“The RFC is determined by considering all relevant evidence”
How later courts described this case
- “The RFC is determined by considering all relevant evidence”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF NEW YORK
WAYNE E.,
Plaintiff,
Vv. 1:23-CV-1178
(DJS)
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
APPEARANCES: OF COUNSEL:
WAYNEE.
Plaintiff, Pro Se
Petersburg, New York 12138
U.S. SOCIAL SECURITY ADMIN. CANDACE BROWN CASEY, ESQ.
OFFICE OF THE GENERAL COUNSEL
Attorney for Defendant
6401 Security Boulevard
Baltimore, Maryland 21235
DANIEL J. STEWART
United States Magistrate Judge
MEMORANDUM-DECISION AND ORDER!
Pro se Plaintiff, Wayne E., brought this action pursuant to 42 U.S.C. § 405(g)
seeking review of a decision by the Commissioner of Social Security that Plaintiff was
not disabled. Currently before the Court are Plaintiff's Motion for Judgment on the
' Upon Plaintiffs consent, the United States’ general consent, and in accordance with this District’s General Order
18, this matter has been referred to the undersigned to exercise full jurisdiction pursuant to 28 U.S.C. § 636(c) and
Federal Rule of Civil Procedure 73. See Dkt. No. 9 & General Order 18.
Pleadings and Defendant’s Motion for Judgment on the Pleadings. Dkt. Nos. 21 & 27-
28. For the reasons set forth below, it is recommended that Plaintiff's Motion for
Judgment on the Pleadings be denied and Defendant’s Motion be granted.
I. RELEVANT BACKGROUND
A. Background
Plaintiff was born in 1959, is high school educated, and has past work experience
as a mechanic and firewood cutter. Dkt. No. 16, Admin. Tr. (“Tr.”’), pp. 303 & 308.
Plaintiff alleges disability stemming from left shoulder injury, left bicep injury, back
injury, and right hip pain. Tr. at p. 307. In March 2021, Plaintiff protectively applied
for disability insurance benefits and supplemental security income, alleging a disability
“| onset date of January 1, 2017. Tr. at pp. 278-288. Plaintiff's application was denied,
prompting him to request a hearing before an Administrative Law Judge (“ALJ”). Tr.
at pp. 90-117, 122-162, & 226. On June 7, 2022, Plaintiff appeared at a hearing before
ALJ Andrew Soltes. Tr. at pp. 50-89.* On August 2, 2022, the ALJ issued a written
decision finding Plaintiff was not disabled under the Social Security Act. Tr. at pp. 11-
22. Thereafter, the Appeals Council denied Plaintiff's request for review, making the
ALJ’s decision the final decision of the Commissioner. Tr. at pp. 1-4.
2 Though pro se in this proceeding, Plaintiff was represented by counsel at his administrative hearing.
B. The ALJ’s Decision
In his decision, the ALJ made the following findings of fact and conclusions of
law. First, the ALJ found that Plaintiff last met the insured status requirements of the
Social Security Act through December 31, 2019 and had not engaged in substantial
“| gainful activity since the alleged disability onset date. Tr. at p. 14. Second, the ALJ
found that Plaintiff had the following severe impairments: degenerative joint disease of
the shoulders; degenerative disc disease with radiculopathy; back disorder; and status-
post right hip surgery. /d. Third, the ALJ found that Plaintiff does not have an
impairment or combination of impairments that meets or medically equals one of the
listed impairments in 20 C.F.R. § 404, Subpart P, App. 1 (the “Listings”). /d. Fourth,
ALJ found that Plaintiff has the residual functional capacity (“RFC”) to perform
medium work except:
[T]his individual is able to frequently reach. This individual is able to
occasionally stoop and crouch. This individual cannot perform kneeling or
crawling. He cannot climb ladders, ropes, or scaffolds. He cannot work at
unprotected heights. This individual must avoid the use of heavy machinery
as well as motor vehicles for work purposes.
