Mutchler v. Colvin
Filing
31
MEMORANDUM (Order to follow as separate docket entry).Signed by Honorable Malachy E Mannion on 7/31/15. (bs)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
MATTHEW T. MUTCHLER,
:
Plaintiff
:
v.
:
CIVIL ACTION NO. 3:13-2235
CAROLYN W. COLVIN,
Acting Commissioner
of the Social Security
Administration,
:
(Mannion, D.J.)
(Cohn, M.J.)
:
:
Defendant
:
MEMORANDUM
Pending before the court is the report and recommendation of Judge
Cohn, (Doc. 20), recommending that plaintiff's appeal from the final decision
of the Commissioner of Social Security be denied and the decision of the
Commissioner be affirmed. Judge Cohn reviewed the record in this case
pursuant to 42 U.S.C. §405(g) to determine whether there is substantial
evidence to support the Commissioner's decision denying the plaintiff's claim
for Supplemental Security Income ("SSI") under Title XVI of the Social
Security Act, ("Act"). 42 U.S.C. §§401-433, 1381-1383f.1 The court has
jurisdiction over this appeal pursuant to 42 U.S.C. §1383(c)(3). Plaintiff filed
objections to the report as well as a brief in support of his objections. (Docs.
1
The court notes that since Judge Cohn stated the full procedural history
and facts of this case, (Doc. 20, at 2-3, 5-21), and since plaintiff did not object
to them, the court will not repeat all of them in this memorandum.
21, 26).2 Defendant did not object to the report but responded to plaintiff’s
objections. (Doc. 29). For the following reasons, the report and
recommendation is ADOPTED and, the plaintiff’s appeal is DENIED. The
decision of the defendant Commissioner will be AFFIRMED and the case will
be CLOSED.
I.
STANDARD OF REVIEW
When objections are timely filed to the report and recommendation of
a magistrate judge, the district court must review de novo those portions of
the report to which objections are made. 28 U.S.C. §636(b)(1); Brown v.
Astrue, 649 F.3d 193, 195 (3d Cir. 2011). Although the standard is de novo,
the extent of review is committed to the sound discretion of the district judge,
and the court may rely on the recommendations of the magistrate judge to the
extent it deems proper. Rieder v. Apfel, 115 F.Supp.2d 496, 499 (M.D.Pa.
2000) (citing United States v. Raddatz, 447 U.S. 667, 676 (1980)).
2
Plaintiff’s counsel intermittently misidentifies Magistrate Judge Cohn as
a “Magistrate” when captioning his filings as “Objections To Magistrate’s
Report and Recommendation.” (Doc. 21, Doc. 26). The title magistrate no
longer exists in the U.S. Courts, having been changed from “magistrate” to
“magistrate judge” in 1990. Judicial Improvements Act of 1990, 104 Stat.
5089, Pub. L. No. 101-650, §321 (1990) (“After the enactment of this Act,
each United States magistrate . . . shall be known as a United States
magistrate judge.”). Plaintiff’s counsel is reminded to use the correct title, in
the future, when referring to Judge Cohn or any other United States
Magistrate Judge.
2
For those sections of the report and recommendation to which no
objection is made, the court should, as a matter of good practice, "satisfy itself
that there is no clear error on the face of the record in order to accept the
recommendation." Fed. R. Civ. P. 72(b), advisory committee notes; see also
Univac Dental Co. v. Dentsply Intern., Inc., 702 F.Supp.2d 465, 469 (M.D.Pa.
2010) (citing Henderson v. Carlson, 812 F.2d 874, 878 (3d Cir. 1987)
(explaining judges should give some review to every report and
recommendation)). Nevertheless, whether timely objections are made or not,
the district court may accept, not accept, or modify, in whole or in part, the
findings or recommendations made by the magistrate judge. 28 U.S.C.
§636(b)(1); Local Rule 72.31.
When reviewing the denial of disability benefits, the court must
determine whether the denial is supported by substantial evidence. Brown v.
