Tim R. v. Commissioner of Social Security

District Court, D. Nebraska·Decided June 30, 2026·No. 4:25-cv-03120·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEBRASKA

TIM R.,

Plaintiff, 4:25CV3120

vs. MEMORANDUM AND ORDER ON COMMISSIONER OF SOCIAL SECURITY, JUDICIAL REVIEW OF COMMISSIONER’S DENIAL OF Defendant. BENEFITS

Plaintiff Timothy R.1 seeks judicial review of the denial of his application for Social Security Disability Insurance benefits by the defendant Commissioner of the Social Security Administration. Filing 1 at 1. Timothy R. has moved for an order reversing the Commissioner’s decision. Filing 17. In response, the Commissioner filed a motion to affirm the Commissioner’s final decision denying disability benefits. Filing 20. For the following reasons, the Court grants the Commissioner’s Motion to Affirm and denies Timothy R.’s Motion to Reverse. I. INTRODUCTION A. Procedural Background Timothy R. applied for disability benefits under Title II of the Social Security Act, 42 U.S.C. §§ 401 et seq., on August 15, 2022. Filing 9-5 at 2-3 (AR 195-196). Timothy R. alleged a disability onset date of June 1, 2022. Filing 9-5 at 2 (AR 195). The Social Security Administration (SSA) denied Timothy R’s claim initially on March 10, 2023. Filing 9-3 at 2 (AR 71). Upon reconsideration, his claim was again denied on October 6, 2023. Filing 9-3 at 12 (AR 81). On October 16, 2023, Timothy R. requested a hearing by an Administrative Law Judge (ALJ) to review the determination of the SSA pursuant to 20 C.F.R. §§ 404.929 et seq., and

1 The Court will refer to Plaintiff by first name and last initial to protect his privacy. 416.1429 et seq. Filing 9-4 at 30-31 (AR 118-119). The ALJ held an in-person hearing with Timothy R. on April 25, 2024, to review the denial of his applications. Filing 9-2 at 44 (AR 43); Filing 9-4 at 54 (AR 142). On May 21, 2024, the ALJ issued a ruling in favor of the Commissioner, denying Timothy R.’s claim for disability insurance benefits. Filing 9-2 at 21-36 (AR 20-35). On May 6, 2024, Timothy R. submitted a request to the SSA Appeals Council for review of the ALJ’s

decision. Filing 9-4 at 105-106 (AR 193-194). The SSA Appeals Council denied Timothy R.’s request for review on May 21, 2024. Filing 9-2 at 2-4 (AR 1-3). Timothy R. filed this action on April 17, 2025, seeking judicial review and requesting that this court find in his favor or remand the case for a further hearing and award attorney’s fees. Filing 1 at 1-2. B. Factual Background 1. The Claimant and His Alleged Disabilities Timothy was forty-seven years old at the alleged disability onset date, June 1, 2022, classifying him as a younger individual (age 45-49) pursuant to 20 C.F.R § 404.1563 and 20 C.F.R. § 416.964. Filing 9-2 at 34 (AR 33).2 Timothy R. is classified as having at least a high school education, which places him in the fourth—and highest—educational ability category listed under 20 C.F.R §§ 404.1564 and 416.964. Filing 9-2 at 34 (AR 33). Timothy R. lives in a house with his

wife and has adult children from a previous marriage that do not live with him. Filing 9-7 at 150 (AR 496); Filing 9-6 at 38 (AR 254); Filing 9-7 at 137 (AR 483). Timothy R. appears to have been employed at Baxter Dodge through October, 2022, but in other parts of the record the last date of his employment with Baxter was June 2022. Filing 9-6 at 27 (AR 243); Filing 9-6 at 116 (AR 332). The ALJ found that “[t]he claimant has not engaged in substantial gainful activity since June 1, 2022, the alleged onset date.” Filing 9-2 at 26 (AR 25). Timothy R. alleged in his disability report

2 This would have changed by now as Tim R. is now over fifty putting him in the “person closely approaching advanced age” category. that he has diabetes type one with polyneuropathy; he is missing a toe on his right foot (fourth digit); he has lower back pain; and has mental health issues including anxiety. Filing 9-6 at 21 (AR 237). Timothy R. supports his motion for an order to reverse the Commissioner’s decision with two arguments. First, he contends that the ALJ failed to account for each of his impairments and

without providing an explanation ignored evidence favorable to him. Filing 17 at 10. Second, Timothy R. contends that the ALJ’s RFC determination lacks substantial evidence and made a legal error in finding the State Agency psychological consultants’ opinions somewhat persuasive but rejecting them for their ambiguity rather than evaluating their consistency and supportability. Filing 17 at 13. The Court will provide a focused statement of facts based on the medical records and other evidence relevant to Timothy R’s challenges to the ALJ’s decision. 2. Medical Records and Evidence a. Treating Physicians’ Opinions of Timothy R.’s Symptoms The Administrative Record demonstrates Timothy R. presented before varied physicians and medical professionals from 2012 to March 25, 2024, with the bulk of the medical evidence from November 19, 2021, to March 25, 2024. See generally Filing 9-3; Filing 9-7. On February 2,

2022, a treating physician noted a “very high suspicion” that Timothy R. had type 1 diabetes. Filing 9-7 at 74 (AR 420). Timothy R.’s type 1 diabetes mellitus (DM1)—complicated by severe polyneuropathy—was confirmed by APRN of endocrinology Krista Patefield on March 4, 2022. Filing 9-7 at 76 (AR 422). Timothy R. has had a weight range of around 175 to 250 pounds between the alleged onset date and the ALJ’s hearing. See e.g., Filing 9-7 at 41 (AR 387) (175 pounds), 106 (AR 452) (205 pounds), 137 (AR 483) (250 pounds). Timothy R.’s family practice APRN Emily Jo Walker nevertheless referred to his appearance as “well-groomed and normal weight.” Filing 9-7 at 282 (AR 628). Timothy R. has a history of non-compliance with his diabetes treatment that resulted in amputation of the fourth digit of his right toe after an injury and subsequent septic shock. Filing 9-7 at 48 (AR 394). Timothy R. was examined three times for pain and swelling in his right leg beginning January 19, 2022, and ending February 8, 2022, during which he was instructed to elevate his legs and instructed not to go to work. Filing 9-7 at 30-33 (AR 376-379). During this time, Timothy R.

claimed he believed that he was gaining weight and reported that he weighed 180 pounds the previous Friday and was up to 199 pounds the following Monday.3 Filing 9-7 at 15 (AR 361). On February 1, 2022, APRN Krista Patefield noted a pattern of late-night lows leading to rebounding morning highs in Timothy R.’s blood glucose levels. Filing 9-7 at 74-75 (AR 420-421). On March 4, 2022, Timothy R.’s situation began to improve due to more accurate tracking with the Dexcom G6 and his insulin was changed to a longer-acting insulin. Filing 9-7 at 76, 82 (AR 422, 428). On and before June 6, 2022, Timothy R.’s blood sugar was severely elevated as a result of snacking most of the day while traveling for his new job, and APRN Krista Patefield recommended switching to an OmniPod insulin pump. Filing 9-7 at 92, 98 (AR 438, 444). After switching to the

pump, Timothy R. showed significantly improved blood glucose levels, though he was not “bolusing his pump” as often as he should. Filing 9-7 at 109 (AR 455). On October 11, 2022, Krista Patefield noted that Timothy R.

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