finding improper analysis of factors in § 404.1529(c)(3)(i)-(vii) a “serious flaw in [ALJ’s] credibility determination”
How later courts described this case
- finding improper analysis of factors in § 404.1529(c)(3)(i)-(vii) a “serious flaw in [ALJ’s] credibility determination”
- finding “ALJ's credibility analysis was insufficient” where “ALJ did not explicitly refer to or discuss any of the factors listed in 20 C.F.R. 404.1529(c)(3)” and collecting cases
- noting that a court “may set aside the Commissioner’s decision only if the factual findings are not supported by substantial evidence or if incorrect legal standards were applied”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
-----------------------------------X
JAMES JOSEPH,
Plaintiff, MEMORANDUM & ORDER
- against - No. 21-cv-4398 (KAM)
MARTIN O’MALLEY, COMMISSIONER OF
SOCIAL SECURITY,
Defendant.
-----------------------------------X
KIYO A. MATSUMOTO, United States District Judge:
Mr. James Joseph appeals the final decision of the
Commissioner of the Social Security Administration1 denying him
Disability Insurance Benefits under the Social Security Act, 42
U.S.C. § 423. (ECF No. 1, Compl.) Mr. Joseph has moved for “summary
judgment on the pleadings,” which the Court will treat as a motion
for judgment on the pleadings.2 (See ECF No. 10, Pl.’s Mot.) The
Commissioner has also moved for judgment on the pleadings. (ECF
1 The Court has updated the caption to reflect the new Commissioner of Social
Security, who took office after Mr. Joseph commenced this action. See Fed. R.
Civ. P. 25(d); Pryor v. Berryhill, 286 F. Supp. 3d 471, 471 n.1 (E.D.N.Y. 2017).
2 Social Security appeals are generally resolved on motions for judgment on the
pleadings because judicial review of Social Security decisions is limited to
“the pleadings and transcript of the record[.]” 42 U.S.C. § 405(g); Kercado ex
rel. J.T. v. Astrue, No. 08-CV-478 (GWG), 2008 WL 5093381, at *2 (S.D.N.Y. Dec.
3, 2008) (“Judicial review of Social Security cases [] is limited to a review
based on the pleadings and the administrative ‘record.’” (citing § 405(g)).
Therefore, this Court considers Mr. Joseph’s motion, styled as a motion for
summary judgment, under Federal Rule of Civil Procedure 12(c). See Aguirre v.
Saul, 568 F. Supp. 3d 477, 478–79 (S.D.N.Y. 2021) (treating plaintiff’s motion
pursuant to § 405(g) as one for judgment on the pleadings, even though plaintiff
had “styled his motion as one for summary judgment”).
No. 14, Comm’r’s Mot.) For the reasons below, Mr. Joseph’s motion
is GRANTED, and the Commissioner's motion is DENIED.
Background
On August 6, 2019, Mr. Joseph applied for disability insurance
benefits (“DIB”), alleging disability beginning May 24, 2018.
(R.83.)3 Mr. Joseph alleges his physical injuries resulted from an
accident that occurred during his former employment: when he was
stepping into a van with a 70-pound crate of milk, another vehicle
struck the van, causing Mr. Joseph to fall and the inventory he
was holding to fall on top of him. (R.288.) On the alleged onset
date, Mr. Joseph was 26 years old and had at least a high school
education. (R.94.)
The Commissioner denied his application for disability
benefits on March 9, 2020, and denied the application again upon
reconsideration on October 9, 2020. (R.83.) On February 12, 2021,
Administrative Law Judge Robert R. Schriver (the “ALJ”) held a
telephone hearing due to the extraordinary circumstances of the
COVID-19 pandemic. (Id.) Mr. Joseph appeared at the hearing with
counsel. (Id.) A vocational expert also appeared. (Id.) Mr. Joseph
provided medical evidence before and after the hearing, when the
record was held open. (Id.)
On April 12, 2021, the ALJ decided that Mr. Joseph was not
3 The Court cites to the Bates-stamped Administrative Transcript, (ECF No. 8),
as (R.__.)
disabled pursuant to 42 U.S.C. § 423 and therefore did not award
him DIB. (R.83, 95.) The ALJ determined that Mr. Joseph had not
engaged in substantial gainful activity since he applied for DIB.