Tr. at p. 15. Fifth, the ALJ found that Plaintiff was unable to perform any past relevant
work. Tr. at p. 20. Sixth, the ALJ found that based upon Plaintiff's age, education, and
RFC there were jobs existing in significant numbers in the national economy that
Plaintiff could perform, such as linen room attendant, laundry laborer, and laundry
worker. Tr. at p. 21. The ALJ, therefore, concluded that Plaintiff is not disabled. Tr. at
p. 22.
Il. RELEVANT LEGAL STANDARDS
A. Standard of Review
A court reviewing a denial of disability benefits may not determine de novo
whether an individual is disabled. 42 U.S.C. § 405(g); Wagner v. Sec’y of Health &
Human Servs., 906 F.2d 856, 860 (2d Cir. 1990). Rather, the Commissioner’s
determination will be reversed only if the correct legal standards were not applied, or it
was not supported by substantial evidence. See Johnson vy. Bowen, 817 F.2d 983, 986
(2d Cir. 1987) (“Where there is a reasonable basis for doubt whether the ALJ applied
correct legal principles, application of the substantial evidence standard to uphold a
finding of no disability creates an unacceptable risk that a claimant will be deprived of
“| the right to have her disability determination made according to the correct legal
principles.”); accord Grey v. Heckler, 721 F.2d 41, 46 (2d Cir. 1983), Marcus v.
Califano, 615 F.2d 23, 27 (2d Cir. 1979). “Substantial evidence” is evidence that
amounts to “more than a mere scintilla,” and has been defined as “such relevant evidence
as a reasonable mind might accept as adequate to support a conclusion.” Richardson v.
Perales, 402 U.S. 389, 401 (1971). Where evidence is deemed susceptible to more than
one rational interpretation, the Commissioner’s conclusion must be upheld. Rutherford
v. Schweiker, 685 F.2d 60, 62 (2d Cir. 1982).
“To determine on appeal whether the ALJ’s findings are supported by substantial
evidence, a reviewing court considers the whole record, examining evidence from both
sides, because an analysis of the substantiality of the evidence must also include that
which detracts from its weight.” Williams v. Bowen, 859 F.2d 255, 258 (2d Cir. 1988).
If supported by substantial evidence, the Commissioner’s finding must be sustained
“even where substantial evidence may support the plaintiff's position and despite that
the court’s independent analysis of the evidence may differ from the [Commissioner’s].”
Rosado v. Sullivan, 805 F. Supp. 147, 153 (S.D.N.Y. 1992). In other words, this Court
must afford the Commissioner’s determination considerable deference, and may not
substitute “its own judgment for that of the [Commissioner], even if it might justifiably
have reached a different result upon a de novo review.” Valente v. Sec’y of Health &
Human Servs., 733 F.2d 1037, 1041 (2d Cir. 1984).
B. Standard to Determine Disability
The Commissioner has established a five-step evaluation process to determine
whether an individual is disabled as defined by the Social Security Act. 20 C.F.R. §§
404.1520, 416.920. The Supreme Court has recognized the validity of this sequential
evaluation process. Bowen vy. Yuckert, 482 U.S. 137, 140-42 (1987). The five-step
process is as follows:
First, the [Commissioner] considers whether the claimant is currently
engaged in substantial gainful activity. If he is not, the [Commissioner]
next considers whether the claimant has a “severe impairment” which
significantly limits his physical or mental ability to do basic work
activities. If the claimant suffers such an impairment, the third inquiry is
whether, based solely on medical evidence, the claimant has an
impairment which is listed in Appendix 1 of the regulations. If the
claimant has such an impairment, the [Commissioner] will consider him
disabled without considering vocational factors such as age, education,
and work experience; the [Commissioner] presumes that a claimant who
is afflicted with a “listed” impairment is unable to perform substantial
gainful activity. Assuming the claimant does not have a listed impairment,
the fourth inquiry is whether, despite the claimant’s severe impairment, he
has the residual functional capacity to perform his past work. Finally, if
the claimant is unable to perform his past work, the [Commissioner] then
determines whether there is other work which the claimant could perform.
