where claimant was represented by counsel, the ALJ had no heightened duty to develop the record as she would if claimant was unrepresented.
How later courts described this case
- where claimant was represented by counsel, the ALJ had no heightened duty to develop the record as she would if claimant was unrepresented.
- harmless error where ALJ’s findings did not state the particular weight assigned to a mental evaluation, but were nonetheless consistent with the evaluation and reflected thoughtful consideration of the findings
- noting that the ALJ is required to develop a claimant’s medical history for the twelve months preceding the month in which the application was filed
- ALJ’s failure to reference report from “other source” in assessing RFC was harmless where it was “merely cumulative” of claimant’s testimony and medical evidence”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF ALABAMA
SOUTHERN DIVISION
ALBERT WILSON, )
)
Plaintiff, )
)
v. ) CASE NO. 1:18-cv-1044-JTA
)
KILOLO KIJAKAZI, ) (WO)
Acting Commissioner of Social Security,1 )
)
Defendant. )
MEMORANDUM OPINION AND ORDER
Pursuant to 42 U.S.C. § 405(g), the claimant, Albert Wilson (“Wilson”), brings this
action to review a final decision by the Commissioner of Social Security
(“Commissioner”). (Doc. No. 1.) 2 The Commissioner denied Wilson’s claim for a period
of disability and Disability Insurance Benefits (“DIB”). (R. 15.) The parties have
consented to the exercise of dispositive jurisdiction by a magistrate judge pursuant to 28
U.S.C. § 636(c). (Docs. No. 21, 22.)
Based upon review of the record and the briefs submitted by the parties, the Court
finds that the decision of the Commissioner is due to be AFFIRMED.
1 Under Federal Rule of Civil Procedure 25(d), the Court substitutes Kilolo Kijakazi, the acting
Commissioner of the Social Security Administration, for Andrew Saul, the former Commissioner.
2 Document numbers, as they appear on the docket sheet, are designated as “Doc. No.”
I. PROCEDURAL HISTORY AND FACTS
Wilson was born on May 18, 1963, and was 54 years old at the time of the
administrative hearing held on February 8, 2018. (R. 201.) He completed high school and
previously worked as a corrections officer for the Alabama Department of Corrections.
(R. 357.) He also served as a member of the United States Army Reserve through October
2017. (R. 213.) He alleges a disability onset date of January 31, 2016, due to post-
traumatic stress disorder, depressive disorder, back problems, and tinnitus. (R. 325.)
On February 16, 2016, Wilson applied for DIB under Title II of the Social Security
Act (“the Act”), 42 U.S.C. §§ 401, et seq. (Id.) The application was denied on May 18,
2016 (R. 248), and Wilson requested an administrative hearing (R. 257).
Following an administrative hearing, the Administrative Law Judge (“ALJ”) denied
Wilson’s request for benefits in a decision dated March 21, 2018. (R. 12-28.) Wilson
submitted additional medical records to the Appeals Council, which denied his request for
review on October 30, 2018. (R. 1-6.) Therefore, the ALJ’s decision became the final
decision of the Commissioner. On December 13, 2018, Wilson filed the instant action
appealing the decision of the Commissioner. (Doc. No. 1.)
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. 42 U.S.C. § 405(g); Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005).
“The Commissioner's factual findings are conclusive” when “supported by substantial
evidence.” Doughty v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001). “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. Bailey v. Soc. Sec. Admin., Comm’r, 791 F. App’x
136, 139 (11th Cir. 2019); 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).
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
the ALJ. See Washington v. Comm’r of Soc. Sec., 906 F.3d 1353, 1359 (11th Cir. 2018).
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 a 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. 20 C.F.R. §§ 404.1520(d),
404.1525, and 404.1526. 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 can 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).
