“[T]he claimant bears the burden of proving that he is disabled, and, consequently, he is responsible for producing evidence in support of his claim.”
How later courts described this case
- “[T]he claimant bears the burden of proving that he is disabled, and, consequently, he is responsible for producing evidence in support of his claim.”
- “Errors may be harmless if they do not prejudice the claimant.”
- “We have also declined to remand for express findings when doing so would be a ‘wasteful corrective exercise’ in light of the evidence of record and when no further findings could be made that would alter the ALJ’s decision.”
- “Under a substantial evidence standard of review, [the claimant] must do more than point to evidence in the record that supports [his] position; [he] must show the absence of substantial evidence supporting the ALJ’s conclusion.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF ALABAMA
NORTHERN DIVISION
BRIAN MARSHALL, )
)
Plaintiff, )
)
v. ) CASE NO. 2:23-cv-469-JTA
) (WO)
MARTIN J. O’MALLEY, )
Commissioner of Social Security, )
)
Defendant. )
MEMORANDUM OPINION AND ORDER
Pursuant to 42 U.S.C. § 405(g), the claimant, Brian Christopher Marshall
(“Marshall”), brings this action to review a final decision by the Commissioner of Social
Security (“Commissioner”). (Doc. No. 1.)1 The Commissioner denied Marshall’s claim for
a period of disability and Disability Insurance Benefits (“DIB”). The Court construes
Marshall’s brief in support of his Complaint (Doc. No. 9) as a motion for summary
judgment and the Commissioner’s brief in opposition to the Complaint as a motion for
summary judgment (Doc. No. 14). The parties have consented to the exercise of dispositive
jurisdiction by a magistrate judge pursuant to 28 U.S.C. § 636(c). (Docs. No. 10, 11.)
After careful scrutiny of the record and the motions submitted by the parties, the
Court finds that Marshall’s motion for summary judgment is due to be DENIED, the
1 Document numbers as they appear on the docket sheet are designated as “Doc. No.”
Commissioner’s motion for summary judgment is due to be GRANTED, and the decision
of the Commissioner is due to be AFFIRMED.
I. PROCEDURAL HISTORY AND FACTS
Marshall is an adult2 male who is college educated and previously worked as an
environmental engineer or examiner. (R. 18, 46, 47, 53, 232.)3 He alleged a disability onset
date of June 9, 2020, due to bipolar disorder and high cholesterol. (R. 14, 231.)
On October 21, 2020, Marshall filed an application for a period of disability and
DIB under Title II (42 U.S.C. §§ 401, et seq.) of the Social Security Act. (R. 184-185.) The
application was denied initially and on reconsideration. (R. 10.) Following an
administrative hearing, the Administrative Law Judge (“ALJ”) denied Marshall’s request
for benefits in a decision dated January 26, 2023. (R. 10-23.) Marshall requested review by
the Appeals Council, and it denied review. (R. 1-6.) Thus, the hearing decision became the
final decision of the Commissioner. See 42 U.S.C. § 405(g); Viverette v. Comm’r of Soc.
Sec., 13 F.4th 1309, 1313 (11th Cir. 2021) (citation omitted) (“Where an ALJ denies
benefits and the Appeals Council denies review, [the court] review[s] the ALJ’s decision
as the Commissioner’s final decision.” (quoting Doughty v. Apfel, 245 F.3d 1274, 1278
(11th Cir. 2001) (internal quotations and alterations omitted)).
2 He was 49 years old at the time of the administrative hearing. (R. 18, 45.)
3 Citations to the administrative record are consistent with the transcript of administrative
proceedings filed in this case. (See Doc. No. 6.)
On August 8, 2023, Marshall filed this action seeking review of the Commissioner’s
final decision. (Doc. No. 1.) The parties have briefed their respective positions. (Docs. No.
9, 14.) This matter is ripe for review.
II. STANDARD OF REVIEW
Judicial review of disability claims is limited to whether the Commissioner’s
decision is supported by substantial evidence and whether the correct legal standards were
applied. See 42 U.S.C. §§ 405(g), 1383(c)(3); Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th
Cir. 2005). The court “‘must scrutinize the record as a whole to determine if the decision
reached is reasonable and supported by substantial evidence.’” Schink v. Comm’r of Soc.
Sec., 935 F.3d 1245, 1257 (11th Cir. 2019). “Substantial evidence” is more than a mere
scintilla and is “such relevant evidence as a reasonable person would accept as adequate to
support a conclusion.” Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir.
2004) (quoting Lewis v. Callahan, 125 F.3d 1346, 1349 (11th Cir. 1997)). Even if the
Commissioner’s decision is not supported by a preponderance of the evidence, the findings
must be affirmed if they are supported by substantial evidence. Id. at 1158-59; see also
Martin v. Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The court may not find new facts,
reweigh evidence, or substitute its own judgment for that of the Commissioner. Mitchell v.
Comm’r, Soc. Sec. Admin., 771 F. 3d 780, 782 (11th Cir. 2014); Phillips v. Barnhart, 357
F.3d 1232, 1240 n.8 (11th Cir. 2004); Dyer, 395 F.3d at 1210. However, the
Commissioner’s conclusions of law are not entitled to the same deference as findings of
fact and are reviewed de novo. Ingram v. Comm’r of Soc. Sec. Admin., 496 F.3d 1253, 1260
(11th Cir. 2007); Washington v. Comm’r of Soc. Sec. Admin., 906 F.3d 1353, 1358 (11th
Cir. 2018).
