holding a plaintiff need not provide “overwhelming” evidence that they meet a Listing to present a colorable case
How later courts described this case
- holding a plaintiff need not provide “overwhelming” evidence that they meet a Listing to present a colorable case
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
--------------------------------------X
BRYAN LEE CLARKE,
Plaintiff,
-against- MEMORANDUM AND ORDER
21-cv-1257(KAM)
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
--------------------------------------X
KIYO A. MATSUMOTO, United States District Judge:
Plaintiff Bryan Lee Clarke appeals the final decision
of the Commissioner of the Social Security Administration (the
“Commissioner”), which found Plaintiff not disabled and thus not
entitled to disability insurance benefits (“benefits”) under
Title II of the Social Security Act (“the Act”). Before the
Court are Plaintiff’s motion for judgment on the pleadings and
the Commissioner’s cross-motion for judgment on the pleadings.
For the reasons set forth below, Plaintiff’s motion is GRANTED
and the Commissioner’s cross-motion is DENIED, and the case is
remanded for further proceedings consistent with this Memorandum
and Order.
Background
The parties have filed a joint statement of stipulated
facts detailing Plaintiff’s medical history and the
administrative hearing testimony, which the Court incorporates
by reference. (See ECF No. 17, Joint Stipulation of Facts
(“Joint Stip.”).) Here, the Court briefly recounts the facts
relevant to the instant motions.
Plaintiff was born in 1987 and previously worked as a
construction worker. (ECF No. 19, Administrative Transcript
(“Tr.”), at 68.) He filed an application for disability
insurance benefits under Title II of the Act on October 29,
2018. (Stip. at 3.) Plaintiff alleged disability beginning May
5, 2018, due to a left shoulder injury, neck injury, right
shoulder injury, left knee injury, left ankle injury, left hip
injury, lumbar spine injury, and cervical spine injury. (Id.)
Administrative Law Judge Sandra M. McKenna (the “ALJ”)
determined Plaintiff had the “severe impairments” of “cervical
and lumbar disc herniations/bulges status post-surgery, left
knee tear status post-surgery, right shoulder tear, left
shoulder tear, and obesity,” which significantly limited his
ability to perform basic work activities. (Tr. at 57.) The ALJ
found Plaintiff was not disabled because he maintained the
residual functional capacity (“RFC”) to perform other jobs that
exist in the national economy in significant numbers. (Id. at
59-68.) Plaintiff appealed his decision to the Appeals Council.
(Stip. at 8.) On January 8, 2021, the Appeals Council denied
review of the ALJ’s decision, rendering it the final decision of
the Commissioner. (Id. at 1.)
Plaintiff initiated the instant action on March 3,
2021, (see ECF No. 1, Complaint (“Compl.”)), and the Court
issued a scheduling order on March 10, 2021. (See ECF No. 4,
Scheduling Order.) By January 3, 2022, the entire set of both
parties’ motion papers was filed. (See ECF Nos. 14, Plaintiff’s
Memorandum of Law in Support of Plaintiff’s Motion for Judgment
on the Pleadings (“Pl. Mem.”); 15, Defendant’s Memorandum of Law
in Support of Defendant’s Cross-Motion for Judgment on the
Pleadings and in Opposition to Plaintiff’s Motion (“Def. Mem.”);
16, Plaintiff’s Reply Memorandum of Law in Support of
Plaintiff’s Motion for Judgment on the Pleadings (“Pl. Reply
Mem.”).)1
Standard of Review
A claimant who is unsuccessful in applying for
disability benefits under the Act may seek judicial review in
federal court of the Commissioner’s denial of their benefits
“within sixty days after the mailing . . . of notice of such
decision or within such further time as the Commissioner of
Social Security may allow.” 42 U.S.C. §§ 405(g), 1383(c)(3).
1 Defendant did not file a reply brief.
“A district court may set aside the Commissioner’s determination
that a claimant is not disabled only if the factual findings are
not supported by substantial evidence or if the decision is
based on legal error.” Burgess v. Astrue, 537 F.3d 117, 120 (2d
Cir. 2008) (internal quotation marks omitted) (quoting Shaw v.
Chater, 221 F.3d 126, 131 (2d Cir. 2000)).