IV. ADMINISTRATIVE DECISION
Within the structure of the sequential evaluation process the ALJ found that Wilson
has not engaged in substantial gainful activity since January 26, 2016,3 the alleged onset
date of disability, and that he suffers from the following severe impairments that
significantly limit his ability to perform basic work activities: multilevel lumbar
degenerative disc disease with foraminal stenosis and spondylosis, obstructive sleep apnea,
myalgias, polyarthralgia, impaired fasting glucose, obesity, hearing loss, tinnitus,
depression, anxiety, and post-traumatic stress disorder. (R. 17.) The ALJ concluded that
Wilson’s severe impairments do not meet or medically equal the severity of one of the
listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (R. 17-20.)
After consideration of the entire record, the ALJ determined that Wilson retains the
RFC to perform less than a full range of light work4 as defined in 20 C.F.R. § 404.1657(b).
(R. 20.) The ALJ found the following workplace limitations applicable to Wilson:
3 The Court notes that the ALJ provides this date in the decision, but Wilson’s application for DIB
provides an onset date of January 31, 2016. (R. 325.) The parties do not explain this discrepancy.
4 “Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying
of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in
this category when it requires a good deal of walking or standing, or when it involves sitting most
of the time with some pushing and pulling of arm or leg controls. To be considered capable of
performing a full or wide range of light work, you must have the ability to do substantially all of
these activities . . .” 20 C.F.R. § 404.1657(b).
He can lift 20 pounds occasionally and ten pounds frequently. He can
stand/walk for six hours and sit for six hours in an eight hour workday with
customary breaks. He is precluded from climbing ladders, ropes, scaffolds.
He is precluded from crawling and from working around loud noise. He can
perform simple, routine tasks, with occasional changes in work. He is
precluded from public interaction. He is precluded from coordinating with
coworkers to complete his tasks or other tasks.
(Id.)
Following the testimony of the Vocational Expert (“VE”), the ALJ determined that
Wilson was precluded from performing any past relevant work. (R. 27.) The ALJ also
found that based upon Wilson’s age, education, work experience and RFC, there are jobs
that exist in “significant numbers in the national economy” that he can perform, and
therefore he was not disabled as defined by the Act. (Id.) The ALJ further concluded that
Wilson had not been under a disability from January 26, 2016, through March 21, 2018,
the date of the ALJ’s decision. (R. 28.)
V. DISCUSSION
Wilson presents four arguments on appeal. First, Wilson argues that new evidence
he presented to the Appeals Council warrants remand and a de novo review. (Doc. No. 13
at 7.) Second, he argues that the ALJ erred by failing to order a consultative evaluation
that would have allowed a more informed decision regarding his disability. (Id. at 9-10.)
Third, he argues that the ALJ did not properly consider the consulting opinion of Dr.
Theron Covin, Ed.D. (Id. at 10-11.) Fourth, he argues that the ALJ’s RFC determination
is not based on substantial evidence. (Id. at 11-15.)
The Court evaluates each of Wilson’s arguments below.
A. Remand Is Not Warranted Because The Additional Evidence Is Not Material.
Wilson asserts that a remand is appropriate because the Appeals Council committed
legal error when it refused to consider supplemental evidence that he provided that is new,
material, and chronogically relevant. (Doc. No. 13 at 7.) He argues that if the ALJ had
reviewed the records, the ALJ’s decision likely would have been different because the
information therein supported the conclusions of his treating psychiatrists that he is
disabled. (Id. at 7-9.) The Commissioner responds that the Appeals Council evaluated the
evidence and properly concluded that it was not material because there was no reasonable
probability that it would have changed the outcome of the proceeding. (Doc. No. 15 at 7.)
A claimant is allowed to present new evidence at each stage of the administrative
process, including before the Appeals Council. 20 C.F.R. § 404.900(b). If the claimant
submits new evidence after the ALJ's decision, the Appeals Council must consider the
evidence if it is new, material, and chronologically relevant. See Washington v. Social Sec.