Bowen, 845 F.2d 1211, 1213 (3d Cir. 1988); Johnson v. Commissioner of
Social Sec., 529 F.3d 198, 200 (3d Cir. 2008). Substantial evidence “does not
mean a large or considerable amount of evidence, but rather such relevant
evidence as a reasonable mind might accept as adequate to support a
conclusion.” Pierce v. Underwood, 487 U.S. 552 (1988); Hartranft v. Apfel,
181 F.3d 358, 360. (3d Cir. 1999), Johnson, 529 F.3d at 200. It is less than
a preponderance of the evidence but more than a mere scintilla. Richardson
v. Perales, 402 U.S. 389, 401 (1971). If the ALJ's decision is supported by
substantial evidence, the court is “bound by those findings.” Fargnoli v.
3
Massanari, 247 F.3d 34, 38 (3d Cir. 2001) (citation omitted). Furthermore, in
determining if the ALJ's decision is supported by substantial evidence the
court may not parse the record but rather must scrutinize the record as a
whole. Smith v. Califano, 637 F.2d 968, 970 (3d Cir. 1981).
To receive disability benefits, the plaintiff must demonstrate an “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.” 42 U.S.C. §432(d)(1)(A). Furthermore,
[a]n individual shall be determined to be under a disability only if
[her] physical or mental impairment or impairments are of such
severity that [she] is not only unable to do [her] previous work but
cannot, considering [her] age, education, and work experience,
engage in any other kind of substantial gainful work which exists
in the national economy, regardless of whether such work exists
in the immediate area in which [she] lives, or whether a specific
job vacancy exists for [her], or whether [she] would be hired if
[she] applied for work. For purposes of the preceding sentence
(with respect to any individual), ‘work which exists in the national
economy’ means work which exists in significant numbers either
in the region where such individual lives or in several regions of
the country.
42 U.S.C. §423(d)(2)(A).
4
II.
RELEVANT MEDICAL EVIDENCE
Judge Cohn’s report and recommendation (“R&R”) contains a thorough
review of the plaintiff’s medical history. (Doc. 20, at 5-18). The court will
restrict its discussion below to the relevant medical background as it pertains
to the plaintiff’s objections.
Judge Cohn's report also details the five-step process that is required
to determine if an applicant is disabled under the Act. The Commissioner
must sequentially determine: (1) whether the applicant is engaged in
substantial gainful activity; (2) whether the applicant has a severe impairment;
(3) whether the applicant's impairment meets or equals a listed impairment;
(4) whether the applicant's impairment prevents the applicant from doing past
relevant work, and; (5) whether the applicant's impairment prevents the
applicant from doing any other work. 20 C.F.R. §§404.1520, 416.920. Since
the five-step legal framework for addressing a disability claim was properly
stated in the R&R, (Doc. 20, at 3-5), as well as the findings of the ALJ at each
step, (Doc. 20, at 20-21), these portions of the R&R are incorporated by
reference.
5
III.
DISCUSSION
Plaintiff Matthew Mutchler protectively applied for SSI on May 14, 2010,
alleging he was unable to work due to headaches caused by a truck accident
in 2001. Plaintiff’s application was denied on August 16, 2010, by the Bureau
of Disability Determination. A hearing was held before an administrative law
judge (“ALJ”) on August 10, 2011. Plaintiff and a vocational expert (‘VE”)
testified at the hearing. On December 1, 2011, the ALJ determined that
plaintiff was not disabled within the meaning of the Social Security Act. The
ALJ found that while plaintiff’s post concussion syndrome and obesity were
severe impairments that prevented him from doing his previous work as a
truck driver, he maintained the residual functional capacity (“RFC”) to do his
past light work as an assembler. Specifically, the ALJ found that plaintiff could
perform light work with no limitations in standing, walking or sitting, but with
a few exertional limitations, namely, occasionally lifting and carrying 25
pounds and occasionally performing all postural activities. (TR 15).
The plaintiff raises objections to the R&R which this court consolidated.
