reiterating that the threshold for such evidentiary sufficiency under the substantial evidence standard is not high, and it “means - and means only - such relevant evidence as a reasonable mind might accept as adequate to support a conclusion” (citations omitted)
How later courts described this case
- reiterating that the threshold for such evidentiary sufficiency under the substantial evidence standard is not high, and it “means - and means only - such relevant evidence as a reasonable mind might accept as adequate to support a conclusion” (citations omitted)
- explaining that because “[t]he law and regulations governing the determination of disability are the same for both disability insurance benefits and [supplemental security income],” “[w]e provide citations only to the regulations respecting disability insurance benefits”
- explaining that in “the first four steps the burden is on the claimant”
- “If the claimant satisfies step 3, she is considered per se disabled.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
SHELDON HARRIS,
1:19-cv-12084-NLH
Plaintiff,
OPINION
v.
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
APPEARANCES:
KATHRYNE POPE
RICHARD LOWELL FRANKEL
BROSS & FRANKEL, PA
725 KENILWORTH AVE
CHERRY HILL, NJ 08002
On behalf of Plaintiff
EVELYN ROSE MARIE PROTANO
SOCIAL SECURITY ADMINISTRATION
OFFICE OF THE GENERAL COUNSEL
300 SPRING GARDEN STREET, 6TH FLOOR
PHILADELPHIA, PA 19123
On behalf of Defendant
HILLMAN, District Judge
This matter comes before the Court pursuant to Section
205(g) of the Social Security Act, as amended, 42 U.S.C. §
405(g), regarding Plaintiff’s application for Disability
Insurance Benefits (“DIB”)1 and Supplemental Security Income
1 DIB is a program under the Social Security Act to provide
(“SSI”)2 under Title II and Title XVI of the Social Security
Act.3 42 U.S.C. § 401, et seq. The issue before the Court is
whether the Administrative Law Judge (“ALJ”) erred in finding
that there was “substantial evidence” that Plaintiff was not
disabled at any time since his alleged onset date of disability,
March 31, 2012. For the reasons stated below, this Court will
affirm that decision.
I. BACKGROUND AND PROCEDURAL HISTORY
On September 25, 2014, Plaintiff, Sheldon Harris,
disability benefits when a claimant with a sufficient number of
quarters of insured employment has suffered such a mental or
physical impairment that the claimant cannot perform substantial
gainful employment for at least twelve months. 42 U.S.C. § 423
et seq.
2 Supplemental Security Income is a program under the Social
Security Act that provides supplemental security income to
individuals who have attained age 65, or are blind or disabled.
42 U.S.C. § 1381 et seq.
3 The standard for determining whether a claimant is disabled is
the same for both DIB and SSI. See Rutherford v. Barnhart, 399
F.3d 546, 551 n.1 (3d Cir. 2005) (citation omitted).
DIB regulations are found at 20 C.F.R. §§ 404.1500-404.1599, and
the parallel SSI regulations are found at 20 C.F.R. §§ 416.900-
416.999, which correspond to the last two digits of the DIB
cites (e.g., 20 C.F.R. § 404.1545 corresponds with 20 C.F.R. §
416.945). The Court will provide citations only to the DIB
regulations. See Carmon v. Barnhart, 81 F. App’x 410, 411 n.1
(3d Cir. 2003) (explaining that because “[t]he law and
regulations governing the determination of disability are the
same for both disability insurance benefits and [supplemental
security income],” “[w]e provide citations only to the
regulations respecting disability insurance benefits”).
protectively filed4 an application for DIB and SSI alleging that
he became disabled as of March 31, 2012.5 Plaintiff claims that
he can no longer work at his previous job as a certified nursing
assistant because he suffers from back, neck, and shoulder
impairments.
After Plaintiff’s initial claim was denied and upon
reconsideration, Plaintiff requested a hearing before an ALJ,
which was held on October 12, 2017. On January 29, 2018, the
ALJ issued an unfavorable decision. Plaintiff’s Request for
Review of Hearing Decision was denied by the Appeals Council on
February 28, 2019, making the ALJ’s decision final. Plaintiff
brings this civil action for review of the Commissioner’s
decision.