“Substantial evidence is more than a mere scintilla”
and must be relevant evidence that a “reasonable mind might
accept as adequate to support a conclusion.” Halloran v.
Barnhart, 362 F.3d 28, 31 (2d Cir. 2004) (citing Richardson v.
Perales, 420 U.S. 389, 401 (1971)) (internal quotation marks
omitted). If there is substantial evidence in the record to
support the Commissioner's factual findings, those findings must
be upheld. 42 U.S.C. § 405(g). Inquiry into legal error
requires the Court to ask whether “the claimant has had a full
hearing under the [Commissioner’s] regulations and in accordance
with the beneficent purposes of the [Social Security] Act.”
Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (second
alteration in original) (internal quotation marks omitted)
(quoting Cruz v. Sullivan, 912 F.2d 8, 11 (2d Cir. 1990)). The
reviewing court does not have the authority to conduct a de novo
review and may not substitute its own judgment for that of the
ALJ, even when it might have justifiably reached a different
result. Cage v. Comm’r of Soc. Sec., 692 F.3d 118, 122 (2d Cir.
2012).
A claimant must be “disabled” within the meaning of
the Act to receive benefits. See 42 U.S.C. §§ 423(a), (d). A
claimant qualifies as disabled when he is unable 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.” Id. §
423(d)(1)(A); Shaw, 221 F.3d at 131–32. The impairment must be
of “such severity” that the claimant is unable to do his
previous work or engage in any other kind of substantial gainful
work. 42 U.S.C. § 423(d)(2)(A).
An ALJ must follow a five-step sequential evaluation
process to determine whether a claimant meets the Act’s
definition of disabled. 20 C.F.R. § 404.1520. The
Commissioner’s approach can be summarized as follows:
[I]f the Commissioner determines (1) that the
claimant is not working, (2) that he has a
‘severe impairment,’ (3) that the impairment is
not one [listed in Appendix 1 of the regulations]
that conclusively requires a determination of
disability, and (4) that the claimant is not
capable of continuing in his prior type of work,
the Commissioner must find him disabled if (5)
there is not another type of work the claimant
can do.
Burgess, 537 F.3d at 120 (quoting Green-Younger v. Barnhart, 335
F.3d 99, 106 (2d Cir. 2003)); accord 20 C.F.R. § 404.1520(a)(4).
The claimant has the “general burden of proving . . .
his or her case” in steps one through four of the sequential
five-step framework. Burgess, 537 F.3d at 128 (internal
quotation marks and citations omitted). At the fifth step, the
burden of proof shifts from the claimant to the commissioner to
show, in light of the claimant’s residual functional capacity,
age, education, and work experience, that claimant is able to
engage in gainful employment within the national economy.
Sobolewski v. Apfel, 985 F. Supp. 300, 310 (E.D.N.Y. 1997).
Additionally, “because a hearing on disability benefits is a
non-adversarial proceeding, the ALJ generally has an affirmative
obligation to develop the administrative record.” Burgess, 537
F.3d at 128 (internal quotation marks and citations omitted).
During this five-step process, the ALJ must consider
whether “the combined effect of all of [a claimant’s]
impairments” would be of sufficient severity to establish
eligibility for Social Security benefits. 20 C.F.R. §
404.1523(c). When considering the combined effect of
impairments, the ALJ must factor in both severe and non-severe
impairments. Id. § 416.945(a)(2).
“The Commissioner must consider the following in
determining a claimant’s entitlement to benefits: ‘(1) the
objective medical facts [and clinical findings]; (2) diagnoses
or medical opinions based on such facts; (3) subjective evidence
of pain or disability . . . ; and (4) the claimant’s educational
background, age, and work experience.’” Balodis v. Leavitt, 704
F. Supp. 2d 255, 262 (E.D.N.Y. 2001) (quoting Brown v. Apfel,
174 F.3d 59, 62 (2d Cir. 1999)) (alterations in original).
Finally, a federal district court, when reviewing
decisions of the SSA, is authorized to order further proceedings
when appropriate. “The court shall have power to enter, upon
the pleadings and transcript of the record, a judgment
affirming, modifying, or reversing the decision of the
Commissioner of Social Security, with or without remanding the
cause for a rehearing.” 42 U.S.C. § 405(g). Remand is
warranted where “there are gaps in the administrative record or
the ALJ has applied an improper legal standard.” Rosa v.