Admin., Comm’r., 806 F.3d 1317, 1320 (11th Cir. 2015); 20 C.F.R. § 404.970(b). The
evidence is material if “there is a reasonable possibility that [the new evidence] would
change the administrative result.” Hyde v. Bowen, 823 F.2d 456, 459 (11th Cir. 1987); see
20 C.F.R. § 404.970(a)(5).
Here, Wilson’s argument is unavailing. In determining the materiality of the
evidence, the Appeals Council reviewed 165 pages of Wilson’s additional records
regarding his treatment by psychiatrists Dr. S.R. Mudragada and Dr. Baowu Wang between
April 6, 2015 and May 18, 2018. (R. 2, 33-197.) The ALJ considered, but gave little
weight to, both doctors’ assessments of Wilson. (R. 23.) Dr. Wang stated that Wilson “is
unable to perform ‘his job due to [a] physical disability of back pain’ ” and Dr. Mudragada
opined that Wilson is “permanently incapacitated to perform duties as a correction officer
or any forms of employment.” (R. 432, 628.) The ALJ noted that determinations of a
claimant’s ability to work are reserved for the Commissioner under 20 C.F.R. §
404.1527(d) and that both doctors are psychiatrists without expertise in assessing Wilson’s
musculoskeletal or physical disabilities. (R. 23.) Agency regulations support the ALJ’s
grounds for discounting these opinions. See 20 C.F.R. § 404.1527(c)(5) (agency regulation
explaining that it generally gives “more weight to the medical opinion of a specialist about
medical issues related to his or her areas of specialty than to the medical opinion of a source
who is not a specialist”).
The ALJ noted that Dr. Wang conducted “minimum examinations” with Wilson and
there were no treatment records from Dr. Mudragada. (R. 23, 25.) Though the additional
evidence supplements the gap in Dr. Mudragada’s treatment records, the Appeals Council
correctly determined that the records would not change the outcome of the decision because
the ALJ had correctly discounted the psychiatrists’ opinions on Wilson’s physical ability
to work. Given the immateriality of Dr. Mudragada’s treatment records to Wilson’s
physical ability to work, there is no reasonable probability that this evidence would have
changed the outcome of the ALJ’s decision. Wilson’s arguments lack merit because the
ALJ cited substantial grounds to discount the opinions of Drs. Mudragada and Wang. See
D’Andrea v. Commissioner of Social Sec. Admin., 389 F. App’x 944, 948 (11th Cir. 2010)
(weight accorded a medical opinion is supported by the record where the ALJ articulates
at least one specific reason for disregarding the opinion). Accordingly, the Court finds no
error in the Appeals Council’s decision.
B. A Consultative Examination Was Not Required To Develop The Record.
Wilson claims that the ALJ erred because the ALJ did not order a consultative
examination, and therefore failed to develop a full and fair record. (Doc. No. 13 at 9-10.)
The Commissioner counters that the ALJ is not required to order further examinations
because the record contained sufficient evidence for the ALJ to reach an informed decision.
(Doc. No. 15 at 10.)
The elements of Wilson’s argument are (1) he was represented by a non-attorney
and (2) most of the treatment records available to the ALJ were created prior to his alleged
disability onset date of January 31, 2016. (Doc. No. 13 at 10.) He acknowledges that the
ALJ had post-onset records pertaining to sleep apnea and an MRI, and Dr. Covin’s
summary of treatment from September 2013 to February 20016. (Id.) However, Wilson
asserts the absence of additional records triggered the ALJ’s duty to order a consultative
exam and the failure to do so requires remand. (Id.)
The Commissioner responds that, while an ALJ has a basic obligation to fully and
fairly develop the record, there is no “special duty” to do so unless a claimant has waived
his right to representation. (Doc. No. 15 at 10 (quoting Brown v. Shalala, 44 F.3d 931, 934
(11th Cir. 1995) (per curiam).) Under Brown, “[t]here must be a showing of prejudice
before it is found that the claimant’s right to due process has been violated to such a degree
that the case must be remanded to the Secretary for further development of the record.”