4 A protective filing date marks the time when a disability
applicant made a written statement of his or her intent to file
for benefits. That date may be earlier than the date of the
formal application and may provide additional benefits to the
claimant. See SSA Handbook 1507; SSR 72-8.
5 Even though Plaintiff contends that his onset date of
disability is March 31, 2012, the relevant period for
Plaintiff’s SSI claim begins with his September 25, 2014
application date, through the date of the ALJ’s decision on
January 29, 2018. See 20 C.F.R. § 416.202 (claimant is not
eligible for SSI until, among other factors, the date on which
he or she files an application for SSI benefits); 20 C.F.R. §
416.501 (claimant may not be paid for SSI for any time period
that predates the first month he or she satisfies the
eligibility requirements, which cannot predate the date on which
an application was filed). This difference between eligibility
for SSI and DIB is not material to the Court’s analysis of
Plaintiff’s appeal.
II. DISCUSSION
A. Standard of Review
Under 42 U.S.C. § 405(g), Congress provided for judicial
review of the Commissioner’s decision to deny a complainant’s
application for social security benefits. Ventura v. Shalala,
55 F.3d 900, 901 (3d Cir. 1995). A reviewing court must uphold
the Commissioner’s factual decisions where they are supported by
“substantial evidence.” 42 U.S.C. §§ 405(g), 1383(c)(3);
Fargnoli v. Massanari, 247 F.3d 34, 38 (3d Cir. 2001); Sykes v.
Apfel, 228 F.3d 259, 262 (3d Cir. 2000); Williams v. Sullivan,
970 F.2d 1178, 1182 (3d Cir. 1992). Substantial evidence means
more than “a mere scintilla.” Richardson v. Perales, 402 U.S.
389, 401 (1971)(quoting Consolidated Edison Co. V. NLRB, 305
U.S. 197, 229 (1938)). It means “such relevant evidence as a
reasonable mind might accept as adequate to support a
conclusion.” Id. The inquiry is not whether the reviewing
court would have made the same determination, but whether the
Commissioner’s conclusion was reasonable. See Brown v. Bowen,
845 F.2d 1211, 1213 (3d Cir. 1988).
A reviewing court has a duty to review the evidence in its
totality. See Daring v. Heckler, 727 F.2d 64, 70 (3d Cir.
1984). “[A] court must ‘take into account whatever in the
record fairly detracts from its weight.’” Schonewolf v.
Callahan, 972 F. Supp. 277, 284 (D.N.J. 1997) (quoting Willbanks
v. Secretary of Health & Human Servs., 847 F.2d 301, 303 (6th
Cir. 1988) (quoting Universal Camera Corp. V. NLRB, 340 U.S.
474, 488 (1951)).
The Commissioner “must adequately explain in the record his
reasons for rejecting or discrediting competent evidence.”
Ogden v. Bowen, 677 F. Supp. 273, 278 (M.D. Pa. 1987) (citing
Brewster v. Heckler, 786 F.2d 581 (3d Cir. 1986)). The Third
Circuit has held that an “ALJ must review all pertinent medical
evidence and explain his conciliations and rejections.” Burnett
v. Comm’r of Soc. Sec. Admin., 220 F.3d 112, 122 (3d Cir. 2000).
Similarly, an ALJ must also consider and weigh all of the non-
medical evidence before him. Id. (citing Van Horn v. Schweiker,
717 F.2d 871, 873 (3d Cir. 1983)); Cotter v. Harris, 642 F.2d
700, 707 (3d Cir. 1981).
The Third Circuit has held that access to the
Commissioner’s reasoning is indeed essential to a meaningful
court review:
Unless the [Commissioner] has analyzed all
evidence and has sufficiently explained the
weight he has given to obviously probative
exhibits, to say that his decision is
supported by substantial evidence approaches
an abdication of the court’s duty to
scrutinize the record as a whole to
determine whether the conclusions reached
are rational.