Callahan, 168 F.3d 72, 82-83 (2d Cir. 1999) (quoting Pratts v.
Chater, 94 F.3d 34, 39 (2d Cir. 1996) (internal quotation marks
omitted). Remand is particularly appropriate where further
findings or explanations will clarify the rationale for the
ALJ’s decision. Pratts, 94 F.3d at 39. If the record before
the Court provides “persuasive proof of disability and a remand
for further evidentiary proceedings would serve no purpose,” the
Court may reverse and remand solely for the calculation and
payment of benefits. See, e.g., Parker v. Harris, 626 F.2d 225,
235 (2d Cir. 1980); Kane v. Astrue, 942 F. Supp. 2d 301, 314
(E.D.N.Y. 2013).
Discussion
I. The ALJ’s Disability Determination
Using the five-step sequential process described
above, the ALJ determined at step one that Plaintiff had not
engaged in substantial gainful activity since May 5, 2018. (Tr.
at 57.)
At step two, the ALJ concluded that Plaintiff had the
following severe impairments: “cervical and lumbar disc
herniations/bulges status post-surgery, left knee tear status
post-surgery, right shoulder tear, left shoulder tear, and
obesity.” (Id.) The ALJ found that Plaintiff suffered symptoms
consistent with carpal tunnel syndrome in his left wrist but
that it was a non-severe impairment because there was no
evidence that it imposed significant functional limitations.
(Id. at 58.) The ALJ also classified Plaintiff’s alleged ankle
pain as a non-medically determinable impairment because it was
not subject to laboratory testing. (Id.)
At step three, the ALJ found that Plaintiff did not
have an impairment or a combination of impairments that met or
medically equaled the severity of one of the listed impairments
in 20 CFR Part 404, Subpart P, Appendix 1. (Tr. at 58); 20
C.F.R. §§ 404.1520(d), 404.1525, 404.1526. Specifically, the
ALJ determined that Plaintiff’s impairments did not meet the
criteria of Listings 1.02 and 1.04. (Tr. at 58-59.) First, the
ALJ considered Listing 1.02, which concerns the major
dysfunction of a joint. (Id. at 58.) The ALJ found that
Plaintiff did not meet the Listing 1.02 criteria that requires
an individual to be unable to sustain “a reasonable walking pace
over a sufficient distance to be able to carry out activities of
daily living.” (Id.) The ALJ also found that Plaintiff did not
meet the Listing 1.02 criteria of “involvement of one major
peripheral joint in each upper extremity, resulting in inability
to perform fine and gross movements effectively.” (Id.)
Next, the ALJ considered Listing 1.04, which concerns
spinal disorders. To qualify for Listing 1.04, an individual
must exhibit the following criteria:
(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 non-
radicular pain and weakness, and resulting in
inability to ambulate effectively
20 C.F.R. Pt. 404, Subpt. P, App. 1. The ALJ found “no
evidence” that Plaintiff met any of the criteria for Listing
1.04(A)-(C). (Tr. at 58-59.)
Next, the ALJ determined that Plaintiff had the
residual functional capacity to perform sedentary work with the
following exceptions: “occasionally reach overhead with the
bilateral upper extremities; climb ramps, stairs, ladders,
ropes, and scaffolds occasionally; and balance, stoop, kneel,
crouch, and crawl occasionally.” (Id. at 59.)
At step four, the ALJ determined that based on the
above RFC determination, Plaintiff could not perform his past
relevant work as a construction worker. (Id. at 68.)
At step five, the ALJ found that there were jobs that
existed in significant numbers in the national economy that
Plaintiff could perform despite his restrictions. (Id. at 69.)
The ALJ consulted a vocational expert to determine whether there
were jobs in the national economy that Plaintiff could perform
considering his age, education, work experience, and residual
functional capacity. (Id.) The vocational expert testified
that Plaintiff would be able to perform the requirements of
representative occupations such as assembler, table worker, and
preparer. (Id.) Thus, the ALJ concluded Plaintiff could make a
successful adjustment to other work that exists in the national
economy and was therefore not disabled within the meaning of the
Act, as defined in 20 C.F.R. § 404.1520(g). (Id.)