Sentence four of 42 U.S.C. § 405(g) authorizes the district court 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). The district court may remand a case to the Commissioner
for a rehearing if the court finds “either . . . the decision is not supported by substantial
evidence, or . . . the Commissioner or the ALJ incorrectly applied the law relevant to the
disability claim.” Jackson v. Chater, 99 F.3d 1086, 1092 (11th Cir. 1996).
III. STANDARD FOR DETERMINING DISABILITY
An individual who files an application for Social Security DIB must prove that he
is disabled. See 20 C.F.R. § 404.1505. The Act defines “disability” 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.” 42 U.S.C. §
423(d)(1)(A); 20 C.F.R. § 404.1505(a).
Disability under the Act is determined under a five-step sequential evaluation
process. See 20 C.F.R. § 404.1520. The evaluation is made at the hearing conducted by an
ALJ. See Washington, 906 F.3d at 1359. First, the ALJ must determine whether the
claimant is currently engaged in substantial gainful activity. 20 C.F.R. § 404.1520(b).
“Substantial gainful activity” is work activity that involves significant physical or mental
activities. 20 C.F.R. § 404.1572(a). If the ALJ finds that the claimant is engaged in
substantial gainful activity, the claimant cannot claim disability. 20 C.F.R. § 404.1520(b).
Second, the ALJ must determine whether the claimant has a medically determinable
impairment or a combination of impairments that significantly limit the claimant’s ability
to perform basic work activities. 20 C.F.R. § 404.1520(c). Absent such impairment, the
claimant may not claim disability. Id. Third, the ALJ must determine whether the claimant
meets or medically equals the criteria of an impairment listed in 20 C.F.R. § 404, Subpart
P, Appendix 1. If such criteria are met, then the claimant is declared disabled. 20 C.F.R. §
404.1520(d).
If the claimant has failed to establish that he is disabled at the third step, the ALJ
may still find disability under the next two steps of the analysis. At the fourth step, the ALJ
must determine the claimant’s residual functional capacity (“RFC”), which refers to the
claimant’s ability to work despite his impairments. 20 C.F.R. § 404.1520(e). The ALJ must
determine whether the claimant has the RFC to perform past relevant work. 20 C.F.R. §
404.1520(f). If it is determined that the claimant is capable of performing past relevant
work, then the claimant is not disabled. 20 C.F.R. § 404.1560(b)(3). If the ALJ finds that
the claimant is unable to perform past relevant work, then the analysis proceeds to the fifth
and final step. 20 C.F.R. § 404.1520(g)(1).
In this final analytical step, the ALJ must decide whether the claimant is able to
perform any other relevant work corresponding with his RFC, age, education, and work
experience. 20 C.F.R. § 404.1560(c). Here, the burden of proof shifts from the claimant to
the ALJ in proving the existence of a significant number of jobs in the national economy
that the claimant can perform given his RFC, age, education, and work experience. 20
C.F.R. §§ 404.1520(g), 404.1560(c). See Hale v. Bowen, 831 F.2d 1007, 1011 (11th Cir.
1987) (“The burden then shifts to the Secretary to show the existence of other jobs in the
national economy which, given the claimant’s impairments, the claimant can perform.”).
The ALJ may use testimony from a vocational expert (“VE”) “to determine whether the
claimant has the ability to adjust to other work in the national economy” that he can
perform.4 Bacon v. Comm’r of Soc. Sec., 861 F. App’x 315, 317 (11th Cir. 2021) (citing
Phillips v. Barnhart, 357 F.3d 1232, 1240 (11th Cir. 2004); 20 C.F.R. § 404.1566(e)). If
the ALJ determines the claimant can perform other jobs in the national economy, “then the
burden shifts back to the claimant to show that [he] is unable to perform the jobs suggested
by the [ALJ.]” Id. (citing Washington, 906 F.3d at 1359). See Hale, 831 F.2d at 1011
(“Finally, the burden shifts back to the claimant to prove [he] is unable to perform the jobs
suggested by the Secretary.”) (citations omitted).
IV. ADMINISTRATIVE DECISION
Within the structure of the sequential evaluation process, the ALJ found that
Marshall last met the insured status requirements of the Social Security Act on December
31, 2024, and he had not engaged in substantial gainful activity since the alleged onset
date. (R. 12.) The ALJ determined that Marshall suffers from the following severe
impairments that significantly limit his ability to perform basic work activities: bipolar
4 “A VE ‘is an expert on the kinds of jobs an individual can perform based on his or her capacity
and impairments.’” Bacon, 861 F. App’x at 317 (citing Phillips, 357 F.3d at 1240). “When the
ALJ uses a [VE], the ALJ will pose hypothetical question(s) to the [VE] to establish whether
someone with the limitations that the ALJ has previously determined that the claimant has will be
able to secure employment in the national economy.” Phillips, 357 F.3d at 1240.
disorder, generalized anxiety disorder and substance use disorder. (R. 12.) The ALJ also
considered the record evidence concerning Marshall’s other impairments of
hyperlipidemia, heart disease and obesity, but found them to be non-severe impairments.
(R. 17.) The ALJ concluded that Marshall’s impairments do not meet or medically equal
the severity of one of the listed impairments in 20 C.F.R. § 404, Subpart B, Appendix 1.
