affirming ALJ decision that gave the most weight to the opinions of medical experts, and little weight to the opinions of treating physicians
How later courts described this case
- affirming ALJ decision that gave the most weight to the opinions of medical experts, and little weight to the opinions of treating physicians
- “Issues raised in a perfunctory manner, without supporting arguments and citation to authorities, are generally deemed to be waived.”
- ALJ may reject the opinion of any physician if the evidence supports a contrary conclusion
- finding no reversible error in consideration of opinion of treating physician where “ALJ articulated at least one specific reason for disregarding the opinion and the record support[ed] it.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
ORLANDO DIVISION
KELLEY ROBERT STOCKTON,
Plaintiff,
v. Case No: 6:20-cv-1249-LRH
COMMISSIONER OF SOCIAL
SECURITY
Defendant.
MEMORANDUM OF DECISION1
Kelley Robert Stockton (“Claimant”) appeals the final decision of the
Commissioner of Social Security (“the Commissioner”) denying his application for
disability insurance benefits. Doc. No. 1. Claimant raises two arguments
challenging the Commissioner’s final decision, and, based on those arguments,
requests that the matter be reversed and remanded for further administrative
proceedings. Doc. No. 22, at 26, 41, 51. The Commissioner asserts that the
decision of the Administrative Law Judge (“ALJ”) is supported by substantial
evidence and that the final decision of the Commissioner should be affirmed. Id.
1 The parties have consented to the exercise of jurisdiction by a United States
Magistrate Judge. See Doc. Nos. 15, 19–20.
at 51. For the reasons stated herein, the Commissioner’s final decision is
AFFIRMED.
I. PROCEDURAL HISTORY.
On May 18, 2016, Claimant filed an application for disability insurance
benefits, alleging a disability onset date of January 1, 2014. R. 31, 124.2 Claimant’s
application was denied initially and on reconsideration, and he requested a hearing
before an ALJ. R. 146–48, 151–55, 157–61. Hearings were held before the ALJ on
February 4, 2019 and June 17, 2019, during which Claimant was represented by an
attorney. R. 52–90. Claimant testified at the first hearing, and Claimant, a
medical expert, and a vocational expert (“VE”) testified at the second hearing. Id.
After the hearing, the ALJ issued an unfavorable decision finding that
Claimant was not disabled. R. 31–45. Claimant sought review of the ALJ’s
decision by the Appeals Council. R. 256–58, 376–81. On May 18, 2020, the
Appeals Council denied the request for review. R. 1–6. Claimant now seeks
review of the final decision of the Commissioner by this Court. Doc. No. 1.
2 Claimant filed a previous application for disability insurance benefits on February
8, 2011, which was denied. See R. 91–98. That previous application is not at issue in this
appeal.
II. THE ALJ’S DECISION.3
After careful consideration of the entire record, the ALJ performed the five-
step evaluation process as set forth in 20 C.F.R. § 404.1520(a). R. 31–45.4 The ALJ
found that Claimant last met the insured status requirements of the Social Security
Act on December 31, 2016. R. 33. The ALJ also found that Claimant had not
engaged in substantial gainful activity during the period from his alleged onset date
of January 1, 2014, through his date last insured. Id. The ALJ concluded that,
through the date last insured, Claimant suffered from the following severe
impairments: degenerative disc disease of the lumbar and cervical portions of the
spine, and osteoarthritis of the left knee status post arthroscopic surgery. Id.5
3 Upon a review of the record, counsel for the parties have adequately stated the
pertinent facts of record in the Joint Memorandum. Doc. No. 22. Accordingly, the Court
adopts those facts included in the body of the Joint Memorandum by reference without
restating them in entirety herein.
4 An individual claiming Social Security disability benefits must prove that he or
she is disabled. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005) (citing Jones v. Apfel,
190 F.3d 1224, 1228 (11th Cir. 1999)). “The Social Security Regulations outline a five-step,
sequential evaluation process used to determine whether a claimant is disabled: (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 (‘RFC’) 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 RFC, age, education, and work experience.” Winschel v.
Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir. 2011) (citing Phillips v. Barnhart, 357 F.3d
1232, 1237 (11th Cir. 2004); 20 C.F.R. §§ 404.1520(a)(i)–(v), 416.920(a)(i)–(v)).
5 The ALJ found that Claimant’s ADHD and various psychiatric diagnoses in the
The ALJ concluded that Claimant did not have an impairment or combination of
impairments that met or equaled a listed impairment in 20 C.F.R. Part 404, Subpart
P, Appendix 1. R. 37–38.
Based on a review of the record, the ALJ found that Claimant had the residual
functional capacity (“RFC”), through the date last insured, to perform light work as
defined in the Social Security regulations,6 except:
[H]e was limited from lifting/carrying more than 10 pounds
occasionally and less than 10 pounds frequently. He remained able to
stand/walk 4 hours total in an 8-hour day. He was able to sit for at
least 6 hours of an 8-hour day. He would not need to be off task to
shift positions every hour. He needed to avoid climbing of ladders,
ropes, and scaffolds, but he was frequently able to climb ramps and
stairs. He should avoid dangerous machinery and avoid
concentrated exposure to vibrations. He should not kneel or crawl.