Gober v. Matthews, 574 F.2d 772, 776 (3d Cir. 1978). Although
an ALJ, as the fact finder, must consider and evaluate the
medical evidence presented, Fargnoli, 247 F.3d at 42, “[t]here
is no requirement that the ALJ discuss in its opinion every
tidbit of evidence included in the record,” Hur v. Barnhart, 94
F. App’x 130, 133 (3d Cir. 2004). In terms of judicial review,
a district court is not “empowered to weigh the evidence or
substitute its conclusions for those of the fact-finder.”
Williams, 970 F.2d at 1182. However, apart from the substantial
evidence inquiry, a reviewing court is entitled to satisfy
itself that the Commissioner arrived at his decision by
application of the proper legal standards. Sykes, 228 F.3d at
262; Friedberg v. Schweiker, 721 F.2d 445, 447 (3d Cir. 1983);
Curtin v. Harris, 508 F. Supp. 791, 793 (D.N.J. 1981).
B. Standard for DIB and SSI
The Social Security Act defines “disability” for purposes
of an entitlement to a period of disability and disability
insurance benefits as the inability to engage in any substantial
gainful activity by reason of any medically determinable
physical or mental impairment which can be expected to result in
death, or which has lasted or can be expected to last for a
continuous period of not less than 12 months. See 42 U.S.C. §
1382c(a)(3)(A). Under this definition, a Plaintiff qualifies as
disabled only if his physical or mental impairments are of such
severity that he is not only unable to perform his past relevant
work, but cannot, given his age, education, and work experience,
engage in any other type of substantial gainful work which
exists in the national economy, regardless of whether such work
exists in the immediate area in which he lives, or whether a
specific job vacancy exists for him, or whether he would be
hired if he applied for work. 42 U.S.C. § 1382c(a)(3)(B)
(emphasis added).
The Commissioner has promulgated regulations6 for
determining disability that require application of a five-step
sequential analysis. See 20 C.F.R. § 404.1520. This five-step
process is summarized as follows:
1. If the claimant currently is engaged in substantial
gainful employment, he will be found “not disabled.”
2. If the claimant does not suffer from a “severe
impairment,” he will be found “not disabled.”
3. If the severe impairment meets or equals a listed
impairment in 20 C.F.R. Part 404, Subpart P, Appendix
1 and has lasted or is expected to last for a
continuous period of at least twelve months, the
claimant will be found “disabled.”
4. If the claimant can still perform work he has done in
the past (“past relevant work”) despite the severe
impairment, he will be found “not disabled.”
5. Finally, the Commissioner will consider the claimant’s
ability to perform work (“residual functional
capacity”), age, education, and past work experience
to determine whether or not he is capable of
performing other work which exists in the national
economy. If he is incapable, he will be found
“disabled.” If he is capable, he will be found “not
6 The regulations were amended for various provisions effective
March 27, 2017. See 82 F.R. 5844. The parties do not argue
that any of these amendments are relevant to Plaintiff’s appeal.
disabled.”
20 C.F.R. § 404.1520(b)-(f). Entitlement to benefits is
therefore dependent upon a finding that the claimant is
incapable of performing work in the national economy. This
five-step process involves a shifting burden of proof. See
Wallace v. Secretary of Health & Human Servs., 722 F.2d 1150,
1153 (3d Cir. 1983). In the first four steps of the analysis,
the burden is on the claimant to prove every element of his
claim by a preponderance of the evidence. See id. In the final
step, the Commissioner bears the burden of proving that work is
available for the Plaintiff: “Once a claimant has proved that he
is unable to perform his former job, the burden shifts to the
Commissioner to prove that there is some other kind of
substantial gainful employment he is able to perform.” Kangas
v. Bowen, 823 F.2d 775, 777 (3d Cir. 1987); see Olsen v.
Schweiker, 703 F.2d 751, 753 (3d Cir. 1983).