(R.85.) He also determined Mr. Joseph had severe impairments of
degenerative disc disease and herniated discs of the lumbar spine
with nerve-root compromise; status post-lumbar laminectomy
surgery; degenerative disc disease and bulging discs of the
cervical spine; cervical radiculopathy; schizoaffective disorder;
generalized anxiety disorder; posttraumatic stress disorder;
bipolar disorder; and cannabis dependence significantly limiting
him from performing basic work activities. (R.85–86.) Although the
ALJ found Mr. Joseph’s right shoulder impairment was not severe,
he still considered it when making the residual functional capacity
(“RFC”) determination. (R.86, 88-93.)
The ALJ also found that Mr. Joseph lacked an impairment or
combination of impairments that met or medically equaled the
severity of a listed impairment in 20 C.F.R. Part 404, Subpart P,
Appendix 1 that would automatically qualify him as disabled
regardless of age, education, or work experience. (R.86.) The ALJ
next determined that Mr. Joseph had the RFC to perform light work
pursuant to 20 CFR § 404.1567(b), subject to specified limitations
of: avoiding concentrated exposure to respiratory irritants;
performing simple tasks only; only occasionally making work-
related decisions; and having only occasional interaction with the
general public. (R.88.) The ALJ explained that although Mr.
Joseph’s impairments could reasonably be expected to cause his
alleged symptoms, Mr. Joseph’s “statements concerning the
intensity, persistence and limiting effects of” his symptoms were
“not entirely consistent with the medical evidence and other
evidence in the record for the reasons explained in [the]
decision.” (Id.)
The ALJ further determined Mr. Joseph was unable to perform
his past relevant work as a delivery driver or a counter attendant.
(R.94.) However, considering his age, education, work experience,
and RFC, the ALJ found Mr. Joseph could perform other jobs that
existed in significant numbers in the national economy. (Id.)
Specifically, the ALJ found Mr. Joseph could perform marker,
router, and assembler jobs that the vocational expert testified a
hypothetical person with Mr. Joseph’s profile could perform.
(R.95.) The ALJ concluded that because Mr. Joseph could perform
such jobs, he was not disabled and thus not entitled to DIB from
May 24, 2018, through the date of the decision. (Id.)
The Social Security Administration received Mr. Joseph’s
request for an appeal of the ALJ’s decision on April 21, 2021.
(R.11.) On June 8, 2021, the Appeals Council notified Mr. Joseph
that it found no basis to change the ALJ’s ruling, rendering it
the Commissioner’s final decision. (R.1.) On August 5, 2021, Mr.
Joseph commenced this action for judicial review of the
Commissioner’s final decision. (See ECF No. 1, Compl.)
Legal Standard
I. Standard of Review
A claimant may seek judicial review of the Commissioner’s
final decision by bringing a civil action in federal district court
pursuant to 42 U.S.C. § 405(g). “In reviewing a final decision of
the SSA, this Court is limited to determining whether the SSA’s
conclusions were supported by substantial evidence in the record
and were based on a correct legal standard.” Talavera v. Astrue,
697 F.3d 145, 151 (2d Cir. 2012) (internal quotations omitted);
see Swainbank v. Astrue, 356 F. App’x 545, 547 (2d Cir. 2009)
(noting that a court “may set aside the Commissioner’s decision
only if the factual findings are not supported by substantial
evidence or if incorrect legal standards were applied”).
“‘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.’” Duran v. Comm’r of Soc. Sec.,
618 F. Supp. 3d 94, 98 (E.D.N.Y. 2022) (quoting Halloran v.
Barnhart, 362 F.3d 28, 31 (2d Cir. 2004)). “An ALJ’s finding is
considered supported by substantial evidence if any reasonable
factfinder could have made the same finding, even if substantial
evidence also supports the claimant’s position.” Benjamin v.
O’Malley, No. 21-CV-2912 (KAM), 2024 WL 1319560, at *4 (E.D.N.Y.
Mar. 28, 2024). “To determine whether the findings are supported
by substantial evidence, the reviewing court is required to examine
the entire record, including contradictory evidence and evidence
from which conflicting inferences can be drawn.” Mongeur v.
Heckler, 722 F.2d 1033, 1038 (2d Cir. 1983).
In turn, inquiry into “legal error” involves considering
whether the claimant had a “‘full hearing under the
[Commissioner’s] regulations and in accordance with the beneficent
purposes of the [Social Security] Act.’” Duran, 618 F. Supp. 3d at
98 (quoting Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009)).