He can frequently stoop and crouch.
R. 39.
record were not severe impairments. See R. 34–37.
6 The social security regulations define light work to include:
lifting no more than 20 pounds at a time with frequent lifting or carrying of
objects weighing up to 10 pounds. Even though the weight lifted may be very
little, a job is in this category when it requires a good deal of walking or
standing, or when it involves sitting most of the time with some pushing and
pulling of arm or leg controls. To be considered capable of performing a full
or wide range of light work, you must have the ability to do substantially all
of these activities. If someone can do light work, we determine that he or she
can also do sedentary work, unless there are additional limiting factors such
as loss of fine dexterity or inability to sit for long periods of time.
20 C.F.R. § 404.1567(b).
After considering the record evidence, Claimant’s RFC, and the testimony of
the VE, the ALJ found that, through the date last insured, Claimant was capable of
performing past relevant work as a web site developer/computer programmer,
finding that such work did not require the performance of work-related activities
precluded by Claimant’s RFC. R. 44–45. Accordingly, the ALJ concluded that
Claimant was not disabled at any time from January 1, 2014 (the alleged onset date)
through December 31, 2016 (the date last insured). R. 45.
III. THE APPEALS COUNCIL.
Claimant requested review of the ALJ’s decision by the Appeals Council. R.
256–57, 376–81. Claimant submitted to the Appeals Council a Physical Restrictions
Evaluation form completed by Gary Weiss, M.D., Claimant’s treating neurologist,
as well as medical records from Dr. Weiss from October 1, 2019 through October 17,
2019, all of which were not before the ALJ. R. 8–12, 19–27.
On May 18, 2020, the Appeals Council denied the request for review, stating,
in pertinent part as follows:
You submitted medical evidence from Gary Weiss, M.D., dated
October 1, 2019 through October 17, 2019 (9 pages) and an opinion from
Gary Weiss, M.D., dated October 23, 2019 (7 pages). The
Administrative Law Judge decided your case through December 31,
2016. This additional evidence does not relate to the period at issue.
Therefore, it does not affect the decision about whether you were
disabled beginning on or before December 31, 2016.
R. 2. This appeal follows.
IV. STANDARD OF REVIEW.
Because Claimant has exhausted his administrative remedies, the Court has
jurisdiction to review the decision of the Commissioner pursuant to 42 U.S.C.
§ 405(g), as adopted by reference in 42 U.S.C. § 1383(c)(3). The scope of the Court’s
review is limited to determining whether the Commissioner applied the correct
legal standards and whether the Commissioner’s findings of fact are supported by
substantial evidence. Winschel v. Comm’r of Soc. Sec., 631 F.3d 1176, 1178 (11th Cir.
2011). The Commissioner’s findings of fact are conclusive if they are supported by
substantial evidence, 42 U.S.C. § 405(g), which is defined as “more than a scintilla
and is such relevant evidence as a reasonable person would accept as adequate to
support a conclusion.” Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997).
The Court must view the evidence as a whole, taking into account evidence
favorable as well as unfavorable to the Commissioner’s decision, when determining
whether the decision is supported by substantial evidence. Foote v. Chater, 67 F.3d
1553, 1560 (11th Cir. 1995). The Court may not reweigh evidence or substitute its
judgment for that of the Commissioner, and, even if the evidence preponderates
against the Commissioner’s decision, the reviewing court must affirm if the decision
is supported by substantial evidence. Bloodsworth v. Heckler, 703 F.2d 1233, 1239
(11th Cir. 1983).
V. ANALYSIS.
In the Joint Memorandum, which the Court has reviewed, Claimant raises
two assignments of error: (1) the ALJ erred in his consideration of the medical
opinions of record, in particular those of Dr. Jay Olsson, D.O., Claimant’s treating
pain management specialist; and (2) the Appeals Council erred in improperly
rejecting new and material evidence submitted, in the form of treatment notes and
opinions from treating neurologist, Dr. Gary Weiss, M.D. Doc. No. 22.
Accordingly, these are the only issues that the Court will address.
A. Dr. Olsson.
An individual claiming Social Security disability benefits must prove that he
or she is disabled. Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005) (citing
Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999)). At the fourth step of the
sequential evaluation process, the ALJ must determine Claimant’s RFC. Phillips v.
Barnhart, 357 F.3d 1232, 1238 (11th Cir. 2004). “[T]he regulations define RFC as that
which an individual is still able to do despite the limitations caused by his or her
impairments,” which includes consideration of “all the relevant medical and other
evidence in the case.” Id. (citations and quotations omitted).
In determining a claimant’s RFC, the ALJ must consider all relevant evidence,
including the medical opinions of treating, examining, and non-examining medical
sources. See 20 C.F.R. § 404.1545(a)(3). The ALJ must consider a number of factors
when weighing medical opinions, including: (1) whether the physician examined
the claimant; (2) the length, nature, and extent of the physician’s relationship with
the claimant; (3) the medical evidence supporting the physician’s opinion; (4) how
consistent the physician’s opinion is with the record as a whole; and (5) the
physician’s specialization. Id. § 404.1527(c).7
A treating physician’s opinion must be given substantial or considerable
weight, unless good cause is shown to the contrary. See id. § 404.1527(c)(2) (giving
controlling weight to the treating physician’s opinion unless it is inconsistent with
other substantial evidence). The ALJ must state the weight assigned to each
medical opinion, and articulate the reasons supporting the weight assigned.