Brown, 44 F.3d at 934. The Commissioner also responds that an ALJ “is not required to
order a consultative examination as long as the record contains sufficient evidence for the
[ALJ] to make an informed decision.” Ingram, 496 F.3d at 1269. The Commissioner
contends that Wilson is attempting to shift his burden of proof to the ALJ and ignores the
substantial evidence supporting the administrative decision. (Doc. No. 15 at 10.)
In Social Security proceedings, “an individual who files an application for …
disability benefits must prove that she is disabled.” Whetstone v. Barnhart, 263 F. Supp.
2d 1318, 1320 (M.D. Ala. 2003) (citing 20 C.F.R. § 416.912 (1999)). These proceedings
are inquisitorial rather than adversarial, which means an ALJ has the duty to investigate
the facts and develop an argument both for and against granting benefits. Sims v. Apfel,
530 U.S. 103, 111 (2000). Thus, the ALJ is charged with developing a full and fair record.
Graham v. Apfel, 129 F.3d 1420, 1423 (11th Cir. 1999) (per curiam); Welch v. Bowen, 854
F.2d 436, 438 (11th Cir. 1988). See also 20 C.F.R. § 416.912(b) (stating that, before the
ALJ determines the claimant is not disabled, “[the ALJ] will develop [the claimant's]
complete medical history for at least the 12 months preceding the month in which [she]
file[s her] application”). This duty exists whether or not the claimant is represented by
counsel. Brown, 44 F.3d at 934; Robinson v. Astrue, 235 F. App’x 725, 727 (11th Cir.
2007).
The Court finds that, to the extent Wilson suggests the ALJ had a heightened duty
to develop the record because his representative was not an attorney, such claim is baseless.
This is so because Wilson neither challenges his former representative’s qualifications nor
claims that some specific error prejudiced him. Ellison v. Barnhart, 355 F.3d 1272, 1276
(11th Cir. 2003); see also Pennington v. Comm’r of Soc. Sec., 652 F. App’x 862, 872 (11th
Cir. 2016) (where claimant was represented by counsel, the ALJ had no heightened duty
to develop the record as she would if claimant was unrepresented.). Having addressed
Wilson’s claim that the ALJ did not meet her duty based upon his representation, the Court
now reviews the adequacy of the record.
To warrant remand for the ALJ’s failure to develop the record, there must be a
showing of unfairness or clear prejudice. Brown, 44 F.3d at 935 (citing Kelly v. Heckler,
761 F.2d 1538, 1540 n.2 (11th Cir. 1985)); Colon, 660 F. App’x at 870; Bellew v. Acting
Comm’r of Social Sec., 605 F. App’x 917, 932 (11th Cir. 2015) (quoting Brown, 44 F.3d
at 932) (“In determining whether remand is necessary for development of the record, we
consider ‘whether the record reveals evidentiary gaps which result in unfairness or clear
prejudice.’ ”).
Accordingly, “there must be a showing of prejudice before we will find that
the claimant's right to due process has been violated to such a degree that the
case must be remanded to the [ALJ] for further development of the record.”
Id. (internal quotation marks omitted). Before ordering a remand, we will
review the administrative record as a whole to determine if it is inadequate
or incomplete or “show[s] the kind of gaps in the evidence necessary to
demonstrate prejudice.” Graham v. Apfel, 129 F.3d 1420, 1423 (11th Cir.
1997) (per curiam).
Bellew, 605 F. App’x at 932.
Here, Wilson does not raise a specific claim of prejudice, but merely argues that
the record was inadequate because most of the treatment records preceded the onset date
of his alleged disability. (Doc. No. 13 at 10.) The Commissioner notes that Wilson’s
representative believed the record was adequately developed, as she asked the ALJ to find
disability based on the contents of the file as it existed on the date of the administrative
hearing. (Doc. No. 15 at 11; R. 228.) Because the Commissioner is required to develop
the record for the twelve months preceding the month of the application, the administrative
file is adequate for Wilson’s application date of February 16, 2016, since it contains
treatment records for January 2015 through January 2016. See Ellison, 355 F.3d at 1216
(noting that the ALJ is required to develop a claimant’s medical history for the twelve
months preceding the month in which the application was filed); 20 C.F.R. § 416.912(b).