C. Analysis
At step one, the ALJ found that Plaintiff had not engaged
in substantial gainful activity since the alleged onset of
disability. At step two, the ALJ found that Plaintiff’s
impairments of back, neck, and right shoulder impairments were
severe. At step three, the ALJ determined that Plaintiff’s
severe impairments or his severe impairments in combination with
his other impairments did not equal the severity of one of the
listed impairments. At step four, the ALJ determined that
Plaintiff’s residual functional capacity (“RFC”) rendered him
able to perform medium exertional level work, which included his
past job as a certified nursing assistant, and he was therefore
not disabled.7
Plaintiff argues that the ALJ erred in three ways: (1) the
ALJ failed to consider the narrative reports of two of
Plaintiff’s doctors, and the ALJ failed to properly weigh the
opinion of a consultative examiner; (2) the ALJ erred in his
assessment of Plaintiff’s RFC; and (3) the ALJ erred at step
three in not finding that Plaintiff’s impairments met the
Listings.
1. Whether the ALJ erred in the assessment of the medical
providers and consultative examiner
Plaintiff contends that the decision of the ALJ must be
reversed because the ALJ failed to consider the narrative
reports prepared by a neurologist, Keith Preis, M.D., on
November 29, 2007, and a chiropractor, Larry A. Sable, D.C., on
April 6, 2008. Dr. Preis evaluated Plaintiff once as a result
7 Because the ALJ concluded that Plaintiff was capable of
performing his past relevant work, the ALJ did not need to
continue to step five of the sequential step analysis. Benjamin
v. Commissioner of Social Security, 2019 WL 351897, at *4 n.9
(D.N.J. 2019) (citing Valenti v. Commissioner of Social Sec.,
373 F. App’x 255, 258 n.1 (3d Cir. 2010); 20 C.F.R. §
404.1520(b)-(f)).
of a motor vehicle accident on June 5, 2007, and Dr. Preis
concluded that Plaintiff’s cervical and lumbar sprain/strain
were a result of the accident. (R. at 278-80.) Plaintiff also
received chiropractic treatment from Dr. Sable arising from the
accident from June 13, 2007 until March 12, 2008, when Plaintiff
was released from care because he met maximum improvement. (R.
at 284-89.) Both doctors reviewed a July 17, 2007 MRI of
Plaintiff’s lumbar spine, which revealed an annular bulge at L2-
3 and a diffuse annual bulge at L3-4.
The ALJ did not specifically mention these reports in his
decision. Plaintiff argues that this is reversible error
because even though the reports pre-date the alleged onset date
of March 31, 2012, they are consistent with the remainder of the
evidence showing significant functional limitations.
The Court does not agree. The burden is on the claimant to
show that he was disabled - and unable to perform work at the
substantial gainful level - on the alleged onset date of
disability. The burden is also on the claimant to show that his
medically determinable impairments had lasted for a continuous
period of no less than 12 months before that date, or will be
expected to last for at least that duration after then. Zirnsak
v. Colvin, 777 F.3d 607, 611 (3d Cir. 2014) (citations omitted).
To meet that burden, the claimant may present evidence outside
the disability period, and the ALJ may consider such evidence,
but that evidence must be both relevant and probative to whether
the claimant was disabled as of the alleged onset date.
Townsend v. Commissioner, 553 F. App’x 166, 168 n.2 (3d Cir.
2014); see also Johnson v. Commissioner of Social Sec., 529 F.3d
198, 203 (3d Cir. 2008) (quoting Burnett v. Commissioner of
Social Sec. Admin., 220 F.3d 112, 121 (3d Cir. 2000)) (quoting
Cotter v. Harris, 642 F.2d 700, 705 (3d Cir. 1981)) (explaining
that an ALJ errs if he does not consider all the pertinent and
significant probative evidence before him, but the ALJ does not
need to consider evidence that is not).
Here, Plaintiff argues that the ALJ erred when he failed
to mention, and therefore presumably failed to consider, the
reports of Dr. Preis and Dr. Sable, and those reports support
his claim of disability as of March 31, 2012. The reports,
however, were prepared in November 2007 and April 2008 - four
years prior to his alleged onset date - and the record shows
that Plaintiff worked as a certified nursing assistant through
at least 2010 (according to Plaintiff’s testimony) and had
earnings at the substantial gainful levels through 2011.
Clearly, Plaintiff’s ability to work for several years following
the accident shows that the reports of these two doctors could
not have supported a claim of disability during the time in
2007-2008, let alone as of March 31, 2012.
The lack of relevance and pertinence of the reports of Dr.