(R. 12.)
After consideration of the entire record, the ALJ determined that Marshall retains
the RFC to perform a full range of work at all exertional levels, but with certain
nonexertional limitations. (R. 14.) The ALJ found the following limitations are applicable
to Marshall:
[He] can only perform simple, routine, and repetitive tasks, but not at a
production rate pace where the pace of one’s work affects, or is affected, by
the pace of other’s [sic] work or by any externally controlled system or
process. [He] can only respond appropriately to occasional changes in a
routing [sic] work setting. [He] can occasionally interact with coworkers and
the public in work situations.
(R. 14.) In accordance with this RFC, the ALJ found Marshall was unable to perform his
past relevant work as an examiner. (R. 18.) Because the VE testified that Marshall’s
“skilled past relevant work exceeded his current residual functional capacity for unskilled
work[,]” the ALJ determined that Marshall was unable to perform his past relevant work
“as actually or generally performed.” (R. 18.) Relying on testimony from the VE, the ALJ
further determined that Marshall was capable of making a successful adjustment to other
work that exists in significant numbers in the national economy, specifically, the jobs of
sorter, inspector-packer and router. (R. 18-19.) The ALJ concluded that Marshall has not
been under a disability from the alleged onset date of disability through the date of the
hearing decision. (R. 19.) Hence, the ALJ also concluded that Marshall is not disabled
under sections 216(i) and 223(d) of the Social Security Act. (Id.)
V. DISCUSSION
Marshall presents two arguments in this appeal. First, he argues the ALJ failed to
incorporate the prior administrative medical findings in the RFC. (Doc. No. 9 at 2, 6.)
Second, he argues the ALJ did not properly evaluate the supportability of the opinion of
Kale E. Kirkland, Ph.D., licensed psychologist, and failed to obtain Dr. Kirkland’s medical
records. (Id.)
The Court addresses each argument in turn.
A. Relevant Law
The regulations define medical opinions as “statements from physicians and
psychologists or other acceptable medical sources that reflect judgments about the nature
and severity of [the claimant’s] impairment(s), including [the claimant’s] symptoms,
diagnosis and prognosis, what [the claimant] can still do despite impairment(s), and [the
claimant’s] physical or mental restrictions.” 20 C.F.R. §§ 404.1527(a)(2), 416.927(a)(2).
The regulations also provide:
A medical opinion is a statement from a medical source about what [a
claimant] can still do despite [his] impairment(s) and whether [the claimant]
[has] one or more impairment-related limitations or restrictions in the
following abilities:
(i) [His] ability to perform physical demands of work activities, such as
sitting, standing, walking, lifting, carrying, pushing, pulling, or other
physical functions (including manipulative or postural functions, such as
reaching, handling, stooping, or crouching);
(ii) [His] ability to perform mental demands of work activities, such as
understanding; remembering; maintaining concentration, persistence, or
pace; carrying out instructions; or responding appropriately to supervision,
co-workers, or work pressures in a work setting;
(iii) [His] ability to perform other demands of work, such as seeing, hearing,
or using other senses; and
(iv) [His] ability to adapt to environmental conditions, such as temperature
extremes or fumes.
20 C.F.R. § 404.1513(a)(2).
“The ALJ is required to consider the opinions of non-examining state agency
medical and psychological consultants because they ‘are highly qualified physicians and
psychologists, who are also experts in Social Security disability evaluation.’” Milner v.
Barnhart, 275 F. App’x 947, 948 (11th Cir. 2008) (per curiam); see also Social Security
Ruling 96-6p (stating that the ALJ must treat the findings of State agency medical
consultants as expert opinion evidence of non-examining sources). These opinions are
referred to as “prior administrative medical findings.” See 20 C.F.R. § 404.1513(a)(5).5
5 According to the regulations,
A prior administrative medical finding is a finding, other than the ultimate
determination about whether you are disabled, about a medical issue made by our
Federal and State agency medical and psychological consultants at a prior level of
review (see § 404.900) in your current claim based on their review of the evidence
in your case record, such as:
(i) The existence and severity of your impairment(s);
(ii) The existence and severity of your symptoms;
(iii) Statements about whether your impairment(s) meets or medically
equals any listing in the Listing of Impairments in Part 404, Subpart P,
Appendix 1;
(iv) Your residual functional capacity;
(v) Whether your impairment(s) meets the duration requirement; and
The regulations direct the ALJ to “not defer or give any specific evidentiary weight,
including controlling weight, to any medical opinion(s) or prior administrative medical
finding(s), including those from [the claimant’s] medical sources.” 20 C.F.R. §
404.1520c(a).
When a medical source provides one or more medical opinions or prior
administrative medical findings, [the ALJ] will consider those medical
opinions or prior administrative medical findings from that medical source
together using the factors listed in paragraphs (c)(1) through (c)(5) of this
section, as appropriate. The most important factors [the ALJ] considers when
… evaluat[ing] the persuasiveness of medical opinions and prior
administrative medical findings are supportability (paragraph (c)(1) of this
section) and consistency (paragraph (c)(2) of this section)….
20 C.F.R. § 404.1520c(a). “A medical source’s opinion that a claimant is ‘disabled’ or
‘unable to work’ is not dispositive of a disability claim because the disability determination
is reserved to an ALJ acting on behalf of the Commissioner.” Matos v. Comm’r of Soc.