Plaintiff claims that errors were made by Judge Cohn regarding the following
findings of the ALJ: (1) plaintiff could perform his past relevant work; (2) the
weight afforded to the medical opinions (both treating and non-treating
physicians); and (3) plaintiff did not meet or equal a listed impairment and
testimony from a medical expert was not required.
6
The objections of the plaintiff will be addressed seriatim.
A. ALJ’s Finding that Plaintiff Could Perform His Past Relevant
Work
At step four, the ALJ found that plaintiff could perform his past relevant
work. (TR 18). The plaintiff objects to this finding and contends that no
medical professional found he could perform his past work as a truck driver
and as an assembler, and that his medical restrictions preclude him working
as a truck driver. However, the ALJ did not find plaintiff could perform his past
work as a truck driver. Rather, the ALJ, relying on the VE, found that plaintiff
could only perform his past work as an assembly worker. (TR 18).
Nonetheless, plaintiff states that the ALJ erred since she did not sufficiently
identify what his past work as an assembler entailed and when he performed
it.
Initially, insofar as plaintiff suggests that his work as an assembler likely
occurred beyond the 15 year period to qualify as past relevant work, the
record does not support his assertion. Plaintiff testified at the ALJ hearing that
after the August 2001 truck accident, he performed light duty work in 2002
and 2003 as an assembler, and that his work involved “putting empty cases
[of milk] on the line [i.e., conveyor belt track] to go into the process room....”
Plaintiff also stated that he put processed milk in crates to go to the stores.
(TR 53-55, 65-66). Also, the earning records of plaintiff show that in 2002 and
7
2003 he jointly made $50,290.71. (TR 162). As such, plaintiff’s work as an
assembler was within the relevant time period to qualify as past relevant work.
See 20 C.F.R. §416.960(b)(1).
Plaintiff also maintains that the ALJ erred since she did not evaluate
what was involved in his past work as an assembler in light of his limitations
and since no medical professional indicated he could perform his past work.
Plaintiff states that Judge Cohn erred since he accepted the ALJ’s RFC
finding and finding at step four without further discussion.
Substantial evidence supports the ALJ’s finding that plaintiff had the
RFC to do light work with the stated limitations and that he could perform his
past work as an assembler. Residual functional capacity is defined as “that
which an individual is still able to do despite the limitations caused by his or
her impairment(s).” Burnett v. Commissioner of Social Sec. Admin., 200 F.3d
112, 121 (3d Cir. 2000) (citations omitted). “In assessing a claimant's residual
functional capacity, the ALJ is required to consider the claimant's ability to
meet the physical, mental, sensory and other requirements of work.” Roth v.
Colvin, 2014 WL 4415372, *2 n. 1 (W.D.Pa. Sept. 08, 2014) (citations
omitted). The court in Burnett stated that the ALJ must consider all evidence
before him in making a RFC determination. Burnett, 200 F.3d at 121. The
Burnett Court further elaborated that, while the ALJ is permitted to weigh the
credibility of the evidence, he is required to give some indication of the
pertinent and significant probative evidence which he rejects, as well as the
8
reasons for discounting the evidence. Id. Thus, the ALJ must mention and
refute some of the contradictory evidence before him. Id.; see also Adorno v.
Shalala, 40 F.3d 43, 48 (3d Cir. 1994); Garibay v. Comm. of Social Sec., 336
Fed.Appx. 152, 156 (3d Cir. 2009) (“In making an RFC determination, an ALJ
must discuss both the evidence that supports his conclusion and the evidence
that was rejected.”) (citing Burnett, supra; Cotter v. Harris, 642 F2d 700, 70507 (3d Cir. 1981)). The ALJ also must give the plaintiff’s subjective complaints
“serious consideration,” Mason, 994 F.2d at 1067, and make specific findings
of fact, including credibility, as to plaintiff’s residual functional capacity.
Burnett, 220 F.3d at 120.Thus, the ALJ's RFC finding must “be accompanied
by a clear and satisfactory explication of the basis on which it rests.” Fargnoli
v. Massanari, 247 F.3d 34, 41 (3d Cir. 2001) (citation omitted).
