Santiago v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedSeptember 4, 2025
Docket1:24-cv-00391
StatusUnknown

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

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Santiago v. Commissioner of Social Security, (W.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

EDDIE S.,! Plaintiff, DECISION AND ORDER -vs- 24-CV-0391-MAV COMMISSIONER OF SOCIAL SECURITY, Defendant.

INTRODUCTION In April 2024, Eddie S. (“Plaintiff’) filed this action pursuant to 42 U.S.C. §§ 405(g) and 1383(c), seeking judicial review of the Commissioner of the United States Social Security Administration’s (“Commissioner”) denial of his application for Supplemental Security Income (“SSI”). ECF No. 1. Both parties moved for judgment on the pleadings pursuant to Federal Rule of Civil Procedure 12(c). ECF No. 12 (Plaintiff); ECF No. 14 (Commissioner). For the reasons set forth below, Plaintiffs motion for judgment on the pleadings [ECF No. 12] is denied. The Commissioner’s motion [ECF No. 14] is granted. PROCEDURAL HISTORY The Court assumes the reader’s familiarity with the facts and procedural history in this case, and therefore addresses only those facts and issues which bear directly on the resolution of the motions presently before the Court.

1 The Court’s Standing Order issued on November 18, 2020, directs that, “in opinions filed pursuant 42 U.S.C. § 405(g), in the United States District Court for the Western District of New York, any non-government party will be identified and referenced solely by first name and last initial.”

I. Plaintiffs Applications Plaintiff filed his application for SSI in March 2021, alleging a disability onset date of March 2, 2020. Administrative Record (“AR”), 189,2 ECF No. 6. He identified several impairments that he claimed limited his ability to work, including: major depression, intermittent explosive disorder, schizophrenia, and an abdominal hernia. AR at 314. In September 2021, the Commissioner found that Plaintiff was “not disabled,” and his claim for SSI payments was denied. AR at 61-83. Plaintiff requested a reconsideration of the initial determination, and in January 2022 was again found “not disabled.” AR at 84-108. II. Plaintiffs Hearing Before the ALJ After the Commissioner denied his applications at the initial level and on reconsideration, Plaintiff appeared by telephone on March 10, 2023 for a hearing before an Administrative Law Judge (“ALJ”). AR at 35. Plaintiffs attorney made an opening statement as follows: My client at the onset of his claim was a younger individual. He’s no[w] clos[ely] approaching advanced age. It’s my understanding he has a limited 11th grade education, and he’s alleging disability on a series of mental health with some physical health impairments... .[H]e has a history of major depressive disorder with psychosis. He has complaints of hearing voices. He has suicidal ideation as well as substance use. Substance use has been in remission. He is on maintenance medicines. He has been successful for periods of time while still having very severe symptoms. He also has a history of an ankle fracture from when he had a suicide attempt where he ended up going out a window... . I believe that because of his mental health, he would likely be a candidate for the C Criteria for the depressive disorder. It seems to me he’s not able to function outside of consistent treatment. And I believe that he would be 2 The page references from the transcripts are to the bates numbers inserted by the Commissioner, not the pagination assigned by the Court’s CM/ECF electronic filing system.

unable to maintain any employment in the national economy because the need for treatment would keep him off task or absent from work greater than 20 [percent of the time] or far more than four days per month. AR at 39-40. Plaintiff testified that he was able to dress and bathe himself, but that he had to sit down to put on jeans because his legs were “messed up.” AR at 42-43. He stated that his mother still did his laundry, but that he lived on his own and was able to vacuum, clean his bathroom, wash his dishes, and take a medical cab daily to a methadone clinic. AR at 42, 44, 46. He also stated that he had nightmares mostly every day, still heard voices throughout the day, did not shop for himself, and needed his sister to manage his finances. AR at 47-48. Other than visiting the methadone clinic each day, Plaintiff spent his days at home watching television and listening to music. AR at 51. The ALJ also heard testimony at the hearing from vocational expert Peter Manzi (the “VE”). AR 55-58. When asked if there were jobs in the national economy that could be performed by a hypothetical claimant with the residual functional capacity? (“RFC”) identical to that which Plaintiff was ultimately determined to have, the VE opined that the hypothetical claimant could perform work as a garment folder, a photocopying machine operator, and a bagger (laundry). AR 56-57. However, as relevant here, the VE testified that there was no work that such a claimant could perform if he could not have any personal contact at all with supervisors, coworkers,

3 “Residual functional capacity” (“RFC”) means the most that the claimant can still do in a work setting despite the limitations caused by the claimant’s impairments. 20 C.F.R. § 404.1545.

or the general public, or if he exceeded 15 percent time off task. AR at 57-58. Ill. The ALJ’s Decision On June 5, 2023, the ALJ issued a decision finding that Plaintiff was not disabled, and therefore did not qualify for SSI. AR at 30. While a claimant for Disability Insurance Benefits is eligible for payment from the onset date of his or her disability, an SSI claimant will only receive payments beginning the month after his or her application date. See 20 C.F.R. § 416.501. Thus, at step one of the Commissioner’s “five-step, sequential evaluation process,”* the ALJ found that Plaintiff had not engaged in substantial gainful activity since his application date of March 8, 2021. AR at 19. At step two, the ALJ determined that Plaintiff had the following severe impairments: left pubic rami (pelvic bone) fracture; mild degenerative changes of the left ankle and sequela of a left ankle fracture; major depressive disorder; posttraumatic stress disorder (PTSD); intermittent explosive disorder; cannabis

4 The Social Security Administration has outlined a “five-step, sequential evaluation process” that an ALJ must follow to determine whether a claimant has a “disability” under the law: (1) whether the claimant is currently engaged in substantial gainful activity; (2) whether the claimant has a severe impairment or combination of impairments; (3) whether the impairment meets or equals the severity of the specified impairments in the Listing of Impairments; (4) based on a “residual functional capacity” assessment, whether the claimant can perform any of his or her past relevant work despite the impairment; and (5) whether there are significant numbers of jobs in the national economy that the claimant can perform given the claimant’s residual functional capacity, age, education, and work experience. McIntyre v. Colvin, 758 F.3d 146, 150 (2d Cir. 2014); citing, inter alia, 20 C.F.R. § 404.1520(a)(4)@)— (v), § 416.920(a)(4)G)-(v)). The claimant bears the burden of proof for the first four steps of the process. 42, U.S.C.

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