“Remand is appropriate…where the ALJ applied the wrong legal
standard” and “is especially appropriate if more findings would
clarify the rationale for the ALJ's decision.” Santoro v. Comm'r
of Soc. Sec., No. 21-CV-2044 (KAM), 2023 WL 8177365, at *5
(E.D.N.Y. Nov. 27, 2023) (citing Duran, 618 F. Supp. 3d at 99).
II. Determination of Disability and Entitlements
To receive DIB, a claimant must be “disabled” pursuant to the
Social Security Act (“the Act”). See 42 U.S.C. § 423(a), (d); see
also Duran, 618 F. Supp. 3d at 97. A claimant is “disabled” when
“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.’” Duran, 618 F. Supp. at 97 (quoting § 423(d)(1)(A)). The
impairment must be of “such severity” that the claimant cannot do
his previous work or any other substantial gainful work existing
in the national economy. Id. (quoting § 423(d)(2)(A)). In
determining whether a claimant is entitled to benefits, the
“Commissioner must consider…‘(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.’” Id. (quoting Balodis v. Leavitt, 704 F. Supp. 2d
255, 262 (E.D.N.Y. 2010)).
Social Security Administration regulations require a “five-
step analysis” for evaluating disability claims: “‘(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.’”
Green-Younger v. Barnhart, 335 F.3d 99, 106 (2d Cir. 2003) (quoting
Draegert v. Barnhart, 311 F.3d 468, 472 (2d Cir.2002)); see also
20 C.F.R. § 404.1520(a)(4) (outlining the “five-step sequential
evaluation process”). Claimant bears the burden of proof at steps
one through four; “at step five, the burden shifts to the
Commissioner.” Colgan v. Kijakazi, 22 F.4th 353, 358 (2d Cir.
2022).
Discussion
Mr. Joseph makes seven arguments: that the ALJ (1) erred in
finding his right shoulder impairment was not severe; (2) failed
to properly evaluate if Mr. Joseph met or equaled a medical listing
to conclusively determine disability; (3) incorrectly assessed Mr.
Joseph’s impairments when making the RFC findings; (4) improperly
analyzed Mr. Joseph’s testimony evidence against the record; (5)
failed to consider the entirety of certain findings supporting the
RFC determination; (6) erred in relying on the vocational expert’s
testimony; and (7) failed to consider Mr. Joseph’s ability to
sustain work when making the RFC finding. (ECF No. 10-1, Pl. Mem.
at 14-24.)
I. Substantial Evidence Supports the ALJ’s Evaluation of the
Shoulder Impairment as Not Severe
Step Two of the five-step sequence requires the ALJ to
evaluate “whether the claimant has a ‘severe impairment’ — i.e.,
an impairment or combination of impairments that ‘significantly
limits’ [his] ‘physical or mental ability to do basic work
activities’ — that has lasted or is expected to last for twelve
months or longer.” Prescott v. O'Malley, No. 21–CV–441 (EK), 2024
WL 1174400, at *1 (E.D.N.Y. Mar. 19, 2024) (citing 20 C.F.R. §
404.1509, 404.1520(a)(4)(ii), (c))).
“Courts in the Second Circuit have found that ‘[a] finding of
not severe should be made if the medical evidence establishes only
a slight abnormality which would have no more than a minimal effect
on an individual's ability to work.’” Bruno v. Colvin, No. 13-CV-
7298 (DLI), 2015 WL 4629225, at *7 (E.D.N.Y. Aug. 3, 2015) (quoting
Juarbe v. Astrue, 2011 WL 4542964, at *6 (D. Conn. Aug. 30, 2011),
report and recommendation adopted, 2011 WL 4542962 (D. Conn. Sept.
28, 2011)).
Mr. Joseph argues that the ALJ failed to accurately classify
his right shoulder impairment as severe, which he argues warrants
a remand. (ECF No. 10, Pl.’s Mem. 14–16.) However, substantial
evidence supports the ALJ’s finding that Mr. Joseph’s shoulder
impairment was not severe. The ALJ determined that Mr. Joseph’s
right shoulder impairment was not severe “because it did not last
for 12 months.” (R.86.) In reaching this conclusion, the ALJ
considered the record, and specifically Exhibit 1F, which he found
“indicate[d] that by May 2019, the claimant had full range of
motion[.]” (Id.)
Exhibit 1F states that Mr. Joseph was initially injured on
May 24, 2018, when a vehicle struck a truck that Mr. Joseph was
loading, causing him to fall to the ground. (R.284.) Exhibit 1F
further states that on April 18, 2019—within 12 months of Mr.