In SSI cases, the ALJ decides whether plaintiff’s RFC allows him to
perform his past work at step four. (Doc. 29, at 4) (citing to O’Connor v.
Comm’r of Soc. Sec., 466 Fed.Appx. 96, 98 (3d Cir. 2012)). See Chandler v.
Comm’r of Soc. Sec., 667 F.3d 356, 361 (3d Cir. 2011) (“The ALJ–not treating
or examining physicians or State agency consultants–must make the ultimate
disability and RFC determinations.”) (citing 20 C.F.R. §404.1527(e)(1),
404.1546(c)). The court in Chandler also quoted Brown v. Astrue, 649 F.3d
193, 197 n. 2 (3d Cir. 2011), and stated that “[t]he law is clear ... that the
opinion of a treating physician does not bind the ALJ on the issue of [RFC].”
Id. Thus, a medical professional is not required to find that he can perform his
9
past work as plaintiff contends.
The ALJ's RFC finding also accounted for all of plaintiff's physical
limitations. “The ALJ must consider all relevant evidence when determining
an individual’s [RFC] in step four.” Fargnoli, 247 F.3d at 41 (citations omitted).
This evidence includes medical records, observations found during medical
exams, limitations of plaintiff stated by plaintiff and by others. Id. As Judge
Cohn points out, the ALJ considered the relevant medical evidence and relied
on the opinion of Dr. R. Craig Nielsen a consultative examiner in finding that
plaintiff could perform light work. (TR 376-382). Dr. Nielsen found that plaintiff
could occasionally lift up to 25 pounds, occasionally carry up to 25 pounds,
and no limitations with respect to sitting, standing and walking in an eight-hour
work day. He also found that plaintiff had no limitations in pushing and pulling,
and could occasionally climb, balance, stoop, kneel and crouch and had no
other physical limitations. (TR 381-382). Judge Cohn thoroughly discussed
the medical evidence upon which the ALJ relied in making her RFC
assessment. (Doc. 20, at 6-20). In particular, the ALJ considered the records
of Dr. Hani Tuffaha, a neurological surgeon who treated plaintiff from 20032008, who consistently released plaintiff to sedentary/light work until May
2008. (TR 328-339). Further, the August 2008 RFC assessment of Dr. Sharon
Wander was considered. She found that plaintiff could occasionally lift up to
50 pounds, frequently lift up to 25 pounds, and stand, walk, or sit for up to six
hours in an eight-hour work day. She found that plaintiff had no limitations in
10
pushing or pulling, and could occasionally climb and balance, and frequently
stoop, kneel, crouch, and crawl. Plaintiff also was found not to have any
limitations regarding use of his hands, sight and communication. (TR 544549). The August 2010 RFC assessment of Dr. Leo Potera, a state agency
physician, was also considered. He found that plaintiff could occasionally lift
up to 20 pounds, frequently lift up to 10 pounds, and stand, walk, or sit for up
to six hours in an eight-hour work day. He found that plaintiff had no
limitations in pushing or pulling, and that plaintiff had no limitations regarding
use of his hands, sight and communication. (TR 514-519). The plaintiff’s
testimony regarding his limitations was also considered. (TR 40-62). Based
on the ALJ’s RFC finding, the VE stated that plaintiff could perform his past
light duty work as an assembler. (TR 67).
Thus, substantial evidence supports the ALJ’s RFC finding and her
finding at step four that plaintiff could perform his past light work as an
assembler.
Plaintiff also contends that since the ALJ erred at step four and since
he could not perform any of his past work, the Medical-Vocational Guidelines
(“Grids”) should have been utilized. As Judge Cohn explains, the Grids can
be used as a framework by the ALJ at step five in analyzing whether the RFC
of a claimant with exertional and non-exertional impairments permit him to
perform jobs existing in significant numbers in the national economy. (Doc.
20, at 21) (citing Stouchko v. Comm’r of Soc. Sec. 2014 WL 888513, *9
11
(M.D.Pa. Mar. 6, 2014). However, in the instant case, the ALJ properly found
plaintiff was not disabled at step four and, as discussed, this determination
was supported by substantial evidence since plaintiff could perform his past
light work as an assembler. As such, the Grids did not apply. See 20 C.F.R.