Sec., No. 21-11764, 2022 WL 97144, at *3 (11th Cir. 2022) (citing Walker v. Comm’r of
Soc. Sec., 987 F.3d 1333, 1339 (11th Cir. 2021)).
The regulations also direct the ALJ to evaluate the persuasiveness of each medical
source using the following five factors: (1) supportability, (2) consistency, (3) relationship
with the claimant, (4) specialization of the medical source, and (5) other factors. 20 C.F.R.
§ 404.1520c(1)(c); Harner v. Soc. Sec. Admin., Comm’r, 38 F.4th 892, 897-98 (11th Cir.
2022). The ALJ must explain in his decision how he considered the factors of supportability
(vi) How failure to follow prescribed treatment (see § 404.1530) and drug
addiction and alcoholism (see § 404.1535) relate to your claim.
20 C.F.R. § 404.1513.
and consistency in his determination of overall persuasiveness of each source. 20 C.F.R. §
404.1520c(b)(2) (“[S]upportability ... and consistency ... are [t]he most important factors
we consider when we determine how persuasive we find a medical source’s opinions or
prior administrative medical findings to be. Therefore, we will explain how we considered
the supportability and consistency factors for a medical source’s medical opinions or prior
administrative medical findings in [the claimant’s] determination or decision.”). “When
weighing medical opinion evidence, the ALJ considers many factors, including the
examining relationship, the treatment relationship, whether an opinion is well-supported,
and whether an opinion is consistent with the record.” Wines v. Acting Comm’r of Soc.
Sec., No. 21-13606, 2022 WL 2526586, at *3 (11th Cir. 2022).
B. Assessment of Prior Administrative Medical Findings
Marshall contends the ALJ mischaracterized the prior administrative medical
findings of two state agency psychological consultants: Byron Pack, Psy.D.; and Donald
Hinton, Ph.D. (Doc. No. 9 at 10.) Marshall argues “[e]ven though the opinion of Dr. Hinton
contained different limitations than the opinion of Dr. Pack, the ALJ arbitrarily pulled
various portions from both opinions and jumbled them together as if these were unanimous
opinions from both doctors.” (Id.) Marshall also contends the ALJ failed to account for the
work limitations contained in the opinion of Dr. Hinton in the ALJ’s RFC. (Id.)
The Commissioner responds that substantial evidence supports the ALJ’s evaluation
of the prior administrative medical findings. (Doc. No. 14 at 4.)
At the initial level of the disability determination, Dr. Pack completed a Psychiatric
Review Technique evaluation. (R. 62-64.) He opined that Marshall did not satisfy the
criteria for Listings 12.04, 12.06 and 12.08. (R. 62.) He also opined that Marshall had a
mild limitation in his ability to understand, remember or apply information; a mild
limitation in his ability to adapt or manage himself; and moderate limitations in his ability
to interact with others and concentrate, persist or maintain pace. (R. 62-63.) Dr. Pack stated,
“[t]he overall evidence indicates that [Marshall] is capable of simple and minimally
demanding employment as the extent of impairment does not meet or equal any listing.”
(R. 63.) According to Dr. Pack, “[b]ased on totality of evidence in file, input about
[Marshall] was partially consistent. [Marshall] appears to be mildly to moderately limited
by mental impairment ….” (R. 63.)
Dr. Pack also completed a Mental Residual Functional Capacity evaluation. (R. 64-
66.) He opined that Marshall had understanding and memory limitations, which were
moderately limited or not significantly limited. (R. 65.) He also opined that Marshall’s
mental impairments “reflect mild to moderate limitations” and Marshall is “capable of
understanding and retaining simple instructions.” (R. 65.) Dr. Pack opined that Marshall
had sustained concentration and persistence limitations, which were moderately limited or
not significantly limited, and he had “sufficient ability to sustain [concentration and
consistent pace] for extending period[s], and should be able to complete simple tasks at the
appropriate pace, and sustain this level across days and weeks.” (R. 65.) Dr. Pack further
opined that Marshall had social interaction limitations, which were moderately limited or
not significantly limited, and explained that Marshall “can cooperate on simple, routine
tasks and transactions[]”; “is able to relate appropriately in spite of impairments[]”; “may
show limited tolerance for frequent, recurrent contact with the general public, and may
function best at tasks with limited social demands.” (R. 65.) Finally, Dr. Pack opined that
Marshall had moderately limited to not significantly limited adaptation limitations as he
“is capable of adapting adequately to changes and demands of simple tasks.” (R. 66.) Dr.
Pack explained,
[Marshall] can understand, retain, and carry out simple instructions. [He] can
consistently and usefully perform routine tasks on a sustained basis, with
minimal (normal) supervision, and can cooperate effectively with public and
co-workers in completing simple tasks and transactions. [He] is able to
understand, remember and carry out simple instructions. [He] can make
simple decisions and do routine tasks.
(R. 66.) Dr. Pack found that Marshall was “[c]apable of understanding, remembering and
carrying out simple instructions over an eight-hour workday with routine breaks[]”; that
Marshall’s “contact with co-workers, supervisors, and [the] general public should be casual
and non-confrontational[,]” and that “changes in the work place should be introduced
slowly.” (R. 66.)
Dr. Hinton completed a Psychiatric Review Technique evaluation at the
reconsideration level of the disability determination. (R. 71-73.) Like Dr. Pack, Dr. Hinton
opined that Marshall did not satisfy the criteria for Listings 12.04, 12.06 and 12.08. (R.
