Pinto v. Social Security Administration

CourtDistrict Court, D. New Mexico
DecidedOctober 27, 2022
Docket1:20-cv-01095
StatusUnknown

This text of Pinto v. Social Security Administration (Pinto 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
Pinto v. Social Security Administration, (D.N.M. 2022).

Opinion

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

DELES A. PINTO,

Plaintiff,

v. 1:20-cv-01095-JHR

KILOLO KIJAKAZI, Acting Commissioner of Social Security,

Defendant.

MEMORANDUM OPINION AND ORDER

Before the Court is Plaintiff Deles Pinto’s Motion to Reverse and Remand for a Rehearing with Supporting Memorandum [Doc. 21]. Pursuant to 28 U.S.C. § 636(c) and Federal Rule of Civil Procedure 73(b), the parties consented to Magistrate Jerry H. Ritter resolving Pinto’s challenge to the Commissioner’s Final Decision on his application for Social Security benefits and entering Final Judgment in this appeal. [Docs. 4, 7]. Having reviewed the parties’ briefing and the Administrative Record (“AR”), the Court grants Pinto’s Motion and reverses the Commissioner’s Final Decision denying Pinto benefits under the Social Security Act. I. INTRODUCTION This case is about the kinds of medical opinions the Social Security Administration may adopt when, acting through an Administrative Law Judge (“ALJ”), it denies disability benefits. Can an ALJ adopt two contradictory medical opinions as persuasive without explaining or reconciling the contradictions between them? The Court reaffirms that the ALJ cannot, without explanation, pick and choose parts of a single source so that only the parts favorable to denying benefits are given weight. Neither can an ALJ adopt as persuasive contradictory opinions from different sources so that only the unfavorable parts of each opinion are given weight without explaining or reconciling the contradictions. In so doing, ALJ Weiss erred and the error was not harmless. The Administration’s decision should be reversed and the case remanded. II. PROCEDURAL HISTORY Deles Pinto applied for supplemental security income benefits (“SSI”) under Title XVI of the Social Security Act on January 11, 2018. AR at 235–42.1 Pinto alleged in his application

that several medical conditions and symptoms, including gout, dizziness, impaired hearing on his right side, imbalance while walking, and effects of brain surgery which removed a tumor, prevented him from working as of February 8, 2013. AR at 235, 270. Pinto alleged without specificity that he stopped working in 2013 due to “my condition(s).” AR at 270. He later amended his disability onset date to December 22, 2017.2 AR at 49. During the application process, Pinto’s application and alleged medical conditions were reviewed by three mental health professionals. First, Pinto received a consultative examination from Dr. John Koewler, PhD, on April 9, 2018, upon referral by the state agency for an intellectual and mental status assessment. AR at 972–75. Dr. Koewler performed a clinical

interview, analyzed Pinto’s mental status based on his behavior, and administered a Weschler Adult Intelligence Scale-IV test. See AR at 972–75. He interpreted Pinto’s test results to show that Pinto’s “[i]ntellectual ability is below the bottom of normal limits” with “[s]hort term memory and concentration. . . at the 9th percentile.” AR at 974 (bracketed language added). Based on the results of his assessments and the test, Dr. Koewler gave this opinion: [Pinto’s] ability to understand and remember detailed or complex instructions is markedly limited. His ability to understand and remember very short and simple

1 Document 18 comprises the sealed Certified Transcript of the Administrative Record. The Court cites the Record’s internal pagination rather than the CM/ECF document number and page. 2 Pinto also applied for social security disability insurance benefits under Title II of the Social Security Act. See AR at 231–34. The Administration found that Pinto was ineligible for those benefits because of his amended onset date. AR at 27; see 20 C.F.R. §§ 404.130 (explaining how the Administration determines disability insured status), 404.131(b) (stating when an individual must have disability insured status for disability insurance benefits), and 404.315(a) (defining who is entitled to disability benefits while disabled). Pinto does not challenge that finding. instructions is moderately limited. His ability to carry out instructions is moderately limited. His ability to attend and concentrate is moderately limited. His ability to work without supervision is moderately limited.

AR at 974 (bracketed language added). Pinto’s application was then considered by Dr. Richard Sorensen, PhD, on April 11, 2018. AR at 86. Based on Pinto’s statements and the medical records available to him, Dr. Sorensen gave his opinion on Pinto’s mental residual functional capacity. In contrast to Dr. Koewler, Dr. Sorensen asserted that Pinto is “[n]ot significantly limited” in his ability to understand and remember very short and simple instructions and to carry out very short and simple instructions. AR at 84–84 (bracketed language added). However, Dr. Sorensen agreed that Pinto is moderately limited in his ability to maintain attention and concentrate for extended periods of time. AR at 84–85. On February 12, 2019, Dr. Nicole Robicheau, Psy.D., made the same findings as to those capacities.3 AR at 142–43. The Social Security Administration denied Pinto’s application initially on August 6, 2018, AR at 153–56, and on reconsideration on February 12, 2019. AR at 166–70. Pinto then requested a hearing before an ALJ, AR at 173–74, which he received on December 2, 2019. AR at 46–69. ALJ Eric Weiss issued an unfavorable decision denying SSI benefits on January 13, 2020. AR at 24–45. Pinto sought review from the Administration’s Appeals Council but was denied on August 24, 2020. AR at 7–12. This made the ALJ’s denial the Commissioner’s final decision. See 20 C.F.R. §§ 404.981, 416.1481, 422.210(a).4

3 Although all of Pinto’s medical records refer to Pinto as a male and there is no evidence in the record suggesting that Pinto wished to be called by feminine pronouns or titles, Dr. Robicheau’s report refers to Pinto as a woman. See AR at 141–43. 4 Claimants who are denied benefits by the Administration must obtain a “final decision” from the Administration before they may appeal the denial to a federal district court. See 42 U.S.C. § 405(g). Generally, when the Administration’s Appeals Council denies review after the ALJ denies benefits, the ALJ’s decision is “final” enough for a district court to review. See Doyal v. Barnhart, 331 F.3d 758, 759 (10th Cir. 2003) (finding that the Appeals Council’s denial of review made an ALJ’s decision to deny benefits “the Commissioner’s final decision for purposes of review”). Pinto timely sued the Acting Commissioner in this Court on October 23, 2020, seeking review and reversal of the ALJ’s decision. [Doc. 1]. This Court has jurisdiction to review the Commissioner’s final decision under 42 U.S.C. § 405(g) and 20 C.F.R. § 422.210(a). The case was assigned to Magistrate Judge Jerry H. Ritter on October 23, 2020, [Doc. 3], and the parties consented to have Judge Ritter preside. [Docs. 4, 7].5 On July 12, 2021, Pinto filed his motion

to reverse and remand for a rehearing. [Doc. 21]. The Commissioner responded in opposition to Pinto’s Motion on October 13, 2021, [Doc.

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Pinto v. Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pinto-v-social-security-administration-nmd-2022.