§404.1560(b)(3).
To the extent plaintiff states that the ALJ erred by considering the Grids
even though she found that he could perform his past work as an assembler,
the ALJ only proceeded to step five “[i]n the alternative.” (TR 18). Since the
court finds substantial evidence supports the ALJ’s finding at step four, it need
not address her alternative findings under step five.
The ALJ also properly addressed what plaintiff’s past work as an
assembler entailed considering his limitations. Specifically, the ALJ stated:
The claimant has past relevant work as a delivery truck driver (a
semi-skilled, medium exertional level work, DOT # 905.663-014)
and an assembly worker (an unskilled, light exertional level work,
DOT # 706.687-010). At the hearing, the vocational expert
testified that the Dictionary of Occupational Titles classifies each
of the claimant's past relevant work as requiring skills and
exertional capacity as noted above. She further testified that an
individual with the residual functional capacity set forth above
would be able to perform the assembly work. In comparing the
claimant's residual functional capacity with the demands of this
work as noted in the Dictionary of Occupational Title (DOT
#706.687-010) and as the claimant described during the hearing,
the undersigned finds that the claimant is able to perform it as
actually and generally performed.
(TR 18).
12
B. ALJ’s Reliance on Consultative Examiner over Plaintiff’s
Treating Physicians
The plaintiff next contends that the ALJ erred by affording more weight
to Dr. Nielsen’s assessment than the findings of his treating physicians, Dr.
Tuffaha and Dr. Stuart Olinsky. As the ALJ explained, (TR 16), the record
showed that from November 2003 to May 2008, Dr. Tuffaha “essentially
cleared the claimant for light exertional level work.” The ALJ recognized that
while Dr. Tuffaha changed his opinion on May 7, 2008, and simply stated that
plaintiff was “disabled for substantial gainful employment”, (TR 440), the
doctor did not substantiate this conclusion and plaintiff’s symptoms were
essentially unchanged over the five years the doctor treated plaintiff. Also, the
ultimate decision as to whether plaintiff was disabled is reserved for the
Commissioner. See Chandler v. Comm’r of Soc. Sec., 667 F.3d at 361.
Plaintiff then ceased treating with Dr. Tuffaha and began treating with Dr.
Olinsky in July 2008. The ALJ states that even though Dr. Olinsky’s
neurological examination of plaintiff was largely unremarkable,
he diagnosed the claimant with "probable intractable post
concussive syndrome" and "probable intractable headache
syndrome including superimposed iced pick headaches (form of
migraine)/possible neuralgia" (Ex. B23F at 4). He then went on to
conclude that the claimant could not even lift 3 pounds on a
frequent basis (Ex. B23F at 8). The level of limitations Dr. Olinsky
assigned to the claimant is not supported by Dr. Olinsky's own
finding that the claimant did not demonstrate any unilateral
neurological dysfunction during the evaluation (Ex. 23F at 4) or by
treatment records from other physicians. Accordingly, Dr.
13
Olinsky's July 29, 2008 residual functional capacity received little
weight.
(TR 16-17).
Also, as Judge Cohn states, “the ALJ assigned little weight to Dr.
Olinsky’s July 29, 2008 opinion because Dr. Olinsky did not have a preexisting treating relationship with plaintiff.” (Doc. 20, at 27) (citing 20 C.F.R.
§404.1527(c)(2)(I)).
The ALJ also explained that plaintiff sought more aggressive treatment
from 2009 through 2011, but the medical records did not show he was
precluded from performing light work. (TR 17). For instance, the ALJ noted
that “[a]n EEG study conducted on April 28, 2011 to evaluate [plaintiff’s]
headaches showed no abnormality (Ex. B27F at 10) [and] [a]n MRI of the
brain conducted on August 26, 2010 similarly revealed no evidence of an
acute intracranial abnormality (Ex. B28F at 20).” Further, the ALJ indicated
that plaintiff “was found to have no limitation with regard to meeting his
activities of daily living needs.” (TR 17). Significantly, as the ALJ stated,
plaintiff’s physician Dr. Barbara Swartz recommended in April 2011 that
plaintiff find employment, (TR 572), and plaintiff testified at his ALJ hearing
that he applied for a truck driving job just before the hearing.