71.) However, Dr. Hinton opined that Marshall had moderate limitations in his ability to
understand, remember or apply information; his ability to adapt or manage himself; his
ability to interact with others; and his ability to concentrate, persist or maintain pace. (R.
72.) Dr. Hinton stated that the objective evidence does not support the severity of
Marshall’s limitations “to prevent work abilities[.]” (R. 73.)
Dr. Hinton also completed a Mental Residual Functional Capacity evaluation. (R.
73-76.) Similar to Dr. Pack, Dr. Hinton opined that Marshall had understanding and
memory limitations, which were moderately limited or not significantly limited. (R. 74.)
He also opined that Marshall can “understand, remember, and carry out 2-3 step
instructions and simple tasks, but not those more detailed or complex.” (R. 74.) Like Dr.
Pack, Dr. Hinton opined that Marshall had sustained concentration and persistence
limitations, which were moderately limited or not significantly limited. (R. 74.) Dr. Hinton
found that Marshall “can maintain attention for at least 2 hours out of an 8[-]hour work[
]day, and can complete simple tasks without the need for special supervision of more than
usual and customary rest breaks.” (R. 74.) Dr. Hinton further opined that Marshall had
social interaction limitations, which were moderately limited or not significantly limited,
and explained that Marshall “would not be able to perform work which requires frequent
interaction with the general public[;] … can tolerate non-intense interaction with coworkers
and supervisors, and the public[;] … [and] [c]orrective action from supervisors should be
offered in a simple and supportive manner.” (R. 74.) Finally, Dr. Hinton opined that
Marshall had moderately limited to not significantly limited adaptation limitations. (R. 75.)
Dr. Hinton explained that Marshall “can adjust to small changes with full explanations and
gradual implementation[,]” and opined that “[w]ork setting changes should be minimal,
gradual, and fully explained.” (R. 75.) Dr. Hinton further explained, “At the initial level,
[Marshall] was given an Unskilled [Mental Residual Functional Capacity]. This is
consistent [with] the objective evidence. Therefore, [Marshall] is given an Unskilled
[Mental Residual Functional Capacity] at the reconsideration level as well.” (R. 75.)
In the hearing decision, the ALJ found the prior administrative medical findings
generally persuasive. (R. 18.) The ALJ thoroughly addressed these findings, stating:
The undersigned has fully considered the medical opinions and prior
administrative medical findings as follows: State Agency Medical
Consultants, Psychologist Byron Pack and Donald Hinton, Ph.D. (on
reconsideration) opined that [Marshall’s] mental impairments only posed
mild to moderate limitations. Psychologist Pack and Dr. Hinton essentially
opined that [Marshall] was capable of understanding and retaining simple,
two to three step instructions, and he had sufficient ability to sustain
concentration, persistence, and pace for at least two hours out of an eight-
workday. They opined that [Marshall] should be able to complete simple
tasks at an appropriate pace. Psychologist Pack and Dr. Hinton further opined
that contact with coworkers, supervisors, and the general public should be
causal and non-confrontational, and changes in the workplace should be
introduced slowly (Exhibits 2A and 3A). As state agency medical
consultants, Psychologist Pack and Dr. Hinton have substantial experience
applying Social Security disability law and policy, and their opinion is
supported and consistent with the evidence at the time of their review. More
specifically, their opinion is generally consistent with the treatment records
from River Region. As stated above, [Marshall’s] examinations showed his
thought process was logical, his thought content was normal, his recent and
remote memory were normal, and his attention and concentration were
normal (Exhibits 6F, 10F, 13F, and 14F). Moreover, during his treatment at
River Region and Family Care Associates, it was noted that [Marshall] was
working and/or looking for work (Exhibits 2F, 3F, 6F, 8F, 9F, 10F, 12F, 13F,
14F, 15F, and 18F).
(R. 17-18.)
Upon review of the record and the hearing decision, the Court is able to discern that
the ALJ fully considered the prior administrative medical findings in determining the RFC
and finds the ALJ clearly evaluated the consistency and supportability of these prior
administrative medical findings as required under 20 C.F.R. § 416.920c(b)(3).6
66 In this appeal, Marshall did not challenge the consistency or supportability finding of the ALJ
concerning the prior administrative medical findings.