Joseph’s initial injury—Dr. Abiola Familusi examined Mr. Joseph
for a follow up and noted that Mr. Joseph “continues to improve.
His pain is now on and off. He is able to do his exercises without
any problems. He still has some difficulty bending down to pick up
anything from the floor. However, the back pain is improving. It
is about 3/10. No weakness of the lower extremities. No numbness
or tingling sensation of the lower extremities.” (R.311-313.) The
report specifically notes “minimal tenderness in the shoulder
area” and a plan to “[d]iscontinue physical therapy at this point”
and instead continue, inter alia, a “home exercise program[.]”
(R.312.) Exhibit 1F further states on May 15, 2019, Dr. Jeffrey
Passick conducted an orthopedic re-examination of Mr. Joseph’s
impairments. (R.373.) Dr. Passick found no impingement,
tenderness, or effusion in Mr. Joseph’s right shoulder. (R.376)4
Although the ALJ cited only to Exhibit 1F as part of his Step
Two analysis, his later analysis also considers that in a February
2020 report, Dr. Fkiaras examined Mr. Joseph and noted a somewhat
decreased range of motion in the right shoulder. (R.90.)
Accordingly, substantial evidence supports the ALJ’s finding that
Mr. Joseph’s shoulder impairment was not severe because it did not
last for twelve months, nor was expected to last for twelve months
4 Because the ALJ does not explicitly note in this section which part of Exhibit
1F he references, it is not clear whether he considered Dr. Passick’s May 2019
report in Exhibit 1F specifically for the severity analysis at Step Two.
However, the ALJ later notes that Dr. Passick’s May 2019 opinion is not
persuasive because although the opinion was “supported by a detailed report
containing his clinical findings on physical examination,” he continues that
“[h]is opinion that the claimant has no physical limitations at all, however,
is simply inconsistent with the longitudinal medical record.” (R.92.) The ALJ
appears to specifically disagree with Dr. Passick’s conclusion that the claimant
“had 0% orthopedic disability”; was “capable of performing all the tasks of
daily living and maintaining full employment without restrictions”; and had “no
physical limitations at all[.]” (Id.) Conflicting evidence in the record is for
the ALJ to resolve. See Difiglia v. Comm'r of Soc. Sec. Admin., No. 22-cv-6825
(KAM), 2024 WL 1332502, at *11 (E.D.N.Y. Mar. 28, 2024) (citing Veino v.
Barnhart, 312 F.3d 578, 588 (2d Cir. 2002)).
or longer. See Duran, 618 F. Supp. 3d at 98 (“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.” (internal quotations omitted)); see also Benjamin,
No. 21-CV-2912 (KAM), 2024 WL 1319560, at *4 (noting that “[a]n
ALJ's finding is considered supported by substantial evidence if
any reasonable factfinder could have made the same finding, even
if substantial evidence also supports the claimant's position”);
Difiglia v. Comm'r of Soc. Sec. Admin., No. 22-CV-6825 (KAM), 2024
WL 1332502, at *6 (E.D.N.Y. Mar. 28, 2024) (“If there is
substantial evidence in the record to support the Commissioner's
findings as to any fact, those findings are conclusive and must be
upheld.”).
In turn, Mr. Joseph relies in part on medical documentation
from immediately after or less than a year after his initial
injury, and in part on a later report from June 2019 that does not
speak clearly to his shoulder injury. (ECF No. 10-1, Pl.’s Mem.
14–16.) Mr. Joseph has not met his burden of proof at Step Two to
show he has a severe shoulder injury that lasted or was expected
to last for twelve months or longer. See Difiglia, No. 22-CV-6825
(KAM), 2024 WL 1332502, at *6 (“It is ‘up to the agency,’ however,
and ‘not this court, to weigh the conflicting evidence in the
record.’” (quoting Clark v. Comm'r of Soc. Sec., 143 F.3d 115, 118
(2d Cir. 1998))).
Further, even if the ALJ did incorrectly assess the right
shoulder impairment as not severe, the error would not warrant
remand because “when there are multiple impairments, and the ALJ
finds that only some of the impairments, but not others, are
severe,” as the ALJ did here, “any error in the severity analysis
is harmless because the ALJ continues with the with the [sic]
sequential analysis, and does not deny plaintiff's application
based the second step alone.” Kemp v. Comm'r of Soc. Sec., No. 10-
CV-1244 (GLS) (ATB), 2011 WL 3876526, at *8 (N.D.N.Y. Aug. 11,
2011), report and recommendation adopted, No. 10-CV-1244 (NAM)
(ATB), 2011 WL 3876419 (N.D.N.Y. Aug. 31, 2011); see also Tryon v.