Moreover, Wilson does not meet the Graham/Brown prejudice standard because the
records relevant to his alleged onset date and grounds for disability were before the ALJ.
Graham, 129 F.3d at 1423; see also Sarria v. Comm’r of Soc. Sec., 579 F. App’x 722, 724
(11th Cir. 2014) (contrasting grant of remand for pro se plaintiff in Brown, where record
contained evidentiary gaps, with denial of remand for represented claimant who was
responsible for producing evidence of her disability). Here, as in Sarria, Wilson was
represented during the administrative process and was responsible for producing evidence
related to his disability. His disagreement with the ALJ’s interpretation of the
administrative record does not warrant a remand. Sarria, 579 F. App’x at 724.
The Court finds that the record contained adequate, relevant records for the ALJ to
decide that Wilson was not disabled. Further, Wilson has not demonstrated the record
contained evidentiary gaps which resulted in unfairness or clear prejudice. Brown, 44 F.3d
at 935.
C. The ALJ Properly Considered The Opinion Of Dr. Covin.
Wilson claims that remand is necessary because the ALJ failed to properly consider
a consulting opinion from Theron Covin, Ed.D. of the Center for Counseling & Human
Development. (Doc. No. 13 at 10-11.) The Commissioner responds that because Dr. Covin
is not an acceptable medical source but is classified as an “other source,” the ALJ’s
explanation provided sufficient detail regarding her treatment of Dr. Covin’s assessment.
(Doc. No. 15 at 12.)
The crux of Wilson’s complaint regarding the ALJ’s treatment of Dr. Covin’s
assessment is that the ALJ cited it for the purpose of showing that Wilson “does not have
marked hearing loss” but the ALJ did not analyze, reject, or properly consider the
remainder of Dr. Covin’s opinion. (Doc. No. 13 at 11.)5 Yet, Dr. Covin’s report makes
clear that he “reviewed [Wilson’s] service medical record pertaining to the chronic back
condition” (R. 624) and incorporated records from the Department of Veterans Affairs
(“VA”) assessing Wilson’s hearing and back problems as a basis for a finding of disability
by that agency (R. 625-26). Dr. Covin did not perform an independent assessment of any
alleged physical disability and merely cited VA records on the issue of Wilson’s hearing
loss. (R. 22, 625.) Based upon his review of the VA records, Dr. Covin opined “ ‘that it
is more likely than not’ [Wilson] is totally and permanently disabled, cannot hold gainful
employment and is not a likely candidate to be rehabilitated.” (R. 624.)
5 Wilson’s brief provides an incorrect citation for the ALJ’s reference to Dr. Covin’s report
regarding his hearing loss. The relevant discussion is at R. 22, not R. 20.
The Commissioner argues the ALJ considered Dr. Covin’s report though the ALJ
did not expressly state whether she accorded it any weight. (Doc. No. 15 at 13.) The
Commissioner notes that Dr. Covin is considered a non-medical “other source” under SSR
06-03p. (Id. at 12 (citing SSR 06-03p, 2006 WL 2329939).)6 SSR 06-03p requires an ALJ
to generally “explain the weight given to opinions from these ‘other sources,’ or otherwise
ensure that the discussion of the evidence in the determination or decision allows a claimant
or subsequent reviewer to follow the adjudicator’s reasoning, when such opinions may
have an effect on the outcome of the case.” SSR 06-03p, 2006 WL 2329939 at *2. The
Commissioner likens Dr. Covin’s opinion to those from Drs. Wang and Mudragada, noting
that the ALJ provided valid, supported reasons to discount Dr. Covin’s opinion regarding
disability because Wilson’s physical ability is outside Dr. Covin’s field of expertise and
the determination of disability is reserved for the Commissioner under 20 C.F.R. §
404.1527(d). (Doc. No. 15 at 12.)