Winschel, 631 F.3d at 1179. The failure to state the weight with particularity or
articulate the reasons in support of the assigned weight may prevent the Court from
determining whether the ALJ’s ultimate decision is rational and supported by
substantial evidence. Id.
As discussed above, Claimant’s first assignment of error concerns the ALJ’s
consideration of the opinions of Dr. Olsson, Claimant’s treating pain management
specialist. Doc. No. 22, at 26–34. On January 25, 2019, Dr. Olsson completed a
7 Although the SSA regulations have been amended effective March 27, 2017, the
new regulations apply only to applications filed on or after that date. See 20 C.F.R. §§
404.1520c, 416.920c. Because Claimant filed his application prior to March 27, 2017, the
rules in 20 C.F.R. § 404.1527 govern here.
Medical Questionnaire. Doc. No. 755–57. Dr. Olsson opined that since April 15,
2011, Claimant could lift or carry a maximum of twenty (20) pounds occasionally
and that Claimant could stand/walk only 2 hours per 8-hour workday, citing an
MRI demonstrating degenerative changes at L4-5, decreased strength in the right
hip flexors, and stenosis. R. 755. Dr. Olsson further opined that Claimant could
sit only approximately 5 hours in an 8-hour workday, relying on the MRI findings,
as well as physical findings on examination and EMG findings. R. 756. Dr.
Olsson also opined that Claimant could never climb, balance, kneel, or crawl, and
that he could only occasionally stoop and crouch, and that Claimant had limitations
in pushing, pulling, twisting, and bending. R. 756. Dr. Olsson further opined that
Claimant’s impairments and treatment would cause him to be absent from work
four or more days per month, again citing MRI and EMG findings in support. Id.
In the decision, the ALJ discussed Dr. Olsson’s medical records relevant to
the period at issue regarding Claimant’s back, knee, neck, shoulder, and bilateral
foot pain. R. 40, 41–42. As it relates to Dr. Olsson’s opinions on the Medical
Questionnaire, the ALJ stated as follows:
On January 25, 2019, Jay Olsson, DO filled out a form on behalf of the
claimant (Exhibit B25F). He noted that the claimant could lift 20
pounds occasionally (Id at 1 ). The claimant had no impairment for
reaching, handling, feeling [fingering was left off the form] (Id at 2).
Dr. Olsson relied upon EMG findings. There are none within the
record. His checks and comments are not support be his own notes.
As noted above, he observed the claimant to present with full strength,
no pain on palpation, no muscle spasm, and reported negative straight
leg raise testing (Exhibit B11F/3, 8, 21, 35, 40; Exhibit Bl2F/3; Exhibit
B21F/38). While he noted an unsteady gait, he consistently observed
the claimant to pace about the examination room. Dr. Olsson did not
document complaints of severe pain. Rather, he noted mild to
moderate symptoms that waxed and waned at approximately 3-4/10
over the years. His opinions are not supported by the normal
examination findings of other providers, nor the testimony of Dr.
Lorber. Accordingly, the undersigned gives this form little weight.
R. 43.
Thus, the ALJ gave Dr. Olsson’s opinions little weight for the following
reasons: (1) Dr. Olsson relied on EMG findings that were not in the record; (2) Dr.
Olsson’s opinions were not supported by/inconsistent with his own treatment
notes; and (3) Dr. Olsson’s opinions were not supported by the normal examination
findings of other providers nor Dr. Lorber’s testimony. Id.
In the Joint Memorandum, Claimant argues that the ALJ erred in giving little
weight to Dr. Olsson’s opinions as unsupported by his treatment notes because,
according to Claimant, the ALJ misstated the facts. Doc. No. 22, at 28–29. In
particular, the ALJ stated that Dr. Olsson relied on EMG findings, but then
incorrectly stated that there were “none within the record,” as several test results in
the record demonstrate. Id. at 29 (citing R. 43, 694–95, 712). According to
Claimant, the ALJ also arbitrarily pointed to several normal findings in Dr. Olsson’s
treatment notes, while failing to consider abnormal findings reflected therein. Id.
at 29–31.8 And although the ALJ states that Dr. Olsson’s opinions are not
supported by normal examination findings of other providers, the ALJ never
specifies what other normal examination findings he means. Id. at 31. Finally,
Claimant contends that the ALJ erred in giving little weight to Dr. Olsson’s opinions
by crediting the opinions of the non-examining medical expert Dr. Lorber, id. at 31–
32, and those of two state agency non-examining psychologists, id. at 33.
