing to evaluate
pertinent evidence. He argues that the ALJ failed to evaluate evidence from the state agency
physicians “in any manner.” To the contrary, the ALJ specifically referenced those findings and
found that Claimant’s activities of daily living did not support the “moderate” degree of
limitation found therein. He also noted that there was no evidence of episodes of
decompensation and gave Claimant the benefit of the doubt in affording Claimant a moderate
limitation in social functioning. R. at 17. Plaintiff points to the findings in which the agency
physicians checked off various “moderate” limitations but does not assert how those findings
would, in any way, change the ALJ’s RFC. In fact, the ALJ specifically stated that the
moderate limitations which were supported by the record were consistent with his limitation
that Plaintiff could perform only unskilled work. R. at 17. See Bowers v. Commissioner, Soc.
Sec. Admin., Civil No. SAG–11–1445 2013 WL 150023 at * (D. Md. Jan. 11, 2013) citing Bell
v. Astrue, 8:07-cv-00924-JKS, slip op. at *9 (D. Md. Mar. 12, 2008) (“a finding of moderate
impairment in a particular broad functioning area does not automatically indicate that a
claimant’s condition will significantly impact his or her ability to perform work-related
functions”). Moreover, as this Court has previously noted, an ALJ is not required to mention
each of the “summary conclusions” in Part 1 of the MRFC form. See, e.g. White v.
Commissioner, Soc. Sec. Admin., No SAG-11-3769, 2013 WL 105202 at *1 (D. Md. Jan. 7,
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2013) (“the relevant portion of Dr. Edmunds's opinion is not Section I, which sets forth a series
of “check the box” rankings, but Section III, which provides a detailed narrative functional
capacity assessment. See Program Operations Manual System DI 24510.060B (Mental Residual
Functional Capacity Assessment). Because Section I does not include the requisite level of
detail to inform the ALJ's opinion, an ALJ need not address each of the Section I limitations,
and the ALJ need not include each of those limitations in the hypothetical to the VE.”); see also
Andrews v. Astrue, Civil No. SKG–09–3061, slip op. at *39 (D. Md. Oct. 25, 2011) (noting that
“even if the ALJ had not explicitly addressed each of the mental function limitations appearing
on Section I of the mental RFCA, he was not required to do so.”).1
Plaintiff next argues the ALJ failed to properly evaluate the opinion of nurse
practitioner, Ms. Deborah Foerter, C.R.N.P. He argues that the ALJ’s notation that she was not
an “acceptable medical source” was erroneous. Plaintiff cites to SSR 06-03p in support of his
argument, but that regulation indeed dictates that Ms. Foerter’s opinion is not an “acceptable
medical source” but rather should be treated as an “other source.” Thus, the ALJ’s notation was
entirely proper; and, as the ruling points out, her opinion cannot establish the existence of a
medically determinable impairment. See Mason v. Astrue, JKS-10-2157, 2013 WL 990399, at
*3 (D. Md. Mar. 12, 2013) (“Ms. Cira is not an “acceptable medical source”; rather, therapists
1 To the extent Plaintiff contends the ALJ did not include restrictions in the RFC reflective of his finding that
Claimant experienced moderate limitations in terms of concentration, persistence or pace, the Court disagrees. In
these circumstances, the ALJ’s limitation to unskilled work is sufficient to account for those limitations. See, e.g.,
Bowers v. Commissionerr, Soc. Sec. Admin., CIV. SAG–11–1445, 2013 WL 150023, at *2 (D. Md. Jan.11, 2013)
(“The finding of a moderate impairment in concentration, persistence, and pace does not indicate that restrictions
other than a limitation to simple, unskilled work would be necessary.”); Taylor v. Astrue, CIV.A. BPG–11–0032,
2012 WL 294532, at *2 (D. Md. Jan.31, 2012) (finding that a limitation to unskilled work was sufficient to
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are “other sources,” as defined in 20 C.F.R. 404.1513(d), and an ALJ, when analyzing opinions
of such sources, may, but is not required to, use the factors set out in 20 C.F.R. 404.1527(d)).
Moreover, the Court does not find that the ALJ erred in his decision to provide her opinions
limited evidentiary weight. R. at 16. He noted that her treatment was relatively infrequent and
conservative (primarily medication management) and did not support her opinion that Claimant
was unable to sit, stand and/or walk for a total of eight hours a day, among other limitations. R.
at 137-40, 213-16, 237-40. See Mason, 2013 WL 990399, at *3 (finding no error when ALJ
“assigned little weight to [opinion of therapist because it] was ‘inconsistent with [Claimant’s]
relatively conservative mental health treatment history.’”). This finding is supported by
substantial evidence. Claimant’s treatment consisted primarily of four appointments from
March, 2007 through August, 2007, R. at 168-71, and that after those appointments, Claimant
did not see Ms. Foerter for approximately two years, R. at 16, 231-32, and the record is devoid
of active treatment from August 2007 through June, 2009. R. at 16. In addition, Ms. Foerter
noted Percocet helped with the pain, R. at 168. Finally, Plaintiff claims that the ALJ erred
because he failed to consider various findings by Ms. Foerter including diminished strength, an
abnormal gait, and the need for a cane. R. at 168, 171, 214, 216. While the ALJ did not
explicitly discuss these findings, the Court still finds that the RFC is supported by substantial
evidence and that these findings do not even support the extreme level of limitations expressed
by Ms. Foerter. See also R. at 223 (report of Dr. Nayfey indicating Claimant had full motor
strength); R. at 15-16, 151 (report of consultative examiner finding 5/5 grip strength on the left
accommodate mild-to-moderate limitations stemming from a mental impairment).
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and 4/5 on the right, ability to extend hand fully, make a fist and oppose his fingers). In
addition, Plaintiff does not point to any evidence which supports a medical requirement that he
use a cane.
C.
VE Testimony
Plaintiff contends that the ALJ erroneously relied upon the testimony of the VE because
he contends that the hypothetical failed to address all of Plaintiff’s limitations. Based on the
discussion above, the Court finds that the limitations found by the ALJ supported by substantial
evidence and that those limitations were accurately reflected in the hypothetical to the VE and
properly incorporated in the RFC.
V. Conclusion
Based on the foregoing, Defendant’s Motion for Summary Judgment is GRANTED. A
separate order shall issue.
Date: December 11, 2013
____________/s/__________________
THOMAS M. DIGIROLAMO
United States Magistrate Judge
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