II. Analysis
Plaintiff contends remand is warranted because (1) the
ALJ failed to properly evaluate Listing 1.04(A) at step three,
and (2) the ALJ’s RFC determination was not supported by
substantial evidence. (ECF No. 16, Pl. Mem.) For the reasons
below, the Court finds the ALJ failed to provide adequate
analysis for concluding Plaintiff did not meet or equal Listing
1.04(A) at step three, and remands the case without analyzing
steps four or five.
A. Plaintiff Provided Evidence to Support a Colorable
Claim of Disability Under Listing 1.04(A)
At step 3, the plaintiff bears the burden to prove
that he meets the requirements of a Listing. 20 C.F.R. §
404.1520(d). If the plaintiff provides evidence to support a
colorable finding of disability under one of the Listings, then
the ALJ “must provide an explanation of his reasoning as to why
he believes the requirements are not met and explain the
credibility determinations and inferences he drew in reaching
that conclusion.” See Ryan v. Astrue, 5 F. Supp. 3d 493, 509
(S.D.N.Y. 2014) (citing Berry v. Schweiker, 675 F.2d 464, 469
(2d Cir. 1982)).
Plaintiff argues that he submitted medical evidence
sufficient to support a colorable claim that he had a spinal
disorder consistent with Listing 1.04(A). (Pl. Mem. at 12, 16-
19.) As explained above, to qualify for Listing 1.04(A), a
plaintiff must demonstrate (1) a disorder of the spine, (2)
resulting in nerve root compression, (3) limitation of motion,
(4) motor loss, and (5) sensory or reflex loss. 20 C.F.R. Pt.
404, Subpt. P, App. 1.
First, Plaintiff argues he provided sufficient
evidence to indicate he had a spinal disorder. (Pl.’s Mem. at
12.) On June 14, 2018, Plaintiff underwent an MRI revealing
Herniated Nucleus Pulposus (HNP) at his C2-3 and C7-T1 and
bulges at C3-4, C4-5, and C5-6 levels. (Tr. at 741.) A
subsequent MRI showed disc desiccation involving all cervical
discs. (Tr. at 665.) HNP is listed explicitly as a spinal
disorder that qualifies for Listing 1.04(A). 20 C.F.R. Pt. 404,
Subpt. P, App. 1.
Second, Plaintiff claims his spinal disorder was
characterized by nerve-root compression. (Pl. Mem. at 13-14.)
Plaintiff provided two examinations by Dr. Alexander Zhuravkov,
which returned positive diagnoses of axial compression. (Tr.
740-43.) Two examinations by Dr. Stelios Koutsoumbelis indicate
that Plaintiff had “C8 nerve root compression.” (Tr. at 891-
93.) Dr. Sasan Azar’s examination found an “impingement of the
right C8 exiting nerve root.” (Tr. at 895.) Plaintiff also
references a cervical epidural steroid injection by Dr.
Zhuravkov, where “flow dynamics revealed decreased flow along
the existing nerve roots bilaterally . . . this seemed to affect
the C5 and C6 nerve roots bilaterally.” (Tr. at 764.)
Third, Plaintiff asserts that the medical evidence
establishes that his nerve-root compression limited his range of
motion. (Pl. Mem. at 14-15.) The notes from Plaintiff’s
physical therapy appointments are replete with evaluations that
Plaintiff could not exercise a full range of motion. (See Tr.
at 460, 479-611.) Dr. Camari Wallace’s examination revealed a
restricted range of motion upon extension and lateral rotation.
(Tr. at 767.) Nurse Practitioner Daniah Jean-Francois’s
examination showed a decreased range of motion upon lumbar
flexion and extension and a limited range of motion in the lower
extremity. (Tr. at 688-89.) Consultative Examiner Dr. Chaim
Shtock found that Plaintiff had limited motion in his neck,
wrists, and left shoulder. (Tr. at 617.) Dr. Alexandre De
Moura’s tests noted Plaintiff was unable to turn “parts of his
body and/or head.” (Tr. at 888.)