The ALJ gave greater weight to Dr. Nielsen's assessment that plaintiff
could perform the requirements of light work, (TR 17), pointing out that
Nielsen personally examined plaintiff. The ALJ's RFC finding adequately
14
accounted for the limitations identified by plaintiff’s treating physicians as well
as Dr. Nielsen’s limitations that were supported by the medical evidence. As
such, the ALJ accounted for all of the doctor’s findings, both treating and
consultative, in assessing plaintiff’s RFC and adequately explained her
rejection of medical evidence.
The regulations as well as courts require the ALJ “give good reasons for
the amount of weight given to a treating physician’s opinion.” Fargnoli v.
Massanari, 247 F.3d 34, 42-44 (3d Cir. 2001); see also 20 C.F.R.
§404.1527(d)(2).
Thus, as the Court in Terwilliger v. Chater, 945 F.Supp. 836, 842-43
(E.D.Pa. 1996), stated:
An ALJ may not reject a physician's findings unless he first
weighs them against other relevant evidence and explains why
certain evidence has been accepted and why other evidence has
been rejected.” Mason v. Shalala, 994 F.2d 1058, 1067 (3d Cir.
1993) (internal quotation marks, citations and indication of
alteration omitted). Where the findings are those of a treating
physician, the Third Circuit has “long accepted” the proposition
that those findings “must [be] give[n] greater weight ... than ... the
findings of a physician who has examined the claimant only once
or not at all.” Id. (citations omitted). An ALJ may reject a treating
physician's opinion on the basis of contradictory medical
evidence, see Frankenfield v. Bowen, 861 F.2d 405, 408 (3d Cir.
1988), and may afford a medical opinion more or less weight
depending upon the extent to which supporting explanations are
provided, see Mason, 994 F.2d at 1065 (“[f]orm reports in which
a physician's obligation is only to check a box or fill in a blank are
weak evidence at best”), and whether the reporting doctor is a
specialist, see Id. at 1067. An ALJ may not, however, reject
medical determinations by substituting his own medical
15
judgments. See Frankenfield, 861 F.2d at 408.
Substantial evidence support the weight the ALJ afforded to the
respective findings of both the treating and non-treating physicians. The ALJ’s
reliance on the opinion of Dr. Nielsen was proper based on Chandler. See
Watts v. Colvin, 2013 WL 2481274, *6 (M.D. Pa. June 10, 2013) (“The ALJ’s
reliance on [the opinion of a state agency physician... was appropriate.”)
(citing Chandler, 667 F.3d at 362 (“Having found that the [state agency
physician’s] report was properly considered by the ALJ, we readily conclude
that the ALJ’s decision was supported by substantial evidence[.]”)). As in
Chandler, the ALJ in the instant case gave greater weight to the opinion and
RFC assessment of Dr. Nielsen and incorporated it into her RFC finding.
Based on the above discussion, the ALJ properly explained why she afforded
greater weight to the opinion of Dr. Nielsen than the opinions of Dr. Tuffaha
and Dr. Olinsky.
C. ALJ’s Finding that Plaintiff’ did not meet a Listing
Plaintiff finally argues that the ALJ did not fully develop the record since
she did not have a medical expert determine if he met or equaled a listing.