Astrue, No. 10–CV–537 (MAD), 2012 WL 398952, at *3 (N.D.N.Y. Feb.
7, 2012) (finding that because the ALJ proceeded with the analysis
and included claimant's severe and non-severe impairments in the
RFC determination, there was no basis to remand this matter based
upon the ALJ's Step Two analysis.)
II. The ALJ’s Finding that Mr. Joseph’s Impairments Did Not Meet
or Equal the Applicable Listings was Supported by Substantial
Evidence
At Step Three, the Commissioner must decide whether any of
the claimant’s impairments meet or equal one of the listed
impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. See 20
C.F.R. § 404.1520(a)(4)(iii), (d); § 404.1525. A claimant must
either “‘meet all of the specified medical criteria [in the
listing],’” Flores v. Comm'r of Soc. Sec., 644 F. Supp. 3d 53, 64
(S.D.N.Y. 2022) (quoting Sullivan v. Zebley, 493 U.S. 521, 530
(1990) (emphasis omitted)), or alternatively “show that his
impairment is ‘medically equivalent’ to a Listing, meaning that it
is ‘at least equal in severity and duration to the criteria of any
listed impairment,’” Id. (quoting 20 C.F.R. § 404.1526(a)).
Further, the ALJ need not “‘explicitly discuss every Listing
in his written opinion, and there is no error in failing to discuss
a particular Listing when substantial evidence indicates a
claimant did not satisfy the Listing.’” Id. (quoting Jones v.
Berryhill, 415 F. Supp. 3d 401, 419 (S.D.N.Y. 2019). If the ALJ
only cursorily mentions a particular Listing without providing an
“express rationale,” there is no error if the ALJ's determination
is otherwise supported by substantial evidence in the record.
Salmini v. Commissioner of Social Security, 371 F. App'x 109, 112
(2d Cir. 2010).
Mr. Joseph argues that the ALJ erred at Step Three in failing
to analyze whether Mr. Joseph’s impairments met or were medically
equivalent to Listing 1.15, which lists criteria for disorders of
the skeletal spine. (ECF No. 10-1, Pl.’s Mem. 17–19.) However,
Listing 1.15 replaced Listing 1.04, effective April 2, 2021. See
SSAR 15-1(4), 85 Fed. Reg. 79063 (Dec. 8, 2020). Because Mr. Joseph
brought his claim before the effective date, the ALJ properly
applied Listing 1.04 in his analysis. See Riddick v. Saul, No. 20-
cv-5396 (AMD), 2022 WL 784722, at *2 n.1 (E.D.N.Y. Mar. 15, 2022)
(applying Listing 1.04 because “Listing 1.04(A) was replaced by
Listing 1.15 effective April 2, 2021” and that “the plaintiff's
claim was brought before [] the effective date”).
The ALJ gave “[s]pecific consideration [] to listing 1.04
(disorders of the spine).” (R.86.) The ALJ found that “[t]he
medical evidence of record did not document signs, symptoms, and/or
laboratory findings indicating any impairment severe enough to
meet the criteria of any listed impairment[.]” (Id.) Citing to
specific portions of Exhibits 9F, 11F, and 18F, the ALJ noted that
“[m]any of the neurological examinations were either normal or
within normal limits[.]” (Id.)
The evidence the ALJ cited include reports indicating, for
example, normal neurologic findings and normal examinations of the
cervical spine, lumbar spine, and right shoulder (R. 659, 704, 712
803, 825.) Although the ALJ did not specifically analyze the cited
portions of the record, the record indicates that substantial
evidence supports his conclusion. See Perozzi v. Berryhill, 287 F.
Supp. 3d 471, 482 (S.D.N.Y. 2018) (rejecting claimant's contention
that remand is required, notwithstanding that the ALJ conducted
“no analysis whatsoever of the elements of [Listing 1.04]” because
“a court has the power to uphold an ALJ's conclusion at step three
of the analysis in the ‘absence of an express rationale...[where]
portions of the ALJ's decision and the evidence before him indicate
that his conclusion was supported by substantial evidence’”
(quoting Berry v. Schweiker, 675 F.2d 464, 468 (2d Cir. 1982))).
Accordingly, substantial evidence supports the ALJ’s
conclusion that Mr. Joseph’s impairments did not meet or equal
Listing 1.04.