Fourth, Plaintiff contends that his condition resulted
in “motor loss,” defined as “atrophy with associated muscle
weakness or muscle weakness.” (Pl. Mem. at 14); 20 C.F.R. Pt.
404, Subpt. P, App. 1. Plaintiff’s physical therapy evaluation,
however, revealed 4/5 strength in the neck and upper and lower
abdominal.2 (Tr. at 480.) Dr. Yong Chi noted that Plaintiff
demonstrate 4/5 strength in the bilateral shoulders, left knee,
and left ankle. (Tr. at 462.) Dr. Wallace recorded Plaintiff’s
strength at 4+/5 in the lower extremity and assessed a positive
straight leg raising test. (Tr. at 767, 769.)
Finally, Plaintiff argues his motor loss was
accompanied by sensory and reflex loss. (Pl. Mem. at 14.)
Plaintiff cites medical results from pinprick and light touch
tests: Dr. Chi’s test demonstrated decreased response in the
right deltoid, bicep, median, ulnar, tibial anterior, and
peroneus nerve distributions. (Tr. at 463.) Dr. De Moura’s
tests indicated decreased response in the left C6 distribution,
absent the left brachial radial reflex. (Tr. at 629, 633.)
Reviewing the evidence in the record, this Court
concludes Plaintiff provided sufficient evidence to support a
colorable claim of disability under Listing 1.04(A). See Ryan
v. Astrue, 5 F. Supp. 3d 493, 509 (S.D.N.Y. 2014) (holding a
plaintiff need not provide “overwhelming” evidence that they
meet a Listing to present a colorable case). As such, the ALJ
must explain “why he believes the requirements are not met and
explain the credibility determinations and inferences he drew in
2 The Court notes that a 4/5 muscle strength grade results can be defined as
“[m]uscle activation against some resistance, full range of motion.” Usker
Naqvi; Andrew l. Sherman, Muscle Strength Grading, NATIONAL LIBRARY OF MEDICINE,
https://www.ncbi.nlm.nih.gov/books/NBK436008/
reaching that conclusion.” Id. at 509 (internal citation
omitted).
B. The ALJ Failed Sufficiently to Explain Why Plaintiff
Did Not Meet or Medically Equal Listing 1.04
The ALJ must properly consider whether the evidence
presented by the plaintiff is sufficient to support a disability
claim under the relevant Listing. This explanation must be more
than a bald assertion or “recitation of the standard.” Torres
v. Colvin, No. 14-cv-479S (WMS), 2015 WL 4604000, at *4
(W.D.N.Y. 2015). The ALJ’s analysis must “build an accurate and
logical bridge from the evidence to [his/her] conclusion.”
Hamedallah ex. Rel. E.B. v. Astrue, 876 F. Supp. 2d 133, 142
(N.D.N.Y. 2012) (internal quotation marks omitted). As a
general principle, the ALJ’s analysis must be thorough enough to
enable judicial review of the ALJ’s decision and provide
Plaintiff with a thoughtful explanation for why the Plaintiff’s
claim was denied. See Hamedallah, 876 F. Supp. 2d at 142; Beers
v. Comm’r of Soc. Sec., 449 F. Supp. 3d 96, 102 (W.D.N.Y. 2020);
Cecelia J. v. Comm’r of Soc. Sec., No. 19-cv-1483 (HBS), 2021 WL
431673, at *3 (W.D.N.Y. 2021) (“It is well-established that an
ALJ must express the reasons underlying his findings with enough
clarity to afford meaningful judicial review.”) (internal
quotation marks and citation omitted); Nashir v. Berryhill, No.
18-cv-767 (HKS), 2020 WL 1445069, at *5 (W.D.N.Y. 2020)
(“Plaintiff is clearly owed a more substantive explanation of
why he did not meet the Listing 1.04A.”). After reviewing the
evidence in the record and the ALJ’s decision, this Court
concludes that the ALJ’s explanation for why Plaintiff did not
meet Listing 1.04(A) was insufficient.
