Gay v. Kijakazi

District Court, District of Columbia·Decided July 2, 2025·No. Civil Action No. 2023-2439·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

GREGORY G., 1 Plaintiff,

v.

Case No. 1:23-cv-02439-GMH FRANK BISIGNANO, 2 Commissioner of Social Security,

Defendant.

MEMORANDUM OPINION

Plaintiff Gregory G. brought this action seeking to reverse the final decision of the Commissioner of Social Security, Frank Bisignano (“Defendant” or “Commissioner”), affirming the denial of his application for a period of disability and Disability Insurance Benefits (“DIB”) under Title II of the Social Security Act, 42 U.S.C. § 405(g). He alleges that the Administrative Law Judge (“ALJ”) erred in determining Plaintiff’s residual functional capacity (“RFC”) and ability to perform past relevant work. More specifically, he argues that the ALJ erred by discounting the medical opinions of state agency physicians Dr. J. Singh, M.D., and Dr. J. DeBorja, M.D. (the “State Agency Physicians”) because of their reliance on the questionable records of Dr. César Sanjur Otero and Dr. Ariel B. Racine, and that the ALJ failed to analyze properly whether Plaintiff could perform his past relevant work as a security guard. Plaintiff seeks reversal of the

1 Plaintiff’s name has been partially redacted in accordance with the recommendation of the Committee on Court Administration and Case Management of the Judicial Conference of the United States. See Memorandum from Hon. Wm. Terrell Hodges, Chair, Comm. on Ct. Admin. & Case Mgmt. to Chief Judges of the U.S. Cts. of Appeals, Chief Judges of the U.S. Dist. Cts., Clerks of the U.S. Cts. of Appeals, and Clerks of the U.S. Dist. Cts. (May 1, 2018), https://www.uscourts.gov/sites/default/files/18-cv-l-suggestion_cacm_0.pdf [https://perma.cc/N9T2-U5XG]. 2 Frank Bisignano, Commissioner of Social Security, is substituted for Kilolo Kijakazi pursuant to Rule 25(d) of the Federal Rules of Civil Procedure.

Commissioner’s decision and a judgment remanding the matter to the Commissioner for further administrative proceedings. The Commissioner takes the opposite position, arguing that the ALJ’s conclusion is properly supported by the record and should therefore be affirmed.

Based on the parties’ arguments and review of the record, Plaintiff’s motion for judgment of reversal is denied and Defendant’s motion for judgment of affirmance is granted. 3 I. BACKGROUND

A. Statutory and Regulatory Framework To be eligible for DIB benefits under the Social Security Act, the Social Security Administration must find a claimant to be “disabled,” meaning that the individual 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 twelve months.” 42 U.S.C. § 1382c(a)(3)(A). To make that determination, an ALJ gathers evidence, holds a hearing, takes testimony, and performs the following five-step, sequential inquiry of the disability claim:

Step one: whether the claimant is engaging in “substantial gainful activity”; 4

Step two: whether the claimant has a “severe” medically-determinable physical or mental impairment or combination of impairments; 5

3 The relevant docket entries for purposes of this Memorandum Opinion are: (1) the administrative record, ECF Nos. 7–8; (2) Plaintiff’s Motion for Judgment of Reversal, ECF No. 20; and (3) Defendant’s Motion for Judgment of Affirmance and Opposition to Plaintiff’s Motion for Judgment of Reversal, ECF No. 26. The page numbers cited herein are those assigned by the Court’s CM/ECF system. 4 “Substantial gainful activity” is work that “involves doing significant and productive physical or mental duties” and is “done (or intended) for pay or profit.” 20 C.F.R. § 404.1510. “If [the claimant is] doing substantial gainful activity, [the Social Security Administration] will find that [the claimant is] not disabled.” 20 C.F.R. § 404.1520(a)(4)(i). 5 An impairment or combination of impairments is “severe” if it “significantly limit[s]” a claimant’s “physical or mental ability to do basic work activities,” such as “walking, standing, sitting, lifting, pushing, pulling, reaching, carrying, or handling”; “seeing, hearing, [or] speaking”; “[u]nderstanding, carrying out, and remembering simple instructions”; exercising judgment; “[r]esponding appropriately to supervision, co-workers[,] and usual work situations”; or “[d]ealing with changes in a routine work setting.” 20 C.F.R. § 404.1522.

