Michael A. Fikes v. Social Security Administration, Commissioner

District Court, N.D. Alabama·Decided September 1, 2026·No. 4:25-cv-01444·Unknown

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ALABAMA MIDDLE DIVISION

MICHAEL A. FIKES, ) ) Plaintiff, ) ) v. ) Case No. 4:25-cv-01444-NAD ) SOCIAL SECURITY ) ADMINISTRATION, ) COMMISSIONER, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER REVERSING AND REMANDING THE DECISION OF THE COMMISSIONER

Pursuant to 42 U.S.C. § 405(g), Plaintiff Michael A. Fikes filed for review of an adverse, final decision of the Commissioner of the Social Security Administration (“Commissioner”) on his claim for continued disability benefits. Doc. 1. Plaintiff Fikes was found eligible for disability benefits in January 2020 (Doc. 9-4 at 2–15), but on July 7, 2024, the Commissioner issued a final decision finding that Fikes no longer was disabled as of April 15, 2022 (Doc. 9-3 at 2–6, 8–27). In this appeal, the parties consented to magistrate judge jurisdiction. Doc. 12; 28 U.S.C. § 636(c); Fed. R. Civ. P. 73. After careful consideration of the parties’ submissions, the relevant law, and the record as a whole, the court REVERSES and REMANDS the Commissioner’s decision. ISSUES FOR REVIEW In this appeal, Fikes argues that the court should reverse the Commissioner’s

decision for three reasons: (1) the Administrative Law Judge (ALJ) erred in application of the continuing disability review evaluation process, in part by failing to compare evidence of Fikes’ condition in January 2020 with evidence of his

condition in April 2022; (2) the ALJ erred in consideration of medical opinions; and (3) the ALJ’s decision was not supported by substantial evidence. Doc. 13. Because the court will reverse and remand based on the ALJ’s failure to adequately compare evidence of Fikes’ condition in April 2022—the relevant point

in time for the ALJ’s decision—with evidence of his condition at the time of the comparison point decision awarding benefits in January 2020, the court need not reach the merits of the other issues that Fikes has raised in this appeal.

STATUTORY AND REGULATORY FRAMEWORK When applying for Social Security disability benefits, a claimant bears the burden of proving disability. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005). To qualify for disability benefits, a claimant must show disability, which is

defined as the “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. § 423(d)(1)(A); see 20 C.F.R. § 404.1505. A physical or mental impairment is “an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable

by medically acceptable clinical and laboratory diagnostic techniques.” 42 U.S.C. § 423(d)(3). The Social Security Administration (SSA) reviews an application for

disability benefits in three stages: (1) initial determination, including reconsideration; (2) review by an ALJ; and (3) review by the SSA Appeals Council. See 20 C.F.R. § 404.900(a)(1)–(4). When an initial claim for disability benefits reaches an ALJ as part of the

administrative process, the ALJ follows a five-step sequential analysis to determine whether the claimant is disabled. The ALJ must determine the following: (1) whether the claimant is engaged in substantial gainful activity; (2) if not, whether the claimant has a severe impairment or combination of impairments; (3) if so, whether that impairment or combination of impairments meets or equals any “Listing of Impairments” in the Social Security regulations; (4) if not, whether the claimant can perform his past relevant work in light of his “residual functional capacity” or “RFC”; and, (5) if not, whether, based on the claimant’s age, education, and work experience, he can perform other work found in the national economy. 20 C.F.R. § 416.920(a)(4); see Winschel v. Commissioner of Soc. Sec. Admin., 631 F.3d 1176, 1178 (11th Cir. 2011). But when the issue is the continuation (or cessation) of previously granted disability benefits, an ALJ must follow a different evaluation process to determine

whether a claimant’s disability benefits should continue. See 20 C.F.R. § 416.994. After an individual successfully applies for and is awarded Social Security benefits, the Commissioner periodically evaluates whether continuing benefits are warranted.

20 C.F.R. § 416.994. The Commissioner may terminate a claimant’s benefits if substantial evidence demonstrates that the physical or mental impairment for which benefits were initially provided has ceased, does not exist, or no longer is disabling. 42 U.S.C. § 423(f).

In this regard, the Commissioner has established a seven-step sequential evaluation process for determining whether a claimant’s disability has ended. 20 C.F.R. § 416.994(b)(5). This seven-step continuing disability review process is

similar to the five-step sequential evaluation process used for initial claims for benefits, with additional attention paid to whether there has been “medical improvement.” See 20 C.F.R. §§ 416.920, 416.994(b)(5). The ALJ must determine the following:

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