Preis and Dr. Sable to Plaintiff’s disability claim is further
illustrated by the February 12, 2015 report of an orthopedic
consultative examination with William P. Anthony, M.D. The ALJ
summarized Dr. Anthony’s findings:
February 2015 evaluation with consultative examiner Dr.
[Williams P. Anthony]8 shows the claimant alleged neck pain,
lower back pain and some weakness with right wrist
extension, as well as right shoulder pain. The claimant
reported no actual radiating complaints in the right upper
extremity or left upper extremity. The doctor noted some
exaggerated pain behaviors with range of motion testing,
with the claimant reacting to even the lightest touch with
exaggerated complaints for the paraspinal, cervical and
lumbar areas. Cervical range of motion was limited and the
doctor noted right cervical paraspinal tenderness out of
proportion to any pressure applied. There was no tenderness
in the thoracic spine and exaggerated response to light
touch in the lumbar spine with only mild increased tone.
Straight leg raise was negative. Passive range of motion in
the hips caused him to complain of pain, but on subsequent
trials, no back pain was reported. Range of motion of the
back was also exaggerated and inconsistent. The doctor
noted right shoulder pain with positive crossed adduction
and impingement signs. There was pain in shoulder abduction
and rotations. He resisted passive range of motion on the
right shoulder. Range of motion was slightly limited. The
doctor indicated that given the guarding at the right
shoulder, it was difficult to assess strength other than to
note that it was at least 4/5 over the available range. He
noted some limitation with elbow reflexes with variable
effort. There were no limits with wrist flexion and
extension was at least 4+/5 with repeated attempts.
Initially, there was very limited effort. Strength was
reported as 5/5 on the left and 4/5 on the right, which
would suggest he no longer had any functional wrist drop
and it was unclear why he was using the splint. Left sided
strength was entirely normal throughout the upper
extremity. Range of motion for the hips, knees, ankles and
feet was normal. Strength for the hips, knees, ankles and
8 The ALJ inadvertently refers to Dr. William Anthony as “Dr.
Anthony Williams.” (Compare R. at 324, the report of Dr.
William Anthony, with R. at 21-22, the ALJ decision.)
feet were normal.
(R. at 21-22).
After relating Dr. Anthony’s examination findings, and
considering other medical records along with Plaintiff’s
testimony, the ALJ found that “[a]lthough the claimant does have
a history of back, shoulder, neck and wrist pain, imaging shows
significant changes, but they have not progressed. . . .
Consultative examiner Dr. [Anthony] noted exaggerated pain
behaviors and reported that the claimant was not putting forward
his best effort. He also questioned the claimant's need for a
splint. . . . His limitations are not fully supported by the
medical evidence.” (R. at 22-23.)
Thus, when the ALJ considered evidence during the time
period when Plaintiff claimed he was disabled, it showed that
Plaintiff’s condition had not progressed since March 31, 2012.
(See R. at 22, detailing medical evidence from 2012 through
2015.) Plaintiff points to nothing in the reports of Dr. Preis
or Dr. Sable that supports Plaintiff’s contention that he was
disabled as of March 31, 2012 and continued to be disabled as of
the date of the ALJ’s decision on January 29, 2018. Those
November 2007 and April 2008 reports, therefore, are not
relevant or probative, and the ALJ did not err in not
considering them.9
With regard to Plaintiff’s argument that the ALJ erred
because he did not state what weight he afforded Dr. Anthony’s
report, that argument is also without merit. As pointed out by
Defendant, an ALJ is required to state what weight
he ascribes to a medical opinion, but not to other forms of
medical evidence. 20 C.F.R. §§ 404.1527(c), 416.927(c)
(providing that the Commissioner weighs “medical opinions”).