Under the cases previously discussed, the claimant bears the burden of the
proof as to the first four steps, while the [Commissioner] must prove the
final one.
Berry v. Schweiker, 675 F.2d 464, 467 (2d Cir. 1982); accord McIntyre v. Colvin, 758
F.3d 146, 150 (2d Cir. 2014). “If at any step a finding of disability or non-disability can
be made, the SSA will not review the claim further.” Barnhart v. Thompson, 540 U.S.
20, 24 (2003).
C. Plaintiff's Pro Se Status
Given that Plaintiff 1s proceeding pro se the Court is mindful of its obligation to
“engage in a searching inquiry when deciding whether substantial evidence supports an
administrative fact finding, whether or not a pro se litigant is perceptive enough to
identify a specific evidentiary deficiency.” Smith v. Comm’r of Soc. Sec., 2014 WL
3392336, at *4 (N.D.N.Y. July 10, 2014) (citing Monette v. Astrue, 269 F. App’x 109,
110 (2d Cir. 2008)). In doing so, the Court has held Plaintiff's “pleadings to less
”| stringent standards than formal pleadings drafted by lawyers” and has construed them
“to raise the strongest arguments that they suggest.” Rose v. Comm’r of Soc. Sec., 202
F. Supp. 3d 231, 239 (E.D.N.Y. 2016) (internal quotations and citations omitted).
II. SEQUENTIAL ANALYSIS
Because Plaintiff has vaguely identified potential errors in the ALJ’s analysis,
see generally Dkt. No. 21, the Court has examined the record at each step of the
sequential analysis for error.
“At step one of the sequential analysis, the ALJ must consider a plaintiff's work
activity during the period of alleged disability.” Parks v. Comm’r of Soc. Sec., 2016
WL 590227, at *4 (N.D.N.Y. Feb. 11, 2016) (citing C.F.R. § 404.1520(a)()). “If the
claimant is currently engaged in substantial gainful employment, she will be found not
disabled.” Ewing v. Astrue, 2013 WL 1213129, at *4 (N.D.N.Y. Mar. 22, 2013). Here,
the ALJ found that Plaintiff had not engaged in substantial gainful employment since
“| the alleged onset date of his disability through his date last insured. Tr. at p. 14. The
record supports this conclusion. Tr. at p. 302 (earnings record reflecting no income after
the alleged onset date).
“At step two of the sequential analysis, the ALJ must determine whether the
claimant has a ‘severe medically determinable physical or mental impairment.’” Pepper
Comm ’r of Soc. Sec., 2015 WL 3795879, at *2 (N.D.N.Y. June 17, 2015) (quoting 20
C.F.R. § 404.1520(a)(4)(i1)).. A condition will be found not severe when it does not
significantly impact or limit the individual’s ability to do basic work. /d. Prior to his
hearing before the ALJ, Plaintiff identified arm, back, and hip pain as his disabling
medical conditions. Tr. at p. 307. The ALJ found Plaintiff to suffer from the following
severe impairments: degenerative joint disease of the shoulders; degenerative disc
disease with radiculopathy; back disorder; and status-post right hip surgery. Tr. at p.
14. The ALJ’s findings at these first two steps were clearly favorable to Plaintiff and
no basis for remand.
“Step three requires a determination as to ‘whether, based solely on medical
evidence, the claimant has an impairment which is listed in Appendix 1 of the
regulations.’” Rivas v. Barnhart, 2005 WL 183139, at *19 (S.D.N.Y. Jan. 27, 2005)
(quoting Berry v. Schweiker, 675 F.2d 464, 467 (2d Cir. 1982)). “For a claimant to show
that his impairment matches a listing, it must meet a// of the specified medical criteria.
An impairment that manifests only some of those criteria, no matter how severely, does
not qualify.” Sullivan v. Zebley, 493 U.S. 521, 530 (1990). Here, the ALJ considered
“| whether Plaintiff’s condition met Listings 1.15. or 1.16 and concluded that it did not.