III. The ALJ Failed to Properly Analyze Mr. Joseph’s Subjective
Statements
Mr. Joseph argues that the ALJ erred in stating that his
testimony was inconsistent with the evidence of record. The Court
agrees.
Social Security regulations require a two-step process for
evaluating a claimant’s assertions of pain and other symptoms.
First, “the ALJ must decide whether the claimant suffers from a
medically determinable impairment that could reasonably be
expected to produce the symptoms alleged.” Genier v. Astrue, 606
F.3d 46, 49 (2d Cir. 2010) (citing 20 C.F.R. § 404.1529(b)). “If
the claimant does suffer from such an impairment, at the second
step, the ALJ must consider ‘the extent to which [the claimant's]
symptoms can reasonably be accepted as consistent with the
objective medical evidence and other evidence’ of record.” Id.
(quoting 20 C.F.R. § 404.1529(a)). In doing so, the ALJ must
consider certain factors “in evaluating the intensity and
persistence of a claimant's” subjective symptoms. Lao v. Colvin,
No. 14-CV-7507 (ADS), 2016 WL 2992125, at *15 (E.D.N.Y. May 23,
2016). “In this analysis, the ALJ must consider: (1) the claimant's
daily activities; (2) the location, duration, frequency, and
intensity of the pain; (3) precipitating and aggravating factors;
(4) the type, dosage, effectiveness, and side effects of any
medications taken to alleviate the pain; (5) any treatment, other
than medication, that the claimant has received; (6) any other
measures that the claimant employs to relieve the pain; and (7)
other factors concerning the claimant's functional limitations and
restrictions as a result of the pain.” Maldonado v. Comm'r of Soc.
Sec., No. 12-CV-5297 (JO), 2014 WL 537564, at *17 (E.D.N.Y. Feb.
10, 2014) (quoting Meadors v. Astrue, 370 F. App’x 179, 184 n.1
(2d Cir. 2010) (citing 20 C.F.R. § 404.1529(c)(3)(i)-(vii))).
Although the ALJ is “‘not require[d] to accept the claimant’s
subjective complaints without question,’” and the ALJ “‘may
exercise discretion in weighing the credibility of the claimant's
testimony in light of the other evidence in the record,’” Campbell
v. Astrue, 465 F. App'x 4, 7 (2d Cir. 2012) (internal quotation
omitted) (quoting Genier, 606 F.3d at 49), “[w]here the ALJ fails
sufficiently to explain a finding that the claimant's testimony
was not entirely credible, remand is appropriate.” Valet v. Astrue,
No. 10-CV-3282 (KAM), 2012 WL 194970, at *22 (E.D.N.Y. Jan. 23,
2012). Indeed, “[t]he determination or decision must contain
specific reasons for the weight given to the individual's symptoms,
be consistent with and supported by the evidence, and be clearly
articulated so the individual and any subsequent reviewer can
assess how the adjudicator evaluated the individual's symptoms.”
SSR 16-3P, 2017 WL 5180304 (Oct. 25, 2017); see also Williams v.
Berryhill, No. 17-CV-1660 (JMA), 2019 WL 1271647, at *5 (E.D.N.Y.
Mar. 19, 2019) (quoting similar language from SSR 96-7p, which
predated SSR 16-3p). In doing so, that ALJ should “specify” “any
of [claimant’s] statements” that are “inconsistent with medical
evidence in the record” and “explain why he chooses to discredit
them with reference to the applicable factors” in 20 C.F.R
§404.1529(c)(3)(i)-(vii). Maldonado, No. 12-CV-5297 (JO), 2014 WL
537564, at *17. Ultimately, “[w]here an ALJ rejects witness
testimony as not credible, the basis for the finding ‘must...be
set forth with sufficient specificity to permit intelligible
plenary review of the record.’” Acevedo v. Saul, 577 F. Supp. 3d
237, 246 (S.D.N.Y. 2021) (quoting Williams ex rel. Williams v.
Bowen, 859 F.2d 255, 260-61 (2d Cir. 1988)).
Here, the ALJ “failed adequately to assess the credibility of
[Mr. Joseph’s] statements,” which is cause for remand. Valet, No.
10-CV-3282 (KAM), 2012 WL 194970, at *21-22. First, although the
ALJ addressed the first and second step of the analysis of Mr.