The Commissioner, on the other hand, contends that the ALJ gave good cause
reasons supported by substantial evidence for giving Dr. Olsson’s opinions little
weight. Id. at 34–40. The Commissioner concedes that the ALJ erred in stating
that there were no EMG findings in the record, as the record contains EMG testing
and findings by Dr. Olsson (R. 693–95, 712–21), but, according to the Commissioner,
“the ALJ’s oversight is harmless because the ALJ did not rely solely on that reason
for giving Dr. Olsson’s opinion little weight.” Id. at 37. Moreover, according to
the Commissioner, because the ALJ gave good cause reasons for giving little weight
8 For example, Claimant cites MRI findings showing degenerative changes at L4-5,
a clinical exam finding decreased strength in the right hip flexors, and stenosis (R. 755);
antalgic unsteady gait, decreased range of motion in the neck and back, decreased muscle
strength in the right hip flexors, flattened lumbar curve, hip height discrepancy,
hypoesthesia along the right L5 nerve to the medial foot and great toe, positive Romberg
(showing a balance disorder), and psychomotor agitation (Tr. 672, 790); and a November
2, 2017 lumbar MRI revealing: (1) straightened lumbar lordosis; (2) multilevel
multifactorial degenerative changes most significantly impact L3-4 where there are
findings of central, lateral recess and bilateral neural foraminal stenosis; (3) appearance of
some residual lateral recess and foraminal stenosis on the left side at L4-5 as well as L5-S1;
and (4) some epidural fibrosis noted posterior to the L5 vertebral body. Doc. No. 22, at
30–31.
to Dr. Olsson’s opinions, the ALJ was free to give greater weight to the opinions of
state agency consultants. Id. at 40–41.
Upon consideration, the Commissioner has the better argument based on the
facts of this case because the ALJ provided at least two good cause reasons,
supported by substantial evidence, for giving Dr. Olsson’s opinions only little
weight, providing a sufficient basis to affirm the ALJ’s decision. See D’Andrea v.
Comm’r of Soc. Sec. Admin., 389 F. App’x 944, 948 (11th Cir. 2010) (finding no
reversible error in consideration of opinion of treating physician where “ALJ
articulated at least one specific reason for disregarding the opinion and the record
support[ed] it.”).9
As an initial matter, the Court agrees with Claimant, and the Commissioner
properly concedes, that the ALJ’s first reason for discounting Dr. Olsson’s opinions
is not supported by substantial evidence because the ALJ erred in finding that the
record contains no EMG findings, a finding that the record clearly contradicts. See
Doc. No. 22, at 37; R. 693–95, 712–21. But, an ALJ’s misstatement of fact can
be harmless if it does not affect the ALJ’s ultimate decision. Diorio v. Heckler, 721
F.2d 726, 728 (11th Cir. 1983). And a single erroneous statement by the ALJ alone
may not require remand. See Rhodes v. Astrue, No. 8:07-cv-18-T-MAP, 2008 WL
9 Unpublished opinions of the Eleventh Circuit are cited as persuasive authority.
See 11th Cir. R. 36–2.
360823 at *3 (M.D. Fla. Feb. 8, 2008) (noting that a single erroneous statement by an
ALJ alone does not require remand where the ALJ’s finding otherwise has strong
support).
As discussed below, because the ALJ provided two other good cause reasons
for giving Dr. Olsson’s opinions little weight, the Court finds any error in the ALJ’s
statement regarding no EMG findings in the record harmless on the facts of this
case. See Buffington v. Comm’r of Soc. Sec., No. 6:11-cv-1114-Orl-22GJK, 2012 WL
3715221, at *14 (M.D. Fla. July 26, 2012), report and recommendation adopted, 2012 WL
3715107 (M.D. Fla. Aug. 28, 2012) (misstatement of fact was harmless error where
the ALJ applied the correct legal standards in giving little weight to a medical
opinion, including that the physician’s opinion conflicted with his own medical
records, a finding which was supported by substantial evidence); Moorer v. Astrue,
No. 3:06CV434/LAC/EMT, 2007 WL 4336080, at *13 (N.D. Fla. Dec. 7, 2007) (finding
misstatement by ALJ harmless error because his other reasons for discounting the
medical opinion at issue were supported by substantial evidence). See also Cascio
v. Comm'r of Soc. Sec., No. 2:15-cv-719-FtM-CM, 2016 WL 7486745, at *9 (M.D. Fla.
Dec. 30, 2016) (affirming where the ALJ erroneously stated higher global assessment
of function (GAF) scores than were in the record; finding that the misstatement was
at most harmless error because substantial evidence otherwise supported the ALJ’s
determination); Wright v. Colvin, No. CV 313-079, 2014 WL 5591058, at *7 (S.D. Ga.
Nov. 3, 2014) (misstatements in credibility determination were harmless where the
ALJ provided six different reasons to support the adverse credibility determination,
and thus, the ALJ had a sufficient basis for the credibility determination even absent
the misstatements).
Specifically, the ALJ gave little weight to Dr. Olsson’s opinions, in part,
because the opinions failed to find support in Dr. Olsson’s own treatment notes.
See R. 43. The ALJ first stated that Dr. Olsson observed Claimant to present with
full strength, no pain on palpation, no muscle spasm, and reported negative straight
leg raise testing. See id. (citing Exhibit B11F/3, 8, 21, 35, 40; Exhibit Bl2F/3; Exhibit
B21F/38). The record supports those findings. See R. 550, 555, 568, 582, 587
(Exhibits B11F, B12F, and B21F demonstrating 5/5 strength, no pain on palpation,
no palpable muscle spasm, and negative straight leg raise tests). And the ALJ also
correctly noted that although Dr. Olsson noted Claimant’s unsteady gait, Dr.