Tr. at p. 14.
Upon review, the ALJ’s conclusion in this regard is supported by substantial
evidence. Listings 1.15 and 1.16 involve spinal disorders and have specific diagnostic
criteria that must be satisfied. Elly D. v. Comm’r of Soc. Sec., 726 F. Supp. 3d 46, 54
(D. Conn. 2024). There was no opinion from any medical provider noting that Plaintiff
suffered from a disorder that would satisfy Listings 1.15 and/or 1.16. See Tr. at p. 14.
As the ALJ stated, “the record does not document the inability to use one upper
extremity to independently initiate, sustain, and complete work-related activities
involving fine and gross movements, and a documented medical need for a one-handed,
hand-held assistive device, or an inability to use both upper extremities to the extent that
neither can be used to independently initiate, sustain, and complete work-related
activities involving fine and gross movements. . . . Additionally, the record does not
contain findings on imaging or in an operative report that are consistent with
compromise of the cauda equina with lumbar spinal stenosis.” /d. In fact, Plaintiff
“) himself stated that he can lift logs and use a chainsaw. Tr. at p. 1070. Moreover, Dr.
Azad opined that Plaintiff's “[c]ervical spine shows full flexion, extension, lateral
flexion, and full rotary movement bilaterally.” Tr. at p. 947. The Listings at issue
require evidence of spinal nerve disorder and/or lumbar spinal stenosis. 4 SOC. SEC.
PRAC. GUIDE § 29.01. Because there is nothing in the record satisfying this requirement,
and evidence to the contrary exists, this record clearly provided substantial evidence to
support the ALJ’s conclusion that Plaintiff did not meet the Listings.
Prior to moving to step 4, the ALJ must determine the Plaintiff's residual
functional capacity. 20 C.F.R. § 404.1520(e); Hall v. Colvin, 2016 WL 6989806, at *10
(N.D.N.Y. Nov. 29, 2016). “In assessing a claimant’s RFC, an ALJ must consider all
of the relevant medical and other evidence, including a claimant’s subjective complaints
of pain.” Mills v. Astrue, 2012 WL 6681685, at *3 (N.D.N.Y. Dec. 21, 2012) (internal
quotations and citations omitted); see also Knapp v. Apfel, 11 F. Supp. 2d 235, 238
(N.D.N.Y. 1998) (“The RFC is determined by considering all relevant evidence”). The
question for the Court is whether the RFC is supported by substantial evidence. Mills
v. Astrue, 2012 WL 6681685, at *3.
A claimant’s RFC is the most he can still do despite his limitations. Penny Ann
W. v. Berryhill, 2018 WL 6674291, at *4 (N.D.N.Y. Dec. 19, 2018). The ALJ has broad
discretion “to review the opinions of record and weigh them accordingly along with
Plaintiff's testimony, reports, and treatment history to determine [the] RFC.” Nesiba O.
Sv. Comm’r of Soc. Sec., 2019 WL 464882, at *7 (N.D.N.Y. Feb. 6, 2019); see also
Jennifer Lee W. v. Berryhill, 2019 WL 1243759, at *6 (N.D.N.Y. Mar. 18, 2019) (it is
the ALJ’s role “to choose between properly submitted medical opinions.”).
Additionally, “[i]t is the province of the ALJ to resolve genuine conflicts in the record.”
Clemons v. Comm’r of Soc. Sec., 2017 WL 766901, at *4 (N.D.N.Y. Feb. 27, 2017)
(citing Veino v. Barnhart, 312 F.3d 578, 588 (2d Cir. 2002)). As a result, when the
“| ALJ’s conclusions find reasonable support in the record, courts “will defer to the ALJ’s
resolution” regarding the appropriate weight to be afforded to various medical opinions.
Teresa L. v. Comm’r of Soc. Sec., 2020 WL 6875254, at *7 (W.D.N.Y. Nov. 23, 2020).
The ALJ here found Plaintiff had the RFC to perform medium work with the
following additional limitations.
