Lisa C. v. Commissioner of Social Security

District Court, W.D. New York·Decided March 3, 2026·No. 1:24-cv-00355·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

LISA C.,1

Plaintiff,

v. 24-CV-355-LJV DECISION & ORDER COMMISSIONER OF SOCIAL SECURITY,

Defendant.

On April 16, 2024, the plaintiff, Lisa C. (“Lisa”), brought this action under the Social Security Act (“the Act”). Docket Item 1. She seeks review of the determination by the Commissioner of Social Security (“Commissioner”) that she was not disabled.2 Id. On July 17, 2024, Lisa moved for judgment on the pleadings, Docket Item 5; on August 8, 2024, the Commissioner responded and cross-moved for judgment on the pleadings, Docket Item 8; and on August 22, 2024, Lisa replied, Docket Item 9.

1 To protect the privacy interests of Social Security litigants while maintaining public access to judicial records, this Court will identify any non-government party in cases filed under 42 U.S.C. § 405(g) only by first name and last initial. Standing Order, Identification of Non-Government Parties in Social Security Opinions (W.D.N.Y. Nov. 18, 2020). 2 Lisa applied for Disability Insurance Benefits (“DIB”). One category of persons eligible for DIB includes any adult with a disability who, based on her quarters of qualifying work, meets the Act’s insured-status requirements. See 42 U.S.C. § 423(c); Arnone v. Bowen, 882 F.2d 34, 37-38 (2d Cir. 1989). For the reasons that follow, this Court denies Lisa’s motion and grants the Commissioner’s cross motion.3

STANDARD OF REVIEW “The scope of review of a disability determination . . . involves two levels of inquiry.” Johnson v. Bowen, 817 F.2d 983, 985 (2d Cir. 1987). The court “must first

decide whether [the Commissioner] applied the correct legal principles in making the determination.” Id. This includes ensuring “that the claimant has had a full hearing under the . . . regulations and in accordance with the beneficent purposes of the Social Security Act.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (alterations omitted) (quoting Cruz v. Sullivan, 912 F.2d 8, 11 (2d Cir. 1990)). Then, the court “decide[s] whether the determination is supported by ‘substantial evidence.’” Johnson, 817 F.2d at 985 (quoting 42 U.S.C. § 405(g)). “Substantial evidence” means “more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol. Edison

Co. v. NLRB, 305 U.S. 197, 229 (1938)). “The substantial evidence standard means once an ALJ finds facts, [the court] can reject those facts only if a reasonable fact finder would have to conclude otherwise.” Brault v. Soc. Sec. Admin., Comm’r, 683 F.3d 443, 448 (2d Cir. 2012) (internal quotation marks and citation omitted) (emphasis in original); see McIntyre v. Colvin, 758 F.3d 146, 149 (2d Cir. 2014) (“If evidence is susceptible to

3 This Court assumes familiarity with the underlying facts, the procedural history, and the decision of the Administrative Law Judge (“ALJ”) and refers only to the facts necessary to explain its decision. more than one rational interpretation, the Commissioner’s conclusion must be upheld.”). But “[w]here there is a reasonable basis for doubt whether the ALJ applied correct legal principles, application of the substantial evidence standard to uphold a finding of no disability creates an unacceptable risk that a claimant will be deprived of the right to

have her disability determination made according to the correct legal principles.” Johnson, 817 F.2d at 986. DISCUSSION

I. THE ALJ’S DECISION On May 31, 2023, the ALJ found that Lisa had not been under a disability from September 1, 2019, through the date of the decision. See Docket Item 3 at 29. The ALJ’s decision was based on the five-step sequential evaluation process under 20 C.F.R. §§ 404.1520(a) and 416.920(a). See id. at 15–16. At step one, the ALJ found that Lisa had not engaged in substantial gainful activity since September 1, 2019, the alleged onset date. Id. at 16. At step two, the ALJ found that Lisa suffered from three severe, medically determinable impairments:

“left wrist fracture, status-post [sic] open reduction and internal fixation surgery; degenerative disc disease of the cervical spine with cervical spondylosis, status-post [sic] three fusion surgeries with instrumentation; and bilateral sciatica.” Id. At step three, the ALJ found that Lisa’s severe, medically determinable impairments did not meet or medically equal one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. See id. at 20. More specifically, the ALJ found that Lisa’s physical impairments did not meet or medically equal listing 1.15 (disorders of the skeletal spine resulting in compromise of a nerve root) or 1.23 (non-healing or complex fracture of an upper extremity). Id. And in assessing Lisa’s mental impairments, the ALJ found that Lisa was mildly impaired in: (1) understanding, remembering, or applying information; (2) interacting with others; (3) concentrating, persisting, or maintaining pace; and (4) adapting or managing herself. Id. at 18–19. The ALJ then found that Lisa had the residual functional capacity (“RFC”)4 to

“perform sedentary work as defined in 20 C[.]F[.]R[. §] 404.1567(a)” except that: [Lisa] can frequently climb ramps and stairs. [She] can occasionally climb ladders, ropes, and scaffolds and frequently balance, stoop, kneel, crouch, and crawl. [She] can never work at unprotected heights or around moving mechanical parts. She can never perform a job operating a motor vehicle. [She] can occasionally handle with her left hand. [She] can perform work with a sit/stand option, where she could change positions every 20 minutes.

Id. at 20. At step four, the ALJ found that Lisa could perform past relevant work as a billing clerk or patient advocate. Id. at 28–29; see Dictionary of Occupational Titles 214.382- 014, 1991 WL 671878 (Jan. 1, 2016); id. at 241.357-010, 1991 WL 672249 (Jan. 1, 2016). The ALJ therefore found that Lisa had not been under a disability from her alleged onset date through the date of the decision. See Docket Item 3 at 29; see also id. at 16.

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Related

Richardson v. Perales
402 U.S. 389 (Supreme Court, 1971)
Johnson v. Bowen
817 F.2d 983 (Second Circuit, 1987)
Brault v. Social Security Administration
683 F.3d 443 (Second Circuit, 2012)
Moran v. Astrue
569 F.3d 108 (Second Circuit, 2009)
McIntyre v. Colvin
758 F.3d 146 (Second Circuit, 2014)
Lockwood v. Comm'r of Soc. Sec. Admin.
914 F.3d 87 (Second Circuit, 2019)