In the instant case, the ALJ’s entire step three
determination consists of a single sentence that there was “no
evidence” Plaintiff met any of the requirements for Listings
1.04(A)-(C). (Tr. at 58.) Such a brief statement is a mere
“conclusory observation” that fails to discuss “the crucial
factors in any determination with sufficient specificity to
enable the reviewing court to decide whether the determination
is supported by substantial evidence.” Pamela P. v. Saul, No.
19-cv-575 (DJS), 2020 WL 2561106, at *5 (N.D.N.Y. 2020)
(internal ellipsis and quotation marks omitted). The ALJ’s
brevity prevents the Court from reviewing whether and how the
ALJ evaluated the various medical evidence proffered by
Plaintiff.
An ALJ’s unexplained step three conclusion may
nevertheless be upheld if other parts of the opinion demonstrate
that their step three decision was supported by substantial
evidence. Berry, 675 F.2d at 469. Courts, however, refrain
from inferring the ALJ’s logic when credibility determinations
and inference drawing is required of the ALJ. Id. Here, the
ALJ does not discuss all the evidence presented by Plaintiff,
and the evidence discussed by the ALJ “only relate[d] to the
plaintiff's RFC determination and [did] not provide rationale as
to how the findings connect to specific criteria in Listing
1.04(A) under step three of the analysis.” Ortiz v. Saul, 19-
cv-2316 (KAM), 2020 WL 7699304, at *9 (E.D.N.Y. 2020); see also
Lamar v. Berryhill, No. 17-cv-1019 (MPS), 2018 WL 3642656, at *8
(D. Conn. 2018) (remanding case where the court was “largely
left to speculate how the evidence discussed in the ALJ's RFC
rationale applies in the Listings context, as the ALJ did not
make the necessary findings on issues pertinent to his
determinations at step three of the disability analysis.”). For
instance, the ALJ references medical records with evidence of
Plaintiff’s nerve root compression several times during the RFC
determination, but does not examine the evidence in the context
of Listing 1.04(A) or provide any analysis contrary to
Plaintiff’s claim of C-8 nerve root compression. (Tr. at 61-
65.) As such, it is improper for this Court to evaluate the
grounds upon which the ALJ made the Listing 1.04(A)
determination. Beers, 449 F. Supp. 3d at 102 (“Due to the lack
of explanation, the Court is unable to meaningfully review the
ALJ's determination at step three of the sequential analysis.”).
On appeal, the Commissioner connects various
examination findings and medical opinions to explain why
Plaintiff failed to meet or equal Listing 1.04(A). (ECF No. 20,
Def. Mem. at 5-16.) The Commissioner, however, cannot cure the
ALJ’s lack of reasoning by providing his own. See Ortiz, 2020 WL
7699304, at *8; Newbury v. Astrue, 321 F. App’x 16, 18 (2d Cir.
2009) (summary order) (remanding because a “reviewing court may
not accept appellate counsel’s post hoc rationalizations for
agency action.”) (internal quotation marks omitted) (citing
Snell v. Apfel, 177 F3d 128, 134 (2d Cir. 1999)); see generally
SEC v. Chenery Corp., 318 U.S. 80, 87 (1943). It is not the
place of this Court to evaluate whether Plaintiff met Listing
1.04(A), or to speculate what the ALJ’s reasoning was when the
ALJ made the Listing determination. Ortiz, 2020 WL 7699304, at
*9 n.1 (“It is not the function of the Court to weigh the
medical evidence of record to determine whether [the Listing]
was met . . . It is the ALJ's job to make this determination in
a way a court can follow.” (citations omitted)); see Ryan, 5 F.
Supp. 3d at 508 (“While the Commissioner is correct that there
is . . . conflicting evidence regarding plaintiff's motor
functions during testing . . . , it is the obligation of the ALJ
to explicitly reconcile this conflicting evidence by evaluating
whether plaintiff meets or medically equals the requirements of
Listing 1.04A.”).
The ALJ’s conclusory statement, standing alone, is
“inadequate to substitute for specific findings in view of the
fact that plaintiff has at least a colorable case for
application of Listing 1.04(A).” Cherico v. Colvin, No. 12-cv-
5734 (MHD), 2014 WL 3939036, at *28 (S.D.N.Y. 2014). The ALJ’s
opinion does not afford Plaintiff substantive reasons for the
Listing 1.04(A) determination and is insufficient to facilitate
adequate judicial review by this Court.