Olsson’s treatment notes consistently reflect that Dr. Olsson observed Claimant
pacing the examination room. See id. Moreover, as the ALJ stated, Dr. Olsson did
not document complaints of severe pain; instead, his records demonstrate mild to
moderate symptoms ranging on a pain index from 3–4 out of 10. See, e.g., R. 550,
555, 559, 563, 568, 572, 577, 582, 587, 591.
In the Joint Memorandum, Claimant suggests that the ALJ ignored abnormal
clinical findings citing several examination findings in support, as set forth above.
Doc. No. 22, at 30–31. Claimant’s argument misses the mark however, because, as
the Commissioner argues, see Doc. No. 22, at 39–40, Claimant essentially invites the
Court to reweigh the evidence, which is not within the province of this Court. See
Bloodsworth, 703 F.2d at 1239; Borges v. Comm'r of Soc. Sec., 771 F. App’x 878, 882
(11th Cir. 2019) (“To the extent that Borges points to other evidence that would
undermine the ALJ's RFC determination, her contentions misinterpret the narrowly
circumscribed nature of this Court's appellate review, which precludes it from re-
weighing the evidence or substituting its own judgment for that of the
Commissioner.”). And to the extent that the ALJ did not specifically discuss in the
decision all of the records cited by Claimant, “the ALJ [is not required] to
‘specifically refer to every piece of evidence in his decision,’ so long as the decision
is sufficient to allow [the Court] to conclude that the ALJ considered the claimant’s
medical condition as a whole.” See Castel v. Comm’r of Soc. Sec., 355 F. App’x 260,
263 (11th Cir. 2009) (quoting Dyer v. Barnhart, 395 F.3d 1206, 1211 (11th Cir. 2005)).
The ALJ’s decision in this case satisfies that standard.
The ALJ’s third reason for giving little weight to Dr. Olsson’s opinions—that
Dr. Olsson’s opinions were not supported by the normal examination findings of
other providers nor Dr. Lorber’s testimony—is also supported by substantial
evidence. In this regard, Claimant first argues that “the ALJ never specifies what
normal findings of other providers were inconsistent with Dr. Olsson’s opinions.”
Doc. No. 22, at 31. The Court disagrees. Throughout the decision, the ALJ
discusses the normal examination findings by several providers in determining
Claimant’s RFC. See R. 40, 41, 44 (discussing normal findings by Dr. Chhindra, Dr.
Lester, PA Klucar, and Dr. Lester). Claimant’s argument to the contrary is
unavailing.
Claimant also argues that “the ALJ has the law backwards” with regard to
giving Dr. Olsson’s opinions little weight because they conflict with the testimony
of non-examining medical expert Dr. Lorber. Doc. No. 22, at 31–32. In essence,
Claimant contends that Dr. Olsson’s opinions were entitled to more weight than the
opinions of Dr. Lorber because Dr. Olsson was a treating physician. See id. at 31–
34. However, “[m]edical experts are highly qualified and their opinions may be
entitled to great weight.” Henderson v. Saul, No. 8:19-CV-2454-T-AEP, 2021 WL
1138181, at *4 (M.D. Fla. Mar. 25, 2021) (citing 20 C.F.R. § 404.1527(c); Crawford v.
Comm’r of Soc. Sec., 363 F.3d 1155, 1159–60 (11th Cir. 2004)). Given that the ALJ
considered Dr. Lorber’s opinion and found it well supported (as opposed to the
opinions of Dr. Olsson, which the ALJ determined were entitled to little weight),
the Court finds no reversible error.10 See id. (finding no error in ALJ discounting
10 In a footnote, Claimant contends that Dr. Lorber lacks current medical
knowledge, was “clearly unprepared,” and wrongfully discredited Dr. Olsson. Doc. No.
22, at 31 n.3. To the extent that Claimant intended to assert this as an independent
argument, given the perfunctory nature thereof and Claimant’s failure to cite any legal
authority in support, the Court finds the argument waived. See generally N.L.R.B. v.
treating physician’s opinions and giving great weight to the opinions of medical
expert (citing Huntley v. Comm’r of Soc. Sec., 683 F. App’x 830, 833 (11th Cir. 2017)));
Kinnard v. Astrue, No. 8:09-cv-628-T-24AEP, 2010 WL 3584583 (M.D. Fla. Aug. 26,
2010), report and recommendation adopted, 2010 WL 3584557 (M.D. Fla. Sept. 10,
2010), aff’d, 426 F. App’x 835 (11th Cir. 2011) (affirming ALJ decision that gave the
most weight to the opinions of medical experts, and little weight to the opinions of
treating physicians).
But Claimant also argues that the ALJ erroneously “cites to the opinions of
two state agency non-examining psychologist opinions,” when “these doctors did
not have an opportunity to review most of Dr. Olsson’s notes as well as his opinion
assigning [Claimant] limitations.” Doc. No. 22, at 33. According to Claimant,
those opinions cannot constitute substantial evidence to discount Dr. Olsson’s
opinions. See id. Claimant relies on Johnson v. Barnhart, 138 F. App’x 266, 270 (11th
Cir. 2005) in support. Id. at 33–34.
