Miller v. Commissioner of Social Security

District Court, W.D. New York·Decided August 9, 2021·No. 1:20-cv-00428·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

DUSTIN M.,1

Plaintiff,

v. 20-CV-428-LJV DECISION & ORDER COMMISSIONER OF SOCIAL SECURITY,

Defendant.

On April 10, 2020, the plaintiff, Dustin M. (“Dustin”), brought this action under the Social Security Act. He seeks review of the determination by the Commissioner of Social Security (“Commissioner”) that he was not disabled. Docket Item 1. On December 21, 2020, Dustin moved for judgment on the pleadings, Docket Item 12; on February 19, 2021, the Commissioner responded and cross-moved for judgment on the pleadings, Docket Item 13; and on March 12, 2021, Dustin replied, Docket Item 14. For the reasons stated below, this Court grants Dustin’s motion in part and denies the Commissioner’s cross-motion.2

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 This Court assumes familiarity with the underlying facts, the procedural history, and the ALJ’s decision and will refer only to the facts necessary to explain its decision. 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) (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)). “Where there is a reasonable basis for doubt whether the [Administrative Law Judge (‘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 correct legal principles.” Johnson, 817 F.2d at 986.

DISCUSSION Dustin argues that the ALJ erred in three ways. Docket Item 12-1. First, he argues that the ALJ improperly rejected the opinion of the medical expert, Allan R.

Goldstein, M.D., that Dustin’s shoulder injury medically equaled listing 1.02B. Id. at 11- 15. Second, he argues that the ALJ erred in giving “significant weight” to Dr. Goldstein’s “specific functional analysis” but then formulating a residual functional capacity (“RFC”) that excluded an important limitation in Dr. Goldstein’s analysis. Id. at 15-17. Third, he argues that the ALJ erred in discounting the June 2016 opinions of his treating physician, Jeremy Riedesel, M.D. Id. at 15-22. Dustin also asks this Court to

remand solely for the calculation of benefits3 or to impose a time limit on further administrative proceedings. Id. at 22-23. The Court agrees that the ALJ erred in discounting Dr. Riedesel’s opinions and, because that error was to Dustin’s prejudice, remands the matter to the Commissioner. Because the ALJ must reconsider Dustin’s RFC at step four, the Court denies Dustin’s request to impose a time limit on further administrative proceedings.4 The Court will not reach the issues raised by Dustin that are not addressed in this decision “because they may be affected by the ALJ’s treatment of this case on remand.” See Watkins v.

3 Dustin argues that the ALJ erred in finding that his shoulder impairment did not medically equal listing 1.02B, and he asks this Court therefore to find that he is disabled based on that listing and to remand solely for calculation of benefits. See Docket Item 12-1 at 22. But that argument lacks merit. As the ALJ correctly observed, listing 1.02B requires that a claimant has loss of function in both upper extremities, see Docket Item 11 at 24-25; 20 C.F.R. Pt. 404, Subpt. P, App. 1, and Dr. Goldstein testified that Dustin had loss of function in only his right upper extremity, see Docket Item 11 at 67-68. So even though Dr. Goldstein testified that Dustin “equaled” listing 1.02B because “[h]e has limitation that is severe of the right shoulder,” see id. at 68, the ALJ correctly rejected the illogical assertion that a severe limitation in one extremity could somehow equal loss of function in both extremities. And that is especially so in light of Dr. Goldstein’s opinion that there were “no limits with the left arm.” See id. at 69. 4 Although the Second Circuit has instructed that district courts may, in appropriate circumstances, set a time limit for reconsideration of a claim, see, e.g., Butts v. Barnhart, 416 F.3d 101 (2d Cir. 2005), that remedy is not appropriate here. In Butts, the Second Circuit found a 120-day time limit appropriate where the district court was “reviewing an ALJ’s decision at step five, rather than step four, of the five-step inquiry.” 416 F.3d at 103. Here, the Court remands because the ALJ erred at step four. Barnhart, 350 F.3d 1297, 1299 (10th Cir. 2003); see also Bonet ex rel. T.B. v. Colvin, 2015 WL 729707, at *7 (N.D.N.Y. Feb. 18, 2015). When determining a claimant’s RFC,5 an ALJ must evaluate every medical opinion received. 20 C.F.R. § 416.927(c). That includes evidence from outside the disability period if that evidence relates to the relevant time frame. See, e.g., Hartfiel v.

Apfel, 192 F. Supp. 2d 41, 44 (W.D.N.Y 2001) (considering treating physician’s relevant diagnoses that postdated insured status). An ALJ generally should give greater weight to the medical opinions of treating sources—physicians, psychologists, optometrists, podiatrists, and qualified speech-language pathologists who have “ongoing treatment relationship[s]” with the claimant—because those medical professionals are in the best positions to provide “detailed, longitudinal picture[s] of [the claimant’s] medical impairments.” See 20 C.F.R. § 404.1527(a)(2), (c)(2); see also Genier v. Astrue, 298 F. App’x 105, 108 (2d Cir. 2008) (summary order). In fact, a treating physician’s opinion is entitled to controlling weight so long as it is “well-supported [sic] by medically

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