The Court is not persuaded by Marshall’s argument that the ALJ “mischaracterized”
these prior administrative medical findings. (Doc. No. 9 at 10-12.) Even assuming such
mischaracterization occurred, the Court further finds that such error does not warrant
remand because the error is harmless. Marshall bears the burden of proving the ALJ’s error
is harmful and he has failed to satisfy his burden. See Senn v. Colvin, No. 3:11-CV-467-
WKW, 2014 WL 4655432, at *2 (M.D. Ala. Sept. 16, 2014) (citations omitted); Anderson
v. Kijakazi, No 1:20-cv-865-JTA, 2022 WL 3650619, at *4 (M.D. Ala. Aug. 24, 2022) (it
is plaintiff’s burden to show harmful error) (citation omitted). Requiring the ALJ to restate
the opinions of Dr. Hinton or Dr. Park, without any “mischaracterizations,” would not
change the ALJ’s RFC or ultimate decision. Both Dr. Hinton and Dr. Park opined that
Marshall had “moderate” or “not significantly limited” limitations in their Mental Residual
Functional Capacity evaluations; neither opined that Marshall had “marked” or “extreme”
limitations. Furthermore, the ALJ generally incorporated the stronger – and thus more
favorable –limitations recommended by the state agency medical consultants into his
decision. For example, Dr. Pack opined that Marshall’s contact with co-workers,
supervisors, and the general public “should be casual and non-confrontational[,]” whereas
Dr. Hinton opined that Marshall “would not be able to perform work which requires
frequent interaction with the general public … [but, he] can tolerate non-intense interaction
with coworkers, supervisors, and the public.” (R. 66, 74.) In his RFC, the ALJ limited
Marshall to occasional interaction “with coworkers and the public in work situations”
which comports with Dr. Hinton’s opinion. (R. 14.) Marshall thus has suffered no prejudice
as a result of any mischaracterization error. See Cooper v. Astrue, 373 F. App’x 961, 962
(11th Cir. 2010) (“Errors may be harmless if they do not prejudice the claimant.”) (citation
omitted). Hence, any failure by the ALJ in characterizing the prior administrative medical
findings does not warrant remand. See Sanchez v. Comm’r of Soc. Sec., 507 F. App’x 855,
856 (11th Cir. 2013) (“We have also declined to remand for express findings when doing
so would be a ‘wasteful corrective exercise’ in light of the evidence of record and when no
further findings could be made that would alter the ALJ’s decision.”) (citations omitted).
Marshall further argues that since the ALJ’s RFC “does not limit interactions with
supervisors,” as opined by Dr. Hinton, “the ALJ failed to build an accurate and logical
bridge between his decision not to limit interactions with supervisors and the medical
evidence in the record[.]” (Doc. No. 9 at 13.) Contrary to Marshall’s assertion, the ALJ is
not obligated to “bridge” every piece of evidence with his decision. See Lecroy v. Comm’r
of Soc. Sec., No. 23-11883, 2024 WL 1249165, *3 (11th Cir. 2024) (“Even still, there is
no rigid requirement that the ALJ specifically refer to every piece of evidence in his
decision, so long as the ALJ’s decision … is not a broad rejection which is not enough to
enable the reviewing court to conclude that the ALJ considered [the claimant’s] medical
condition as a whole.” ) (citing Dyer, 395 F.3d at 1211) (internal quotations and brackets
omitted). In this case, the ALJ’s hearing decision does not prevent meaningful judicial
review.
Furthermore, contrary to Marshall’s assertions, the regulations do not require the
ALJ to adopt in the RFC every part of a prior administrative medical finding that he finds
persuasive. Rivera Misla v. Comm’r of Soc. Sec., No. 6:20-CV-1076-DCI, 2021 WL
2417084, at *2 (M.D. Fla. June 14, 2021) (“[A]n ALJ need not adopt every part of an
opinion that the ALJ finds persuasive.”) (citing 20 C.F.R. § 404.1520c(a)). The ALJ clearly
did not incorporate all of Dr. Hinton’s limitations and was not required to do so.
Finally, Marshall has failed to satisfy his burden of demonstrating that the ALJ’s
RFC decision is not supported by substantial evidence. See Sims v. Comm’r of Soc. Sec.,
706 F. App’x 595, 604 (11th Cir. 2017) (“Under a substantial evidence standard of review,
[the claimant] must do more than point to evidence in the record that supports [his]
position; [he] must show the absence of substantial evidence supporting the ALJ’s
conclusion.”). The ALJ’s decision indicates the ALJ considered the medical evidence of
record regarding Marshall’s impairments, singly and in combination, in fashioning his
RFC; the ALJ thoroughly summarized the medical record, including Marshall’s
hospitalizations, Marshall’s medication management, Marshall’s therapy and the
conservative treatment of Marshall’s physical injuries; the ALJ considered Marshall’s
reports that Marshall can handle his personal care needs and finances; and the ALJ
considered the normal findings provided in many of the office visits. (R. 13-18.) The ALJ
also discussed how the notes from the medical visits indicate that Marshall was attempting
to find work in March and July 2021, and in July 2022 Marshall reported he was working
in a job that required him to travel. (R. 15.) Accordingly, substantial evidence in the
medical record supports the ALJ’s conclusion. (R. 60-76, 251-262, 333-464, 465-781, 785-
838, 844-875, 880-892.) The Court finds no reversible error.
C. Assessment of Dr. Kirkland’s Opinion and Records
Marshall contends the ALJ failed to develop the record by not obtaining Dr.
Kirkland’s treatment records. (Doc. No. 9 at 5.) He contends the ALJ should have obtained
Dr. Kirkland’s treatment records, rather than simply rejecting Dr. Kirkland’s medical
opinion due to the absence of the records. (Id. at 18.) He also contends there is nothing in
the ALJ’s analysis that explains how the ALJ considered the supportability factor when
evaluating Dr. Kirkland’s opinion. (Id.) Marshall concludes that a proper evaluation of Dr.
Kirkland’s opinion would establish that he is disabled. (Id. at 21.)
The Commissioner responds that the ALJ properly determined Dr. Kirkland’s
opinion was not persuasive. (Doc. No. 14 at 8-9.) The Commissioner also argues the ALJ
was not required to obtain Dr. Kirkland’s treatment records because Marshall did not
request them, and the record was sufficient for the ALJ to make an informed decision. (Id.
at 11-12.) The Court agrees.