In Johnson, an unpublished opinion, the Court found that although the ALJ
may have properly rejected the opinions of a treating physician for good cause, the
ALJ nevertheless erred in giving greater weight to a non-examining physician. 138
McClain of Georgia, Inc., 138 F.3d 1418, 1422 (11th Cir. 1998) (“Issues raised in a perfunctory
manner, without supporting arguments and citation to authorities, are generally deemed
to be waived.”). See also Yedra Yhon v. Comm'r of Soc. Sec., No. 3:09-cv-342-J-32MCR, 2010
WL 3394654, at *3 (M.D. Fla. Aug. 26, 2010) (court would not attempt to decipher content
of undeveloped arguments raised by the claimant).
F. App’x at 270. The ALJ had rejected the opinions of the treating physician for
both inconsistency with the physician’s own treatment notes, as well as the opinions
of the non-examining physicians. Id. The Court found that standing alone, the
opinion of a non-examining physician could not constitute substantial evidence to
support the ALJ’s determination. Id. at 270–71. Ultimately, the Court found that
on the record as it was, additional evidence was required to make a determination
as to whether the claimant was disabled, in particular, it was not clear what level of
work, if any, the claimant could perform, and the medical record did not establish
the claimant’s ability to perform past relevant work. Id.
Upon consideration, the Court finds Johnson distinguishable from this case
for two primary reasons. First, from the ALJ’s decision here, it is not entirely clear
why Claimant assumes that the ALJ even based his assignment of little weight to
Dr. Olsson’s opinions on the opinions of state agency psychologists, which does not
appear to be the case. See R. 43. Second, the “ultimate reversible error” in Johnson
was the ALJ’s failure to resolve inconsistencies in the record as to whether the
claimant could return to past relevant work, which is not at issue here. See
Robinson v. Berryhill, No. CV 16-00494-N, 2017 WL 3205060, at *9 (S.D. Ala. July 27,
2017) (distinguishing Johnson on similar basis). See also Kidd v. Colvin, No. CV 115-
207, 2017 WL 914061, at *8 (S.D. Ga. Feb. 2, 2017), report and recommendation adopted,
2017 WL 901896 (S.D. Ga. Mar. 7, 2017) (similar). So, the Court finds Claimant’s
reliance on Johnson unpersuasive.
Moreover, as discussed above, Claimant has not established that the ALJ
erred in discounting the opinions of Dr. Olsson, and thus the weight given to those
opinions was not error. Further, the ALJ stated in the decision that there were no
opinions in the record that were contrary to the opinions of the non-examining state
agency psychological consultants, a finding that Claimant does not contest. See R.
43. In general, the “more consistent a physician’s opinion is with the record as a
whole, the more weight an ALJ can place on that opinion.” Putman v. Soc. Sec.
Admin., Comm’r, 705 F. App’x 929, 932 (11th Cir. 2017). Based on the facts of this
case, the Court finds no error in the ALJ giving the opinions of the state agency
psychological consultants greater weight than that afforded to the opinions of Dr.
Olsson, a treating pain management specialist. See id. at 934 (finding that ALJ did
not err by giving greater weight to the opinion of a non-examining physician than
the opinion of a treating physician where the ALJ articulated reasons independent
of the opinions of the non-examining physician for giving treating physician’s
opinion less than substantial weight (citing 20 C.F.R. § 404.1527(c)(4))); Jarrett v.
Comm'r of Soc. Sec., 422 F. App’x 869, 874 (11th Cir. 2011) (concluding that ALJ did
not err in giving treating physician’s opinion little weight and instead crediting the
opinions of the state agency consultants where the ALJ articulated specific reasons
for not giving controlling weight to the treating physician’s opinion (it was
inconsistent with his own treatment notes, treatment notes of other providers, and
the claimant’s daily activities), and the opinions of state agency consultants were
consistent with the records of the treating physicians).
In sum, where the Commissioner’s decision is supported by substantial
evidence, the Court must affirm, even if the Court would have reached a contrary
result as the finder of fact, and even if the Court finds that the evidence
preponderates against the Commissioner’s decision. See Edwards v. Sullivan, 937
F.2d 580, 584 n.3 (11th Cir. 1991). See also Sryock v. Heckler, 764 F.2d 834, 835 (11th
Cir. 1985) (ALJ may reject the opinion of any physician if the evidence supports a
contrary conclusion). Because the decision in this case was supported by
substantial evidence, the Court finds Claimant’s first assignment of error
unpersuasive.
B. Appeals Council.
“‘With a few exceptions, the claimant is allowed to present new evidence at
each stage of this administrative process,’ including before the Appeals Council.”