The Court finds the ALJ properly considered the opinion of Dr. Covin.7 The ALJ
incorporated Dr. Covin’s findings into her determination of severe impairments
(depression, anxiety and post-traumatic stress disorder). (R. 24.) The ALJ discussed Dr.
Covin’s completion of personality and memory functionality tests which led him to
conclude that Wilson has emotional distress and is introverted. (Id.) Results also showed
6 The Commissioner notes that SSR 06-03p has been rescinded but remains applicable to cases
such as Wilson’s that were filed prior to March 27, 2017. (Doc. No. 15 at 12, n.9.) The Eleventh
Circuit has held that SSA rulings are accorded deference. Fair v. Shalala, 37 F.3d 1466, 1468-69
(11th Cir. 1994).
7 Notably, Wilson does not challenge the ALJ’s assessment of Dr. Covin’s findings regarding his
mental health, the area of Dr. Covin’s expertise.
that Wilson had normal mental status, intact memory, normal item recall, and demonstrated
abilities to perform mathematical equations. (Id.) Given the ALJ’s incorporation of Dr.
Covin’s findings into Wilson’s RFC, the failure to assign a specific weight to the opinion
did not prejudice Wilson. See Colon v. Colvin, 660 F. App’x 867, 870 (11th Cir. 2016)
(harmless error where ALJ’s findings did not state the particular weight assigned to a
mental evaluation, but were nonetheless consistent with the evaluation and reflected
thoughtful consideration of the findings). Here, as in Colon, the ALJ’s decision showed
full consideration of Dr. Covin’s findings and considered his findings of impairments as
well as normal functions. Id.
Further, because Dr. Covin did not conduct any tests or examinations related to
Wilson’s alleged physical disability, his opinion on that issue is cumulative of the medical
evidence and did not warrant further discussion by the ALJ. See De Olazabal v. Soc. Sec.
Admin., Comm’r, 579 F. App’x 827, 832 (11th Cir. 2014) (ALJ’s failure to reference report
from “other source” in assessing RFC was harmless where it was “merely cumulative” of
claimant’s testimony and medical evidence”).
D. The ALJ’s RFC Finding Is Supported By Substantial Evidence.
Wilson claims that the ALJ’s finding of his RFC is not based on substantial
evidence. (Doc. No. 13 at 11.) The Commissioner responds by arguing that the ALJ cited
substantial evidence when determining Wilson’s RFC. (Doc. No 15 at 13.)
The Court does not agree with Wilson. The entirety of the record shows an
abundance of relatively normal medical reports. The record contains a physical analysis
of Wilson wherein he is described to have normal cardiovascular rate and rhythm, a normal
gait, no joint effusion, normal lung health, and to be in a normal mood. (R. 436.) He also
denied having the feelings of fatigue and malaise. (/d.) In addition, Wilson testified that
he continued to serve in the Army Reserves for almost two years beyond the date he alleges
is the onset date of his disabilities. (R. 213.) Wilson also testified that he mows the lawn
and weeds the yard, and goes to the park to walk for exercise. (R. 207-08.) Further, the
testimony of Wilson’s spouse details these activities and adds that Wilson performs
personal care, drives, and attends church. (R. 381-85.) Finally, Wilson completed a range
of mental testing in which he was determined to have a normal mental status, including
being awake and alert, in a normal mood, an intact memory, and an ability to recall objects
and repeat four digits forward and three backward. (R. 436, 492-93.) Accordingly, the
Court finds that the ALJ fashioned an appropriate RFC based on substantial evidence in
the record.
VI. CONCLUSION
After review of the administrative record, and considering all of Wilson’s
arguments, the Court finds the Commissioner’s decision to deny him disability is supported
by substantial evidence and is in accordance with applicable law. Accordingly, it is hereby
ORDERED that the decision of the Commissioner is AFFIRMED.
A separate judgment will be issued.
DONE this 30th day of July, 2021.
A Adding
es
NITED STATES MAGISTRATE JUDGE
16