Ridge v. Apfel

15 F. Supp. 2d 1086, 1998 U.S. Dist. LEXIS 12486, 1998 WL 470484
CourtDistrict Court, D. Kansas
DecidedJuly 31, 1998
Docket97-1487-JTM
StatusPublished
Cited by3 cases

This text of 15 F. Supp. 2d 1086 (Ridge v. Apfel) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ridge v. Apfel, 15 F. Supp. 2d 1086, 1998 U.S. Dist. LEXIS 12486, 1998 WL 470484 (D. Kan. 1998).

Opinion

MEMORANDUM AND ORDER

MARTEN, District Judge.

Chester R. Ridge petitioned for review of the final decision of the Commissioner of Social Security denying his applications for disability insurance and supplemental security income benefits. In response, the Commissioner asks the court to reverse and remand this case pursuant to sentence four of 42 U.S.C. § 405(g), so the Commissioner can evaluate whether Ridge’s use of alcohol is material to his claim of disability and the impact of Ridge’s bypass surgery on his disability. Ridge argues that the case should be reversed and remanded with directions to award benefits.

Ridge applied for benefits in March 1995. 1 He alleged an onset of disability of July 1, 1991. Ridge’s applications were denied initially and on reconsideration. Ridge petitioned for review by an Administrative Law Judge (ALJ) on October 18, 1995. The ALJ held a hearing on June 25, 1996 and denied benefits on August 10, 1996. Ridge asked the Appeals Council to review the decision on September 23, 1996. The Appeals Council denied review on September 11,1997.

When the Appeals Council denied review, the decision of the ALJ denying benefits became the final decision of the Commissioner and subject to judicial review. Andrade v. Secretary of Health and Human Services, 985 F.2d 1045, 1047 (10th Cir.1993). This court reviews the Commissioner’s decision to determine whether it is supported by substantial evidence and whether the Commissioner applied the correct legal standards. Washington v. Shalala, 37 F.3d 1437, 1439 (10th Cir.1994).

A determination of whether the Commissioner’s decision is supported by sub *1088 stantial evidence must be based upon the record taken as a whole. The court must meticulously examine the record to determine whether the evidence in support of the Commissioner’s decision is substantial and take into account whatever in the record fairly detracts from its weight. Id. In addition, failure to apply the correct legal standards or to provide the court with a sufficient basis to determine that appropriate legal principles have been followed is grounds for reversal. Id. When the Appeals Council denies review, any evidence submitted to the Appeals Council must be considered as part of the record by the reviewing court. O’Dell v. Shalala, 44 F.3d 855, 859 (10th Cir.1994).

The Commissioner has established a five-step sequential evaluation process for determining whether a claimant is disabled. Williams v. Bowen, 844 F.2d 748, 750-51 (10th Cir.1988) (citing 20 C.F.R. § 404.1520). The process stops if the Commissioner is able to determine at a particular step that a claimant is, or is not, disabled.

In step one, the Commissioner determines whether the claimant is presently engaged in substantial gainful activity. If a claimant engages in such activity, the claimant is not disabled. Williams, 844 F.2d at 750-51. Here, the ALJ determined Ridge was not engaged in substantial gainful activity after December 1994; he does not resolve the question of whether Ridge was engaged in substantial gainful activity prior to December 1994. Ridge argues his income was insufficient to meet the definition of substantial gainful activity in 1994.

In step two, the Commissioner determines whether the claimant has a medically severe impairment or combination of impairments. If the claimant’s medical impairments are not severe, the claimant is not disabled. Id. The ALJ determined that Ridge had medically severe impairments based on evidence of cardiac and circulatory problems, a personality disorder and a history of drug abuse.

Next, the Commissioner determines whether the impairments are equivalent to one of a number of listed impairments. If the impairment is found to be equivalent to a listed impairment, the claimant is considered disabled. Id. The ALJ found Ridge’s impairments were not equivalent to one of the listed impairments. Ridge argues this finding. was incorrect because his mental impairments met or equaled a listed impairment.

In the fourth step, the claimant must come forward with proof that the impairment prevents work of a type the claimant has performed in the past. Id. The ALJ found Ridge was unable to perform his past relevant work. At this point, Ridge established a prima facie case of disability. Id.

Once a claimant establishes a prima facie case of disability, the burden shifts to the Commissioner to show in the fifth and final step that the claimant has the residual functional capacity (RFC) to perform other work in the national economy in view of his age, education and work experience. Id. The ALJ found Ridge had the residual functional capacity to perform light work of an unskilled nature and sedentary work of an unskilled nature. The ALJ further found that alcoholism played a material role in Ridge’s non-physical impairments, and thus Ridge would be ineligible for benefits based on his non-physical impairments. Ridge argues the ALJ failed to follow the correct procedures at step five and his finding that Ridge has the residual functional capacity to perform light work of an unskilled nature is not supported by substantial evidence in the record.

The court has reviewed the record and finds the ALJ failed to follow the correct procedures at steps three and five and that his decisions are not supported by substantial evidence when the record is viewed as a whole.

At step three, the ALJ ignored psychiatric review technique (PRT) assessments prepared by Dr. Charlton J. Lindgren, M.D., a consultant with the state agency. For some unexplained reason, Lindgren prepared two PRFs for Ridge on December 15, 1995. In the first PRT, Lindgren determined that Ridge’s condition equaled listing 12.02. Lindgren discounted Ridge’s alcohol and drug abuse, finding that Ridge’s alcoholism was not material because he would still be disabled even if he stopped drinking. Lundgren’s second PRT concluded that a residual functional assessment was necessary because *1089 Ridge’s condition did not meet or equal a listed impairment. The ALJ makes no mention of either PRT and does not explain why Lundgren’s opinions that Ridge’s condition equaled listing 12.02 and that his alcoholism was not material to this determination were incorrect.

Social security rulings are binding on an ALJ. Nielson v. Sullivan, 992 F.2d 1118, 1121-22 (10th Cir.1993).

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Related

Higgins v. Barnhart
294 F. Supp. 2d 1206 (D. Kansas, 2003)
Johnson-Winborn v. Apfel
106 F. Supp. 2d 1144 (D. Kansas, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
15 F. Supp. 2d 1086, 1998 U.S. Dist. LEXIS 12486, 1998 WL 470484, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ridge-v-apfel-ksd-1998.