Washington v. Soc. Sec. Admin., Com’r, 806 F.3d 1317, 1320 (11th Cir. 2015) (quoting
Ingram v. Comm’r of Soc., Sec. Admin., 496 F.3d 1253, 1261 (11th Cir. 2007)). “The
Appeals Council will review a case if . . . [it] receives additional evidence that is
new, material, and relates to the period on or before the date of the hearing decision,
and there is a reasonable probability that the additional evidence would change the
outcome of the decision.” 20 C.F.R. § 404.970(a)(5). “When the Appeals Council
refuses to consider new evidence submitted to it and denies review, that decision is
. . . subject to judicial review.” Washington, 806 F.3d at 1320 (quoting Keeton v. Dep't
of Health & Human Servs., 21 F.3d 1064, 1066 (11th Cir. 1994)).
On review, the Court must determine whether the new, material, and
chronologically relevant evidence submitted to the Appeals Council renders the
denial of benefits erroneous. Ingram, 496 F.3d at 1261–62.11 “Evidence is material
if ‘there is a reasonable possibility that the new evidence would change the
administrative outcome.’” Atha v. Comm’r of Soc. Sec., 616 F. App’x 931, 936 (11th
Cir. 2015) (quoting Hyde v. Bowen, 653 F.2d 456, 459 (11th Cir. 1987)). “New
evidence is chronologically relevant if it ‘relates to the period on or before the date
of the [ALJ’s] hearing decision.’” Hargress v. Soc. Sec. Admin., Comm’r, 883 F.3d
1302, 1309 (11th Cir. 2018) (quoting 20 C.F.R. §§ 404.970(b), 416.1470(b)).
Here, as discussed above, Claimant submitted to the Appeals Council a
Physical Restrictions Evaluation form completed by Gary Weiss, M.D., Claimant’s
treating neurologist, as well as medical records from Dr. Weiss from October 1, 2019
through October 17, 2019, none of which were before the ALJ. R. 8–13, 19–27. The
11 The Court reviews the denial of review by the Appeals Council under sentence
four of section 405(g). See Ingram, 496 F.3d at 1262.
Appeals Council denied the request for review, finding that the records and
opinions from Dr. Weiss were, in essence, not chronologically relevant. See R. 2.12
Claimant argues that the Appeals Council erred in that finding because it
“ignored the fact that the form specifically covers the time period beginning
December 2, 2014 through October 31, 2019,” and that the “retrospective opinion”
was supported by a review of medical records during the relevant time period.
Doc. No. 22, at 42, 44. According to Claimant, although Dr. Weiss’s treatment
notes were from 2019, those records support his opinions. Id. at 43.
As the Commissioner contends in response, however, it is not apparent that
the evidence submitted from Dr. Weiss is chronologically relevant. Specifically,
the record demonstrates that Claimant did not present to Dr. Weiss until October 1,
2019, and thus Dr. Weiss was not Claimant’s treating physician prior to that date.
See R. 23. As noted in the ALJ’s decision, the ALJ decided Claimant’s case through
December 31, 2016, Claimant’s date of last insured. See R. 45. In the Joint
Memorandum, Claimant suggests that Dr. Weiss’s opinion is retrospective because
the cover letter and introduction to the form requested that Dr. Weiss review certain
medical records from 2014 through 2019. See R. 8–9. But, nothing on the portion
12 Here, there is no dispute that the evidence submitted to the Appeals Counsel was
“new evidence” because it did not exist prior to the date of the ALJ’s decision. Instead,
the dispute centers on whether the information was both chronologically relevant and
material, and thus, whether it was likely to change the administrative outcome.
of the form completed by Dr. Weiss states that said records were considered in his
assessment, or that his opinions related to any particular time period. See R. 9–13.
Moreover, Dr. Weiss does not point to any specific treatment notes or tests during
the relevant period in the Physical Restrictions Evaluation form. See id.
Accordingly, upon review of the record, Claimant has not demonstrated that
the Physical Restrictions Evaluation form is chronologically relevant. See, e.g.,
Griffin v. Soc. Sec. Admin., Comm’r, 842 F. App’x 339, 342 (11th Cir. 2021) (finding
Appeals Council did not err in declining to consider newly submitted health
statement, in part, because the physician did not cite to any medical evidence to
support the physician’s conclusions that the limitations existed during the relevant
period, and did not provide any reference to medical records from the relevant time
period to support the conclusion that the limitations applied during the relevant
period); Stone v. Soc. Sec. Admin., 658 F. App’x 551, 553 (11th Cir. 2016) (finding that
the claimant had failed to demonstrate that new evidence submitted to Appeals
Council was chronologically relevant because the “summarized records include no
express reference to [the claimant’s] condition or symptoms before the ALJ's
decision,” and there was no evidence that the provider of the diagnosis “reviewed
or relied upon [the claimant’s] past medical records in making that diagnosis”).
Claimant also argues that the form “specifically covers the time period
beginning December 2, 2014 . . . .” Doc. No. 22, at 41. But, again, although the
introduction to the form requests that Dr. Weiss consider the time period
“beginning 12/2/14 through the present date,” in the portion of the form completed
by Dr. Weiss (which was completed on October 31, 2019), Dr. Weiss never states
that the opined-to limitations relate to any particular period, and the records
submitted from Dr. Weiss himself are all from 2019, far outside the relevant time
period. See R. 9–13, 19–27. And although not cited by Claimant, the Court finds
the analysis set forth in Snyder v. Commissioner of Social Security, No. 6:20-cv-1275-
DCI, 2021 WL 3190559 (M.D. Fla. July 28, 2021) persuasive on this point.13
In Snyder, the claimant submitted to the Appeals Council records from Dr.