Dr. Anthony only provided his examination findings, and did not
provide “medical opinions,” which are defined by the regulations
as statements that “reflect judgments about the nature and
9 It is also important to note that the ALJ’s lack of specific
reference to the reports of Dr. Preis and Dr. Sable does not
necessarily mean that he did not review and consider them,
particularly because they were not probative or relevant. See
Moraes v. Commissioner Social Sec., 645 F. App’x 182, 187 (3d
Cir. 2016) (explaining that “although the ALJ's decision does
not expressly cite the portion of Dr. Wong's report that
discusses her findings as to Moraes's medical condition, there
is no indication in the decision that the ALJ wholly rejected
those findings; indeed, they are consistent with the ALJ's
determination at step two that Moraes suffered from the severe
impairments of sequelae of his work injury and an adjustment
disorder. Dr. Wong's findings appear to have little, if any,
additional probative value when considered alongside the medical
findings of Dr. Fulford, Dr. Ahmad, and Dr. Fernando
specifically cited by the ALJ. For these reasons, the ALJ was
not required to expressly mention those findings. In the
absence of any indication to the contrary in the record, we
cannot conclude that the ALJ improperly disregarded relevant
evidence.”) (citing Johnson v. Comm'r of Soc. Sec., 529 F.3d
198, 204 (3d Cir. 2008) (noting there is “no authority for the
proposition that an ALJ must cite all evidence a claimant
presents”); Fargnoli, 247 F.3d at 42 (“[W]e do not expect the
ALJ to make reference to every relevant treatment note....”)).
severity of [the claimant’s] impairment(s), including [the
claimant’s] symptoms, diagnosis and prognosis, what [the
claimant] can still do despite [his] impairment(s), and [his]
physical or mental restrictions.” 20 C.F.R. §§ 404.1527(a)(1),
416.927(a)(1). Consequently, the ALJ did not err by not
providing any “weight” to Dr. Anthony’s report.
2. Whether the ALJ erred in his RFC determination
Plaintiff argues that the ALJ erred in finding that
Plaintiff retained the RFC to perform medium exertional level
work, which included Plaintiff’s past relevant work as a
certified nursing assistant.10 Plaintiff cites to the evidence
that the ALJ considered, and argues that the ALJ should have
considered it differently - i.e., to show that Plaintiff was not
capable of performing work at the medium exertional level.
Plaintiff, however, fails to point to evidence that specifically
contradicts the record evidence cited by the ALJ.
The Court finds that Plaintiff’s arguments amount to a mere
disagreement with the ALJ’s findings rather than how substantial
evidence did not support the RFC determination. See, e.g.,
Perkins v. Barnhart, 79 F. App’x 512, 514–15 (3d Cir. 2003)
(“Perkins's argument here amounts to no more than a disagreement
with the ALJ's decision, which is soundly supported by
10 The RFC reflects “what [the claimant] can still do despite
[his or her] limitations.” 20 C.F.R. § 416.945(a).
substantial evidence.”); Moody v. Commissioner of Social
Security Administration, 2016 WL 7424117, at *8 (D.N.J. 2016)
(“[M]ere disagreement with the weight the ALJ placed on the
opinion is not enough for remand.”); Grille v. Colvin, 2016 WL
6246775, at *8 (D.N.J. 2016) (“Distilled to its essence,
Plaintiff's argument here amounts to nothing more than a mere
disagreement with the ALJ's ultimate decision, which is
insufficient to overturn that decision.”).
Because the ALJ properly supported his RFC determination,
the Court does not find that the ALJ erred on this issue. See
Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (U.S. 2019)
(reiterating that the threshold for such evidentiary sufficiency
under the substantial evidence standard is not high, and it
“means - and means only - such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion”
(citations omitted)).
3. Whether the ALJ erred at step three
Finally, Plaintiff argues that the ALJ erred at step three
by finding that his impairments did not meet Listing 1.04 -
disorders of the spine.
As a general principle, an ALJ is required to set forth the
reasons for his decision, and a bare conclusory statement that
an impairment does not match, or is not equivalent to, a listed
impairment is insufficient. Burnett v. Commissioner of Social
Security Administration, 220 F.3d 112, 119–20 (3d Cir. 2000).
An ALJ is not required, however, “to use particular language or
adhere to a particular format in conducting his analysis.
Rather, the function of Burnett is to ensure that there is
sufficient development of the record and explanation of findings
to permit meaningful review.” Jones v. Barnhart, 364 F.3d 501,
504–05 (3d Cir. 2004). An ALJ’s step three analysis is proper
when the “decision, read as a whole, illustrates that the ALJ
considered the appropriate factors in reaching the conclusion
that” a claimant does not meet the requirements for any listing.