Dr. Kirkland, who is a licensed psychologist, furnished an undated Psychological
Services Summary for Marshall.7 (R. 783-784.) Dr. Kirkland stated that Marshall received
regular therapy services at his office, from April 2016 to June 2017, to treat moderate
severe anxiety, insomnia, occasional mild mania, and depression. (R. 783.) According to
Dr. Kirkland, Marshall made progress and self-discontinued treatment in June 2017.
(R.783.) Dr. Kirkland reported that he treated Marshall later in June 2020, after Marshall
had been experiencing symptoms of moderate to severe mania. (R. 783.) Marshall received
inpatient treatment at Crossbridge Behavioral for severe mania and then, after being
discharged, resumed individual therapy services with Dr. Kirkland for treatment of
“Bipolar I Disorder, Most Recent Episode Manic, Severe with Psychotic Features, and
7 The Court notes that this Summary is furnished in the record as Exhibit 7F and Exhibit 19F. (R.
782-784, 893-894.)
Generalized Anxiety.” (R. 783.) In July 2020, Marshall attempted suicide and was
hospitalized for several weeks and then transported to an inpatient treatment facility. (R.
783.) After being discharged from the inpatient treatment facility, Marshall started
receiving individual therapy “weekly to every other week” from Dr. Kirkland. (R. 783.)
Dr. Kirkland stated,
It is my opinion that, due to his symptoms of mania and anxiety, which
include periods of unpredictable and impulsive behavior, with irritability and
poor stress management, Mr. Marshall cannot reliably obtain and/or maintain
consistent full-time employment. He is considered moderately to markedly
impaired with respect to concentration, pace, and persistence. He is
considered moderately to markedly impaired with respect to responding to
coworkers, supervisors, customers, and/or work pressures. Long-term
outpatient mental health treatment, with both psychology and psychiatry
services, are indicated and recommended.
(R. 783.) No other documents or records from Dr. Kirkland are included in the medical
record.
In the hearing decision, the ALJ addressed Dr. Kirkland’s opinion and found it
unsupported and inconsistent with the medical record. (R. 15.) The ALJ stated,
There is no evidence of any treatment records from Dr. Kirkland, and his
opinion is inconsistent with the extensive treatment records (September 15,
2020 through October 24, 2022) from River Region Psychiatry Associates
(River Region). As state above, during [Marshall’s] treatment at River
Region, his examinations repeatedly showed that his mood and affect were
appropriate, his thought process was logical, his thought content was normal,
his recent and remote memory were normal, his attention and concentration
were normal, and there was no psychosis (Exhibits 6F, 10F, 13F, and 14F).
Thus, the undersigned finds Dr. Kirkland’s opinion unpersuasive.
(R. 16.)
Here, the Court finds no reversible error. “The more relevant the objective medical
evidence and supporting explanations presented by a medical source are to support his or
her medical opinion(s)…, the more persuasive the medical opinions … medical finding(s)
will be.” 20 C.F.R. § 404.1520c(c)(1) (emphasis added). As to supportability, Dr. Kirkland
did not present any objective medical evidence to support his medical opinion, so it is not
surprising or unreasonable that the ALJ did not find Dr. Kirkland’s opinion to be
unpersuasive. In addition, “[t]he more consistent a medical opinion(s) … is with the
evidence from other medical sources and nonmedical sources in the claim, the more
persuasive the medical opinion(s) … will be.” Id. § 404.1520c(c)(2) (emphasis added). As
to consistency, the ALJ noted how Dr. Kirkland’s opinion compared to the extensive
treatment records from River Region Psychiatry Associates and concluded that Dr.
Kirkland’s opinion was inconsistent with those treatment records. The ALJ’s explanation,
which incorporated the record as a whole and refers to other medical evidence as support,
is sufficient for the Court to determine that his weighing of Dr. Kirkland’s opinion is
supported by substantial evidence. In the ALJ’s decision, he determined that Dr. Kirkland’s
opinion was unsupported and inconsistent as required under 20 C.F.R. § 416.920c(b)(2).
(R. 15.) Hence, the ALJ applied the proper legal standard when considering the
persuasiveness of Dr. Kirkland’s findings.
Moreover, the record demonstrates that substantial evidence supports the ALJ’s
finding that Dr. Kirkland’s opinion was not persuasive. Treatment notes from River Region
Psychiatry Associates show that Marshall’s anxiety, depression and bipolar disorder were
regulated by medicine, therapy, and a collaborative treatment plan. The notes indicate that
on September 15, 2020, at Marshall’s initial psychiatric evaluation, the “symptoms
reported were consistent with the diagnosis [of anxiety and bipolar disorder] with evidence
of stability.” (R. 755.) Marshall was counseled on interventions and medication options to
treat his symptoms, and he “was in agreement with [the] treatment plan which [was
developed] with in [sic] a collaborative manner.” (R. 756.) On September 30, 2020,
Marshall reported that he had “been doing well.” (R. 757.) Marshall reported that his
“mood is ‘content’”, he was coping well with his anxiety, denied irritability and panic,
reported sleeping well and having a normal appetite, and denied having suicidal thoughts
and hallucinations. (R. 758.) The notes indicate that the treatment plan was to increase
Marshall’s medication and monitor the medication for improvement. (R. 761.) Review of
the evidence shows that Marshall’s mental health symptoms were controlled by compliance
with his treatment plan. The remaining treatment notes are unremarkable as Marshall’s
speech, mood and affect, thought processes, thought content, judgment, mental status,
language skills, and awareness of current and past events were reported as normal. (R. 763-
764, 769, 774, 778-779, 825-826, 831, 835-836, 854, 863, 867, 882.) He also consistently
denied having thoughts of suicidal ideations, hallucinations, delusions or paranoid
thinking. (R. 824, 829, 834, 836, 852, 854, 862, 866, 880, 886.) The records show that
Marshall successfully continued to manage his mental conditions by medication
management and therapy. (R. 765, 770, 775-776, 780-781, 827, 832, 837-838, 855-856,
865, 868-869.) In addition, medical records from other sources reveal that Marshall
generally reported no depression or anxiety or hallucinations upon examination on multiple
dates. (R. 808, 813, 866.) Consequently, the Court finds substantial evidence to support the
ALJ’s conclusion and concludes remand is unwarranted. See Deerman v. Soc. Sec. Admin,
Comm’r, No. 22-11010, 2023 WL 5975245, at *4 (11th Cir. 2023) (“Because there’s
substantial evidence to support the administrative law judge’s conclusions that Dr.
