Ortega v. Social Security Administration

CourtDistrict Court, D. New Mexico
DecidedDecember 3, 2021
Docket1:20-cv-01245
StatusUnknown

This text of Ortega v. Social Security Administration (Ortega v. Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ortega v. Social Security Administration, (D.N.M. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO

RUPERT J. ORTEGA,

Plaintiff,

v. No. CV 20-1245 CG

KILOLO KIJAKAZI,1 Commissioner of the Social Security Administration,

Defendant.

MEMORANDUM OPINION AND ORDER THIS MATTER is before the Court on Plaintiff Rupert J. Ortega’s Motion to Reverse and Remand for a Rehearing with Supporting Memorandum, (Doc. 27), (the “Motion”), filed July 12, 2021; Defendant Commissioner Kilolo Kijakazi’s Response to Plaintiff’s Motion to Reverse and Remand the Agency’s Administrative Decision (the “Response”), (Doc. 32), filed October 12, 2021; and Mr. Ortega’s Reply in Support of Plaintiff’s Motion to Reverse and Remand for a Rehearing (the “Reply”), (Doc. 33), filed October 27, 2021. Mr. Ortega applied for disability insurance benefits on March 24, 2014, alleging disability beginning March 25, 2012. (Administrative Record “AR” 67). In his application, Mr. Ortega claimed he was limited in his ability to work due to arthritis, carpel tunnel syndrome, “bone contact[ing] with other bone in wrist,” absence of cartilage in the “mid right knuckle,” damaged feet from “constant beating on concrete,” lower back pain from “heavy lifting [and a] boat crash,” headaches and head pain from a “boat crash,” and a

1 Kilolo Kijakazi was appointed Acting Commissioner of the Social Security Administration on July 9, 2021. torn meniscus causing right knee pain from a “motorcycle crash.” (AR 68). Mr. Ortega’s application was denied initially on January 13, 2015, (AR 68-77), and upon reconsideration on October 8, 2015, (AR 78-94). Mr. Ortega requested a hearing before an Administrative Law Judge (“ALJ”), (AR 107-108), which was held on June 13, 2017, before ALJ Lillian Richter, (AR 13).

At the hearing, Mr. Ortega appeared before ALJ Richter with his attorney Michael Armstrong, and with impartial vocational expert (“VE”) Sandra Trost. (AR 13). ALJ Richter issued her decision on December 8, 2017, finding Mr. Ortega not disabled at any time between his alleged disability onset date through the date of ALJ Richter’s decision. (AR 29). Mr. Ortega then requested review of ALJ Richter’s decision before the Appeals Council, which was denied on September 24, 2018. (AR 1-6). In November 2018, Mr. Ortega filed a complaint in the United States District Court for the District of New Mexico, challenging ALJ Richter’s decision. See Ortega v. Saul, 1:18-cv-1092 KK. At that time, Mr. Ortega argued, in relevant part, that ALJ

Richter had improperly discounted the opinion of Murari Bijpuria, M.D., a non-examining state agency physician, that Mr. Ortega was limited to only occasional handling. Id. at (Doc. 16 at 12-16). United States Magistrate Judge Kirtan Khalsa agreed with Mr. Ortega that ALJ Richter’s reasons for discounting Dr. Bijpuria’s opinion were not supported by substantial evidence. Id. at (Doc. 23 at 8). Judge Khalsa found, in particular, that ALJ Richter had failed to adequately explain why she discounted certain evidence in the record that supported a limitation to occasional handling while crediting other purportedly inconsistent evidence. Id. at (Doc. 23 at 12-19). Judge Khalsa reversed ALJ Richter’s decision and remanded the matter. Id. at (Doc. 23 at 19). On August 20, 2020, upon remand, ALJ Richter held a second hearing at which Mr. Ortega appeared by telephone, due to the COVID-19 pandemic, with his attorney Laura J. Johnson, and with VE Leslie J. White. (AR 450). ALJ Richter issued her decision on October 22, 2020, finding Mr. Ortega not disabled at any time between his alleged disability onset date, March 25, 2021, through his date last insured, December

31, 2017. (AR 450-466). Pursuant to 20 C.F.R. § 404.984, ALJ Richter’s decision is the final decision of the Commissioner. Mr. Ortega now challenges ALJ Richter’s October 22, 2020 decision denying his claim for disability insurance benefits. See (Doc. 1); (Doc. 27). In his Motion, Mr. Ortega contends ALJ Richter committed two errors: (1) she failed to properly “evaluate and incorporate” Dr. Bijpuria’s opinion, as instructed by Judge Khalsa, and instead “cop[ied] and pasted much of the language from her prior decision into the current decision[;]” and (2) she failed to conduct a function-by-function assessment of Mr. Ortega’s work- related abilities before determining that he could perform a limited range of light work

with frequent handling, fingering, and feeling bilaterally. (Doc. 27 at 9-19). Additionally, Mr. Ortega alleges that the hearing transcript is incomplete, due to the “twenty-eight [] instances during which portions of both questions and responses were indicated as ‘(INAUDIBLE)[,]’” preventing judicial review. Id. at 19-21. The Court has reviewed the parties’ briefing and the relevant law. Additionally, the Court has meticulously reviewed the administrative record. Because ALJ Richter failed to properly assess Dr. Bijpuria’s opinion, the Court finds Mr. Ortega’s Motion is well-taken and should be GRANTED, and this case is REMANDED to the Commissioner for further proceedings consistent with this opinion. I. Standard of Review The standard of review in a Social Security appeal is whether the Commissioner’s final decision is supported by substantial evidence and whether the correct legal standards were applied. Maes v. Astrue, 522 F.3d 1093, 1096 (10th Cir. 2008) (citing Hamilton v. Sec’y of Health & Hum. Servs., 961 F.2d 1495, 1497-98 (10th

Cir. 1992)). If substantial evidence supports the Commissioner’s findings and the correct legal standards were applied, the Commissioner’s decision stands and the plaintiff is not entitled to relief. See Langley v. Barnhart, 373 F.3d 1116, 1118 (10th Cir. 2004); Hamlin v. Barnhart, 365 F.3d 1208, 1214 (10th Cir. 2004); Doyal v. Barnhart, 331 F.3d 758, 760 (10th Cir. 2003). The Commissioner’s “failure to apply the correct legal standards, or to show . . . that she has done so, are also grounds for reversal.” Winfrey v. Chater, 92 F.3d 1017, 1019 (10th Cir. 1996) (citing Washington v. Shalala, 37 F.3d 1437, 1439 (10th Cir. 1994)). A court should meticulously review the entire record but should neither re-weigh the evidence nor substitute its judgment for the

Commissioner’s. See Langley, 373 F.3d at 1118; Hamlin, 365 F.3d at 1214. A court’s review is limited to the Commissioner’s final decision. See 42 U.S.C. § 405(g) (2018). Therefore, when the Appeals Council denies review, the ALJ’s decision becomes the Commissioner’s final decision for purposes of judicial review. Threet v. Barnhart, 353 F.3d 1185, 1187 (10th Cir. 2003) (citing O’Dell v. Shalala, 44 F.3d 855, 858 (10th Cir. 1994)). “Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Doyal, 331 F.3d at 760 (quoting Fowler v. Bowen, 876 F.2d 1451, 1453 (10th Cir.1989)) (internal quotation marks omitted).

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