Id.
To meet Listing 1.04, Plaintiff must have:
A disorder of the spine (e.g., herniated nucleus
pulposus, spinal arachnoiditis, spinal stenosis,
osteoarthritis, degenerative disc disease, facet arthritis,
vertebral fracture), resulting in compromise of a nerve
root (including the cauda equina) or the spinal cord. With:
A. Evidence of nerve root compression characterized by
neuro-anatomic distribution of pain, limitation of motion
of the spine, motor loss (atrophy with associated muscle
weakness or muscle weakness) accompanied by sensory or
reflex loss and, if there is involvement of the lower back,
positive straight-leg raising test (sitting and supine);
or
B. Spinal arachnoiditis, confirmed by an operative
note or pathology report of tissue biopsy, or by
appropriate medically acceptable imaging, manifested by
severe burning or painful dysesthesia, resulting in the
need for changes in position or posture more than once
every 2 hours;
or
C. Lumbar spinal stenosis resulting in
pseudoclaudication, established by findings on appropriate
medically acceptable imaging, manifested by chronic
nonradicular pain and weakness, and resulting in inability
to ambulate effectively, as defined in 1.00B2b.
In order for an impairment to match a listing, a claimant
must show that the impairment meets “‘all of the specified
medical criteria. An impairment that manifests only some of
those criteria, no matter how severely, does not qualify.’”
Jones, 364 F.3d at 504 (quoting Sullivan v. Zebley, 493 U.S.
521, 530 (1990) (emphasis in original)). The quoted Zebley
decision further explains:
“The Secretary explicitly has set the medical criteria
defining the listed impairments at a higher level of
severity than the statutory standard. The listings define
impairments that would prevent an adult, regardless of his
age, education, or work experience, from performing any
gainful activity, not just ‘substantial gainful activity.’
The reason for this difference between the listings’ level
of severity and the statutory standard is that, for
adults, the listings were designed to operate as a
presumption of disability that makes further inquiry
unnecessary. That is, if an adult is not actually working
and his impairment matches or is equivalent to a listed
impairment, he is presumed unable to work and is awarded
benefits without a determination whether he actually can
perform his own prior work or other work.”
Zebley, 493 U.S. at 532 (citations omitted).
The burden is on Plaintiff to demonstrate that his
impairments meet the listings. Rutherford v. Barnhart, 399 F.3d
546, 551 (3d Cir. 2005) (explaining that in “the first four
steps the burden is on the claimant”); id. (“If the claimant
satisfies step 3, she is considered per se disabled.”).
The main evidence Plaintiff cites to support his contention
that he meets any of the criteria for Listing 1.04 during the
relevant time period, which is as of March 31, 2012, are the
reports of Dr. Preis and Dr. Sable. As noted above, those
reports were prepared four years prior to Plaintiff’s alleged
disability onset date and they do not reflect Plaintiff’s
condition as of March 31, 2012. Additionally, Plaintiff fails
to provide evidence to match all the necessary elements of
Listing 1.04.
Plaintiff’s argument is also without merit because of this
Court’s finding that the ALJ’s RFC determination was proper.
Logic dictates that where it has been found at the statutory
standard level of severity that a claimant retains the RFC to
perform his past relevant work, it cannot be found that the
claimant’s impairment meets a higher level of severity which
affords the claimant the presumption of disability. The ALJ did
not err at step three.
III. Conclusion
This Court may not second guess the ALJ’s conclusions, but
may only determine whether substantial evidence supports the
ALJ’s determinations. Hartzell v. Astrue, 741 F. Supp. 2d 645,
647 (D.N.J. 2010) (citing Williams v. Sullivan, 970 F.2d 1178,
1182 (3d Cir. 1992)). The Court finds that the ALJ’s
determination that Plaintiff was not totally disabled as of
March 31, 2012 is supported by substantial evidence. The
decision of the ALJ will therefore be affirmed.
An accompanying Order will be issued.
Date: May 7, 2020 s/ Noel L. Hillman
At Camden, New Jersey NOEL L. HILLMAN, U.S.D.J.