Joseph’s subjective complaints, the decision failed to specify
specific statements from Mr. Joseph “concerning the intensity,
persistence and limiting effects of [his] symptoms” that the ALJ
determined were not “entirely consistent with the medical evidence
and other evidence in the record[.]” (R.88.) Indeed, although the
ALJ states that he has followed the requirements of “20 CFR
404.1529 and SSR 16-3p,” nowhere does the ALJ specify any of Mr.
Joseph’s statements of his subjective symptoms “and explain why he
chooses to discredit them with reference to the applicable
regulatory factors[.]” Maldonado, No. 12-CV-5297 (JO), 2014 WL
537564, at *17. Although the ALJ briefly discusses Mr. Joseph’s
“daily activities” and some of his non-medication treatment (R.91-
92), he fails to discuss, for example, “the location, duration,
frequency, and intensity of” Mr. Joseph’s pain, although Mr. Joseph
testified to it at the hearing5; any “precipitating and aggravating
factors,” though Mr. Joseph also testified to not being able to
“bend down” or “stand up for a long time” and only being able to
“take just a couple steps” to get the blood flowing in his legs
(R.29-30); medications that the record indicates Mr. Joseph takes
to “alleviate [his] pain” and their “dosage, effectiveness, and
side effects”6; or “[o]ther factors concerning [Mr. Joseph’s]
5 Mr. Joseph testified that the most he can lift without feeling pain is a “can
of soda” because he does not “have the strength.” (R.34.) In October 2020, Dr.
Joshua Auerbach recommended Mr. Joseph have surgery because he “has failed
therapy and injections, and “unfortunately his pain persists despite
conservative treatment.” (R.795.) One month prior to Mr. Joseph’s testimony,
Dr. Marshall Kurtz agreed with Dr. Auerbach’s 2020 assessment and noted that
Mr. Joseph “has sustained a significant impact on quality of life and has
exhausted all reasonable conservative treatment options.” (R.825.)
6 Mr. Joseph testified to taking “Prozac, Trazodone, Olanzapine, Naprosyn,
Xanax, Buspirone, Zyprexa” and other medications such as oxycodone, muscle
relaxers, and antibiotics from his spinal surgery. (R.31-32.) This testimony is
supported by other medical reports in the record that list Mr. Joseph’s
medications. (R.765-788.)
functional limitations and restrictions due to pain or other
symptoms,” like Mr. Joseph’s daily use of a cane at the time of
his testimony, (R.33.); § 404.1529(c)(3)(i)-(vii).
Thus, because the ALJ insufficiently applied the factors in
§ 404.1529(c)(3), remand is appropriate. See Valet, No. 10-CV-3282
(KAM), 2012 WL 194970, at *22; see also Cabibi v. Colvin, 50 F.
Supp. 3d 213, 237 (E.D.N.Y. 2014) (finding improper analysis of
factors in § 404.1529(c)(3)(i)-(vii) a “serious flaw in [ALJ’s]
credibility determination”); Kane v. Astrue, 942 F. Supp. 2d 301,
314 (E.D.N.Y. 2013) (finding “ALJ's credibility analysis was
insufficient” where “ALJ did not explicitly refer to or discuss
any of the factors listed in 20 C.F.R. 404.1529(c)(3)” and
collecting cases); Pereyra v. Astrue, No. 10-CV-5873 (DLI), 2012
WL 3746200, at *15 (E.D.N.Y. Aug. 28, 2012) (noting that where
“the ALJ neglects to discuss at length his credibility
determination to the extent the reviewing court cannot decide
whether there are legitimate reasons for the ALJ's disbelief and
whether his decision is supported by substantial evidence, remand
is appropriate” and remanding where the ALJ failed “to discuss the
intensity, duration, and frequency of [claimant’s] pain” or
“address other methods Plaintiff employed to relieve her pain,”
specifically the use of, inter alia, a cane).
Indeed, the ALJ’s decision offers boiler-plate language as to
the assessment of Mr. Joseph’s subjective symptoms, then reviews
Mr. Joseph’s medical history and various parts of the medical
record. The failure to properly consider the credibility factors
is erroneous. Here, as in Williams v. Berryhill, the ALJ’s “initial
credibility determination [] prevent[ed] meaningful judicial
review” where the ALJ
used the boilerplate language that Plaintiff's
‘medically determinable impairments could reasonably be
expected to cause the alleged symptoms; [but his]
statements concerning the intensity, persistence and
limiting effects of these symptoms are not entirely
consistent with the medical evidence and other evidence
in the record for the reasons explained in this
decision.’ However, [the] ALJ [] then failed to explain
how Plaintiff's statements were incredible—he merely
recited Plaintiff's medical history and pointed to a few
limited activities Plaintiff indicated he could perform
in support of the RFC determination. That falls short of
a proper credibility analysis in accordance with the
Commissioner's regulations and case law.