Nichols’s opinions were unpersuasive, we can’t conclude that he erred in discrediting
them.”); Esco v. Comm’r of Soc. Sec., No. 23-11777, 2024 WL 1156572, at *4 (11th Cir.
March 18, 2024) (“We conclude that the weight the ALJ afforded to the medical opinions
of Dr. Carter and Dr. Hayden was supported by substantial evidence, and we affirm in this
respect.”).
Furthermore, Marshall’s assertion that the ALJ failed to fully develop the record
misses the mark. “It is well-established that the ALJ has a basic duty to develop a full and
fair record.” Ellison v. Barnhart, 355 F.3d 1272, 1276 (11th Cir. 2003) (citing 20 C.F.R. §
416.912(d); Brown v. Shalala, 44 F.3d 931, 934 (11th Cir. 1995)). “Nevertheless, the
claimant bears the burden of proving that he is disabled, and, consequently, he is
responsible for producing evidence in support of his claim.” Id. (citing 20 C.F.R. §
416.912(a); 20 C.F.R. § 416.912(c)).
In addition, the Court finds no unfairness or clear prejudice to Marshall to justify a
remand. Before the Court will remand a case for further development of the record, there
must be a showing that the ALJ’s failure to develop the record led to evidentiary gaps that
resulted in unfairness or clear prejudice. Graham v. Apfel, 129 F.3d 1420, 1423 (11th Cir.
1997) (citing Brown v. Shalala, 44 F.3d 931, 934–35 (11th Cir. 1995)). At a minimum,
clear prejudice “requires a showing that the ALJ did not have all of the relevant evidence
before him in the record ... or that the ALJ did not consider all of the evidence in the record
in reaching his decision.” Kelley v. Heckler, 761 F.2d 1538, 1540 (11th Cir. 1985) (citation
omitted). It appears the ALJ considered all the medical records that were furnished for the
relevant period, and Marshall does not challenge the accuracy of these records or the ALJ’s
analysis of these records.
Besides, at no time during the hearing before the ALJ did Marshall or his counsel
request additional time to obtain Dr. Kirkland’s treatment records, nor did they suggest that
those records were needed to evaluate Marshall’s claims. To the contrary, counsel for
Marshall asserted during the hearing that she had reviewed all of the exhibits, she had no
objection to the admission of the exhibits, and she was not “aware of any evidence related
to the issue of disability [that was] yet to be submitted.” (R. 45-46, 57.) Counsel for
Marshall did not submit Dr. Kirkland’s treatment records to the Appeals Council, nor did
she argue that consideration of those records was warranted. (R. 1-6, 34-41, 181-183.)
“Thus, any alleged error the ALJ may have made in not obtaining [Dr. Kirkland’s] records
was invited[,]” and is not worthy of discussion on appeal. Larry v. Comm’r of Soc. Sec.,
506 F. App’x 967, 969 (11th Cir. 2013) (citing Ford ex. rel. Estate of Ford v. Garcia, 289
F.3d 1283, 1293–94 (11th Cir. 2002); Id. at 969 n.3 (“ ‘It is a cardinal rule of appellate
review that a party may not challenge as error a ruling or other trial proceeding invited by
that party.’ ” (internal quotations and citations omitted)).
In the end, Marshall must bear the responsibility and consequences for the lack of
records submitted by Dr. Kirkland, as it was his burden, not the ALJ’s, to produce medical
evidence supporting his claim for disability. See Ellison, 355 F.3d at 1276 (“[T]he claimant
bears the burden of proving that he is disabled, and, consequently, he is responsible for
producing evidence in support of his claim.”). Consequently, the Court finds no reversible
error.
VI. CONCLUSION
After review of the administrative record, and considering all of the arguments, the
Court finds the Commissioner’s decision to deny Marshall disability is supported by
substantial evidence and is in accordance with applicable law. Hence, it is ORDERED as
follows:
1. Marshall’s motion for summary judgment (Doc. No. 9) is DENIED.
2. The Commissioner’s motion for summary judgment (Doc. No. 14) is
GRANTED.
3. The decision of the Commissioner is AFFIRMED.
A separate judgment will issue.
DONE this 23rd day of September, 2024.
UNYTED STATES MAGISTRATE JUDGE
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