The ALJ found that plaintiff had severe physical impairments of post
concussion syndrome as a result of a motor vehicle accident and obesity. The
16
ALJ did not find plaintiff had a severe mental impairment, including
depression. In finding that plaintiff did not have an impairment or combination
of impairments that met or equaled a listed impairment, the ALJ considered
Listings 11.18 (Cerebral trauma) and 12.02 (Organic Mental Disorders), and
found that plaintiff failed to meet the conditions set forth in these listings. (TR
14-15). The ALJ throughly discussed plaintiff’s depression diagnosis and why
she found it to be “nonsevere.” Specifically, the ALJ stated:
Barbara Swartz, M.D., a treating physician from Susquehanna
Health, diagnosed the claimant with depression and prescribed
Lexapro and Topamax on April 22, 2011 (Ex. B28F at 6). The
record as a whole, however, does not show that his depression
has caused significant functional limitations in his ability to
perform basic work activity. In fact, Dr. Swartz 's notes from April
22, 2011 suggest that the diagnosis was largely based on the
claimant's own report of feeling depressed (Ex. B28F at 6). There
is also no evidence that he sought therapy treatment for his
depression. In the absence of medical opinion showing that the
claimant has "severe" mental impairment, the undersigned gave
great weight to the assessment of the State Agency's finding that
the claimant has no restriction of activities of daily living, no
difficulties in maintaining social functioning, mild difficulties in
maintaining concentration, persistence, or pace, and no episode
of extended decompensation (Ex. Bl0F).
Because the claimant's medically determinable mental
impairments cause no more than "mild" limitation in any of the first
three functional areas and "no" episodes of decompensation
which have been of extended duration in the fourth area, they are
nonsevere (20 CFR 416.920a(d)( 1)).
(TR14-15).
17
At step three of the evaluation process, the ALJ must determine
whether a claimant’s alleged impairment is equivalent to a number of listed
impairments that are acknowledged as so severe as to preclude substantial
gainful activity. 20 C.F.R. §416.920(a)(4)(iii); 20 C.F.R. pt. 404, subpt. P, App.
1; Burnett, 220 F.3d at 119. The purpose of the listing of impairments is to
describe those impairments which are “severe enough to prevent a person
from doing any gainful activity,” regardless of age, education, or work
experience. 20 C.F.R. §416.925(a). As such, the Commissioner explicitly has
set the medical criteria defining the listed impairments at a higher level of
severity than the statutory standard. Sullivan v. Zebley, 493 U.S. 521, 532
(1990). If a claimant’s impairment meets or equals one of the listed
impairments, the claimant is considered disabled per se, and is awarded
benefits. 20 C.F.R. §416.920(d); Burnett, 220 F.3d at 119. However, to qualify
for benefits by showing that an impairment, or combination of impairments,
is equivalent to a listed impairment, plaintiff bears the burden of presenting
“medical findings equivalent in severity to all the criteria for the one most
similar impairment.” Zebley, 493 U.S. at 531 (emphasis original); 20 C.F.R.
§416.920(d). An impairment, no matter how severe, that meets or equals only
some of the criteria for a listed impairment is not sufficient. Id.
As Judge Cohn explains, (Doc. 20, at 32-33), plaintiff has failed to meet
18
his burden to present medical findings that show his depression met Listing
12.04 or was equal in severity to this listing as required by Williams v.
Sullivan, 970 F.2d 1178, 1186 (3d Cir. 1992). Also, as indicated above, the
ALJ met her obligation to “fully develop the record and explain [her] findings
at step 3, including an analysis of whether and why [the claimant's] ...
impairments ... are or are not equivalent in severity to one of the listed
impairments.” Burnett, 220 F.3d at 120. Under these circumstances, Judge
Cohn correctly concluded that no medical expert was required and that
substantial evidence supported the ALJ’s finding that plaintiff did not meet or
equal a listing. (Doc. 20, at 33-34).
IV.
CONCLUSION
Substantial evidence supported the ALJ’s decision denying plaintiff’s
SSI claim. Accordingly, the report and recommendation of Judge Cohn, (Doc.
20), is ADOPTED IN FULL. The final decision of the Commissioner is
AFFIRMED and the plaintiff’s appeal, (Doc. 1), is DENIED. A separate order
shall issue.
s/ Malachy E. Mannion
MALACHY E. MANNION
United States District Judge
Date: July 31, 2015
O:\Mannion\shared\MEMORANDA - DJ\CIVIL MEMORANDA\2013 MEMORANDA\13-2235-01.wpd
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