[T]his individual is able to frequently reach. This individual is able to
occasionally stoop and crouch. This individual cannot perform kneeling or
crawling. He cannot climb ladders, ropes, or scaffolds. He cannot work at
unprotected heights. This individual must avoid the use of heavy machinery
as well as motor vehicles for work purposes.
Tr. at p. 15. When an ALJ sets forth “specific reasons” supporting the RFC
determination, the RFC is supported by substantial evidence such that the decision
should be affirmed. See, e.g., Botta v. Colvin, 669 F. App’x 583, 584 (2d Cir. 2016).
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Here, the ALJ undertook a thorough analysis of the medical opinions and records in
explaining his conclusions.
The ALJ found that “the claimant’s allegations are not fully consistent with the
overall record, which shows conservative treatment, a largely unremarkable consultative
examination, and routinely intact examination findings.” Tr. at p. 17. In so finding, the
ALJ highlighted the following medical opinions. PT Kane opined that Plaintiff had no
difficulty standing or walking. Tr. at 785. Similarly, patient records show that Plaintiff
“Twalks with a normal gait,” has a normal spinal contour, “[n]o obvious instability of
the right hip,” and full range of movement of both hips. Tr. at p. 744. Plaintiff even
continued work as a logger and “described his daily activities to include using a
“| chainsaw for cutting wood, sp[l]itting, stacking, loading, and delivering the wood.” Tr
at pp. 18 & 106. The ALJ concluded that “the ability to perform such heavy exertional
work undermines a finding that the claimant would not be able to perform medium work
with some postural and environment limitations.” Tr. at p. 18. The ALJ was well within
his authority to do so, as “[t]he ALJ may consider the nature of a claimant’s daily
activities in evaluating the consistency of allegations of disability with the record as a
whole.” Sarah S. v. Kijakazi, 2022 WL 913095, at *7 (N.D.N.Y. Mar. 29, 2022).
The RFC imposed several additional limitations on Plaintiff's ability to work, for
example, limitations on his ability to climb ladders, ropes, and scaffolds and limitations
on his ability to work with heavy machinery. Tr. at p. 15. The fact that those limitations
appear to be based on the ALJ’s overall evaluation of the record rather than being tied
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to a specific medical opinion does not require remand because “the ALJ was not required
to match every limitation in the RFC to a medical opinion and he appropriately weighed
the opinions of record to determine Plaintiff's RFC.” Terri G. v. Comm’r of Soc. Sec.,
2019 WL 1318074, at *9 (N.D.N.Y. Mar. 22, 2019) (citing Matta v. Astrue, 508 F.
9) App’x 53, 56 (2d Cir. 2013)).
“Where an ALJ makes an RFC assessment that is more restrictive than the
medical opinions of record, it is generally not a basis for remand.” Catalfamo v.
Berryhill, 2019 WL 1128838, at *2 (W.D.N.Y. Mar. 12, 2019) (internal quotation
omitted) (citing cases); see also Harry B. v. Comm’r of Soc. Sec., 2021 WL 1198283, at
*13 (N.D.N.Y. Mar. 30, 2021) (citing cases). The RFC found by the ALJ was more
“| restrictive than the medical opinions at issue and so Plaintiff can show no prejudice from
its imposition. Michael G. v. Comm’r of Soc. Sec., 2020 WL 7706603, at *4 (W.D.N.Y.
Dec. 29, 2020). The elimination of the added restrictions would have made Plaintiff
more employable, not less, and so Plaintiff cannot show how the ultimate finding that
he was not disabled would have been altered if the ALJ had imposed less restrictions.
See Fiducia v. Comm □□ of Soc. Sec., 2017 WL 4513405, at *4 (N.D.N.Y. Oct. 10, 2017)
(error is harmless when it “would not have changed the outcome’’) (citing cases).