Weiss post-dating the ALJ’s decision. Id. at *5. The claimant argued, in part, that
the Appeals Council erred in finding the new evidence not chronologically relevant
because the form completed by Dr. Weiss stated that it applied retrospectively, and
the responses were made after reviewing medical records from the time period
relevant to the claimant’s disability claim. Id. The Court found:
On its face, the Physical Restrictions Evaluation and MRI result were
concluded months after the period of disability. While the form states
that it applies to March 27, 2017 through the present, there is no
discussion in the record that explains how these results actually relate
back to a prior date. The evidence does not explore whether, at an
earlier time, the pain was better or worse or more limiting in a way that
might have impacted the ALJ’s assessment. As such, the Court agrees
with the Appeals Council that the evidence is not chronologically
relevant.
13 The Court notes that Snyder was decided after the parties’ submission of the Joint
Memorandum in this case.
Id. at *6 (record citations omitted). As discussed above, the Court finds that
Claimant has not established the chronological relevance of Dr. Weiss’s records and
opinions for the same reasons. See id. See also Brewster v. Comm'r of Soc. Sec., No.
6:18-cv-1220-Orl-TBS, 2019 WL 13055069, at *9 (M.D. Fla. June 19, 2019). 14
Consequently, “[b]ecause the new evidence was not chronologically relevant, the
14 Although the Court finds the analysis in Snyder persuasive to the outcome here,
the Court further notes at least two factually similar recent decisions addressing records
from Dr. Weiss, submitted by the claimant’s counsel to the Appeals Council. See McClurg
v. Saul, No. 6:19-cv-1798-Orl-JRK, 2020 WL 5742980 (M.D. Fla. Sept. 25, 2020); Ripson v.
Comm'r of Soc. Sec., No. 6:16-cv-1932-Orl-MRM, 2018 WL 1181595 (M.D. Fla. Mar. 7, 2018)
Upon consideration, the Court finds those decisions inapplicable. In McClurg, it was
“clear” that Dr. Weiss reviewed records during the relevant period and that Dr. Weiss
opined to limitations present during the relevant period of disability, and Dr. Weiss’s
opinions were “accompanied by detailed supporting clinical findings,” see McClurg, 2020
WL 5742980, at * 6, all of which the Court finds absent in this case, rendering McClurg
factually distinguishable. In Ripson, on the other hand, the court determined that merely
because Dr. Weiss’s post-decision treatment notes included symptoms that the claimant
had reported to a different medical professional during the relevant period of disability,
the treatment notes were chronologically relevant. See Ripson, 2018 WL 1181595, at *6.
Without further information regarding the claimant’s allegations in Ripson, or citation to
any legal authority for the proposition that Ripson sets forth the appropriate standard in
this District, the Court declines to find that Ripson dictates the outcome here.
Notably, in the Joint Memorandum, Claimant suggests that Dr. Weiss found that
Claimant’s condition had worsened since a laminectomy in July 2017. See R. 22, at 42 &
n.7. To that extent, it is not clear what records Claimant is referencing because his
citations do not relate to Dr. Weiss’s records, but instead, the ALJ’s decision. See id. But,
even accepting Claimant’s statements as true, as explained in McClurg, if the evidence
indeed demonstrated a worsening of Claimant’s relevant symptoms after the ALJ’s
decision, it would render the newly submitted medical records not chronologically
relevant. See McClurg, 2020 WL 5742980, at *4 (discussing Stone v. Soc. Sec. Admin., 658 F.
App’x 551, 553 (11th Cir. 2016), and Hargress v. Soc. Sec. Admin., Comm’r, 883 F.3d 1302,
1309–10 (11th Cir. 2018)).
Appeals Council was not required to consider it.” Hargress, 883 F.3d at 1310. For
these reasons, Claimant has not demonstrated reversible error in the Appeals
Council’s decision to deny his claim for review based on new evidence.!5
VI. CONCLUSION.
Based on the foregoing, it is ORDERED that:
1. The final decision of the Commissioner is AFFIRMED.
2. The Clerk of Court is DIRECTED to enter judgment in favor of the
Commissioner and CLOSE the case.
DONE and ORDERED in Orlando, Florida on February 24, 2022.
hegrar Hic
LESLIE NOFFMAN PRICE
UNITED STATES MAGISTRATE JUDGE
Copies furnished to:
Counsel of Record
Unrepresented Parties
15 Even assuming that the records submitted to the Appeals Council are
chronologically relevant, the Court alternatively finds that Claimant has not demonstrated
that a reasonable probability exists that the new evidence would change the administrative
outcome. See Snyder, 2021 WL 3190559, at *6 (finding same under similar circumstances
because the claimant made “no adequate attempt to demonstrate that the evidence is likely
to change the decision ...”). See also Griffin, 842 F. App’x at 342 (new evidence was not
material where, in part, it “was the same record evidence already considered by the ALJ
and used to determine” that Claimant was not disabled).
Ae |