C. Remand is Appropriate for Clarification of Listing
1.04(A)
Remand is appropriate when an ALJ’s decision renders a
reviewing court unable to determine that the “ultimate decision
that Plaintiff failed to satisfy Listing 1.04(A) was supported
by substantial evidence.” McIntosh v. Berryhill, No. 17-cv-5403
(ER) (DF), 2018 WL 4376417, at *18 (S.D.N.Y. 2018). District
courts may remand when an ALJ substitutes "boilerplate language”
for “meaningful explanations.” Ryan, 5 F. Supp. 3d at 508. It
is “particularly important for the ALJ to specifically address
evidence with respect to the step three analysis because a
claimant whose condition meets or equals that of a Listing is
deemed disabled per se and is eligible to receive benefits.”
Giambrone v. Colvin, No. 15-cv-05882 (PKC), 2017 WL 1194650, at
*18 (E.D.N.Y. 2017).
Accordingly, for the reasons set forth above, this
Court remands to give the ALJ the opportunity to further discuss
the medical evidence in the context of Listing 1.04(A). Due to
the absence of specific findings by the ALJ, this Court is
unable to meaningfully review the ALJ’s determination and
evaluate whether it was based on substantial evidence. Rowe v.
Berryhill, No. 1:17-cv-00208 (MAT), 2018 WL 4233702 (W.D.N.Y.
2018) (“The ALJ’s failure to discuss any of this evidence at
step three of the sequential evaluation was erroneous. This
Court is, therefore, unable to perform a meaningful review of
the ALJ’s conclusion that Plaintiff did not meet the
requirements of Listing 1.04(A).”).
On remand, the ALJ should specifically explain how he
weighed conflicting evidence, and explicitly articulate which
criteria from Listing 1.04(A) Plaintiff failed to meet based on
the evidence. See Nashir, 2020 WL 1445069, at *5 (“If, on
remand, Plaintiff is once again found not disabled at step
three, the ALJ must provide an explanation of what criteria from
Listing 1.04A Plaintiff failed to meet in consideration of all
of the evidence regarding his severe impairments of the cervical
spine.”).
D. Plaintiff’s Remaining Claims
As set forth above, Plaintiff has articulated a claim
that the ALJ’s RFC determination was not based on substantial
evidence. (Pl. Mem. at 2-11.) Specifically, Plaintiff contends
that the ALJ erroneously discounted part of Dr. Koutsoumbelis’s
opinion. (Id.)
The Court need not address Plaintiff’s remaining
arguments, which concern additional steps in the sequential
disability determination. On remand, the ALJ must conduct a new
evaluation of the evidence, which may alter the current
administrative decision. A new step three analysis may render
the credibility determinations in step four unnecessary or
change the determinations relevant to Plaintiff’s claim.
Morales v. Colvin, No. 13-cv-06844 (LGS) (DF), 2015 WL 13774790,
at *23, (S.D.N.Y. Feb. 10, 2015) (holding a court need not reach
additional arguments “given that the ALJ’s analysis may change
on these points upon remand.”); see, e.g., Ramirez Morales v.
Berryhill, No. 17-cv-06836 (MAT), 2019 WL 1076088, at *5
(W.D.N.Y. 2019) (declining to consider the plaintiff's remaining
arguments after remanding due to the ALJ’s failure to properly
assess the plaintiff’s medical records as they pertained to
Listing 1.04(A)); Ortiz, 2020 WL 7699304 (same); Bell v.
Colvin, No. 5:15-cv-01160 (LEK), 2016 WL 7017395, at *10
(N.D.N.Y. 2016) (same).
CONCLUSION
For the aforementioned reasons, Plaintiff’s motion for
judgment on the pleadings is GRANTED and the Defendant’s cross-
motion for judgment on the pleadings is DENIED. The Clerk of
Court is respectfully directed to enter judgment remanding this
case and to close the case.
SO ORDERED.
DATED: October 25, 2022
Brooklyn, New York
__________/s/_______________
HON. KIYO A. MATSUMOTO
United States District Judge