Steps four and five of the sequential analysis involve the application of the
Plaintiffs RFC. See 20 C.F.R. § 404.1520(a)(4). This analysis entails:
Step 4: The Commissioner evaluates whether the claimant’s RFC would
allow her to perform her past relevant work. If so, she will be found not
disabled.
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Step 5: The Commissioner considers the claimant’s RFC, age, education
and past work experience to determine whether she is capable of
performing other work. If the claimant cannot perform other work, she
will be found disabled. If the claimant can perform other work, she will
be found not disabled.
Ewing v. Astrue, 2013 WL 1213129, at *4. The ALJ called a vocational expert to testify
at Plaintiff's hearing. Tr. at p.81.
When utilizing a VE, the ALJ poses hypothetical questions which must
reflect the full extent of the claimant’s capabilities and impairments to
provide a sound basis for the VE’s testimony. When a hypothetical
question meets that requirement, and is supported by substantial evidence,
VE testimony suffices as substantial evidence to support a step five
finding.
Boyer v. Berryhill, 2017 WL 1207833, at *5 (N.D.N.Y. Mar. 31, 2017) (citations
omitted); see also Sontz v. Colvin, 2016 WL 4444876, at *7 (N.D.N.Y. Aug. 23, 2016)
(“An ALJ may rely on a VE’s testimony regarding the availability of work as long as
the hypothetical facts the expert is asked to consider are based on substantial evidence
and accurately reflect the plaintiffs limitations.”). The well-supported testimony of a
vocational expert provides substantial evidence at steps four and five. Carlos R.C.G. v.
Berryhill, 2018 WL 4554495, at *8 (N.D.N.Y. Sept. 21, 2018).
At step four, the ALJ concluded that Plaintiff could not perform his past relevant
work as a diesel mechanic. Tr. at p. 20. Substantial evidence supports that conclusion.
At the hearing, the ALJ asked the vocational expert to classify diesel mechanic work.
Tr. at p. 82. The VE testified that work as a diesel mechanic was classified as “heavy”
work. Tr. at p. 83. Under the identified RFC, Plaintiff could not perform heavy work.
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The ALJ then went on to ask what jobs a person with Plaintiff's RFC could perform.
Tr. at pp. 83-84.
Based on the VE’s answers, the ALJ concluded that Plaintiff could perform other
jobs existing in significant numbers in the national economy. Tr. at pp. 21 & 84. The
“) hypotheticals posed to the VE were consistent with the properly supported RFC. Tr. at
pp. 83-87. The VE testified that Plaintiff could perform work as a linen room attendant,
laundry laborer, and laundry worker for a total of over 70,000 jobs in the national
economy, clearly satisfying the “significant number of jobs” standard. Tr. at pp. 21 &
83-77; see also Roe v. Colvin, 2015 WL 729684, at *7 (N.D.N.Y. Feb. 19, 2015) (finding
that 44,000 was a sufficient number of jobs in the national economy). Therefore, the
VE’s testimony provided substantial evidence for the ALJ’s step five decision. Cobbins
v. Comm’r of Soc. Sec., 32 F. Supp. 3d 126, 137 (N.D.N.Y. 2012).
For the reasons set forth above, the ALJ applied the correct legal standards in
applying the five-step sequential analysis and his conclusions at each step were
supported by substantial evidence. The Commissioner’s determination, therefore, is
affirmed.
IV. CONCLUSION
ACCORDINGLY, it is
ORDERED, that Plaintiff's Motion for Judgment on the Pleadings is DENIED;
and it is further
14
ORDERED, that Defendant’s Motion for Judgment on the Pleadings is
GRANTED; and it is further
ORDERED, that Defendant’s decision denying Plaintiff disability benefits is
AFFIRMED and the Complaint is DISMISSED; and it is further
ORDERED, that Plaintiff's Letter Motion regarding the status of this matter
(Dkt. No. 29) is DENIED as moot; and it is further
ORDERED, that the Clerk of the Court shall serve copies of this Memorandum-
Decision and Order on the parties.
Dated: February 28, 2025
Albany, New York
Z;
U.S“Magistrate Judge
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