No. 17-CV-1660 (JMA), 2019 WL 1271647, at *5 (internal citation
omitted) (emphasis in original).
Here, the ALJ’s decision, including the boiler-plate language
followed by a recitation of Mr. Josephs’ medical history, mirrors
the error in Williams. That the ALJ here offered a significant
summary of the medical records is not a substitute for properly
assessing Mr. Joseph’s subjective symptoms. See Smith v. O'Malley,
No. 23-CV-02339 (JLC), 2024 WL 1983881, at *13 (S.D.N.Y. May 6,
2024) (finding that the ALJ used the same boiler-plate language as
in Williams v. Berryhill and that, “as in Williams, the ALJ merely
recited Smith's medical history, which falls ‘short of a proper
credibility analysis in accordance with the Commissioner's
regulations and case law’” (quoting Williams, No. 17-CV-1660
(JMA), 2019 WL 1271647, at *5)).
Accordingly, because the ALJ “failed adequately to assess the
credibility of [Mr. Joseph’s] statements,” remand is appropriate.
Valet, No. 10-CV-3282 (KAM), 2012 WL 194970, at *21-22.
IV. Mr. Joseph’s Remaining Arguments
Mr. Joseph’s remaining arguments amount to: (1) arguing that
the ALJ erred in not considering the entirety of two consultative
examination reports—one from Dr. Fkiara and one from Dr. Fujiwaki—
when determining the RFC, thus warranting remand, (ECF No. 10-1,
Pl. Mem. at 22); (2) arguing that the ALJ failed to sufficiently
consider Mr. Joseph’s limitations when making the RFC finding of
Light Work, (Id. at 19); (3) arguing that the hypothetical
questions the ALJ asked the vocational expert did not fully reflect
all Mr. Joseph’s limitations, and thus the testimony is inadequate
to support the ALJ’s conclusions, (Id. at 23); and (4) appearing
to argue that the ALJ erred by failing to sufficiently focus on
Mr. Joseph’s ability to sustain work activities, (Id.).
To the extent Mr. Joseph argues that the ALJ erred in not
considering the entirety of two consultative examination reports—
one from Dr. Fkiara and one from Dr. Fujiwaki—when determining the
RFC, the argument is without merit. And as noted above, the ALJ
need not “mention[] every item of testimony presented to him or
have explained why he considered particular evidence unpersuasive
or insufficient to lead him to a conclusion of disability[.]”
Campbell, 465 F. App’x at 6; see also My-Lein L. v. Comm'r of Soc.
Sec., 551 F. Supp. 3d 100, 104 (W.D.N.Y. 2021) (“It is well settled
that the ALJ is not required to formulate the RFC by adopting any
one medical opinion in its entirety.”).
Mr. Joseph’s remaining arguments are that remand is
appropriate because the ALJ failed to sufficiently consider Mr.
Joseph’s limitations when making the RFC finding of Light Work;
because the hypothetical questions the ALJ asked the vocational
expert did not fully reflect all Mr. Joseph’s limitations; and
because the ALJ erred by failing to sufficiently focus on Mr.
Joseph’s ability to sustain work activities. Because the Court
concludes that the ALJ did not properly evaluate Mr. Joseph’s
subjective symptoms, and therefore it cannot “subject his RFC
determination to meaningful review,” the Court directs the
consideration of these arguments on remand. Meadors, 370 F. App'x
at 183, 185 (“Because…the ALJ did not properly evaluate the
Appellant's testimony regarding her pain, we are unable to give
his calculation of Appellant's RFC meaningful review. On remand
the ALJ must consider Appellant's subjective complaints of pain
under the proper standard and calculate her RFC accordingly.”).
Conclusion
For the foregoing reasons, Mr. Joseph’s motion for judgment
on the pleadings is GRANTED, the Commissioner’s motion is DENIED,
and this case is remanded for further proceedings consistent with
this Memorandum and Order. The Clerk of Court is respectfully
directed to enter judgment in favor of Mr. Joseph and close this
case,
SO ORDERED.
Dated: July 24, 2024 b =
Brooklyn, New York f? —*~
□ - eo we Ss □□□
KIYO A. MATSUMOTO
United States District Judge
Eastern District of New York
23