Step three: whether the claimant’s impairment is equivalent to one of the disabling impairments listed in the appendix of the relevant regulation, 20 C.F.R. Pt. 404, Subpt. P, App. 1 (known as the “listings”);

After step three, the ALJ determines the claimant’s residual functional capacity (“RFC”)—i.e., the most he or she is able to do notwithstanding his or her physical and mental limitations;

Step four: whether the impairment prevents the claimant from performing his or her past relevant work; 6 and

Step five: whether the claimant, in light of his or her age, education, work experience, and RFC, is unable to perform another job available in the national economy. 7

See 20 C.F.R. § 404.1520; Butler v. Barnhart, 353 F.3d 992, 997 (D.C. Cir. 2004). “An affirmative answer to question 1 or negative answers to questions 2 or 4 result in a determination of no disability. Affirmative answers to questions 3 or 5 establish disability.” Hines v. Bowen, 872 F.2d 56, 58 (4th Cir. 1989) (citing 20 C.F.R. § 404.1520).

The claimant bears the burden of proof at the first four steps of the evaluation. Callahan v. Astrue, 786 F. Supp. 2d 87, 89 (D.D.C. 2011). At step five, the burden shifts to the Commissioner to identify specific jobs available in the national economy the claimant can perform. Id. In making this determination, an ALJ may call a vocational expert (“VE”) to testify at the

6 The applicable definition of “past relevant work” is work “done within the past 15 years, that was substantial gainful activity, and that lasted long enough for [the claimant] to learn to do it.” 20 C.F.R. § 404.1560(b)(1) (amended 2024). If the claimant can perform his or her past relevant work, a finding of “not disabled” is required. 20 C.F.R. § 404.1520(a)(4)(iv) (defining the step four inquiry for DIB claims). On June 22, 2024, the definition of “past relevant work” changed to work “done within the past five years that was substantial gainful activity and that lasted long enough for [the claimant] to learn to do it” and that was not “started and stopped . . . in fewer than 30 calendar days.” 20 C.F.R. § 404.1560(b)(1) (emphasis added); 89 Fed. Reg. 27,653 (Apr. 18, 2024) (outlining amendment to definition of “past relevant work”); 89 Fed. Reg. 48,138 (Jun. 5, 2024) (deferring effective date of amendment to June 24, 2024). The prior definition of “past relevant work” applies in this matter. See discussion infra Section III.B.2. 7 At the fifth step, the ALJ may, “‘[i]n the ordinary case, . . . resort[] to the applicable medical vocational guidelines’” (also known as “the grids”) to determine whether the claimant is disabled. Rosa v. Callahan, 168 F.3d 72, 78 (2d Cir. 1999) (quoting Bapp v. Bowen, 802 F.2d 601, 604 (2d Cir. 1986)); see also 20 C.F.R. Pt. 404, Subpt. P, App. 2. “The grids ‘take[] into account the claimant’s residual functional capacity in conjunction with the claimant’s age, education and work experience.’” Id. (alteration in original) (quoting Zorilla v. Chater, 915 F. Supp. 662, 667 (S.D.N.Y. 1996)). However, when a claimant has additional limitations beyond those contemplated by the grids, the ALJ cannot rely on the grids alone to establish non-disability. Id. In such cases, the testimony of a vocational expert is generally required. Smith v. Bowen, 826 F.2d 1120, 1122 (D.C. Cir. 1987).

hearing as to whether, based on the claimant’s RFC, he or she can perform other work that exists in the national economy. 8 Id. at 90.

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