FOLAND
v.
COMMISSIONER OF SOCIAL SECURITY
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The court held that the Administrative Law Judge's (ALJ) analysis of the supportability of Dr. Coffman's medical opinion was insufficient, preventing meaningful review.
Claimant appealed the denial of disability benefits, arguing the ALJ inadequately analyzed medical opinions regarding her mental limitations. The ALJ …
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THIS CAUSE is before the Court on Claimant’s appeal of an administrative decision denying applications for a period of disability, Disability Insurance Benefits (DIB) and Supplemental Security Income (SSI). In a decision dated May 12, 2022, the Administrative Law Judge (ALJ) found that Claimant had not been under a disability, as defined in the Social Security Act, since November 30, 2015, through the date of the decision. R.
12.
Having considered the parties’ memorandums and being otherwise fully advised, the Court concludes, for the reasons set forth herein, that the Commissioner’s decision is due to be REVERSED and REMANDED.
I. Issues on Appeal
Claimant raises one issue on appeal: Whether the mental limitations set forth in the residual functional capacity are based on an adequate analysis of all medical opinions in the record. Doc. 23 at 19.
II. Standard of Review
As the Eleventh Circuit has stated: In Social Security appeals, we must determine whether the Commissioner’s decision is supported by substantial evidence and based on proper legal standards. Substantial evidence is more than a scintilla and is such relevant evidence as a reasonable person would accept as adequate to support a conclusion. We may not decide the facts anew, reweigh the evidence, or substitute our judgment for that of the [Commissioner]. Winschel v. Comm’r of Soc. Sec., 631 F. 3d 1176, 1178 (11th Cir. 2011) (citations and quotations omitted). “With respect to the Commissioner’s legal conclusions, however, our review is de novo.” Lewis v. Barnhart, 285 F. 3d 1329, 1330 (11th Cir. 2002).
III. Discussion
Claimant asserts that the RFC conflicts with the opinions of Dr. Coffman, Dr. MacKay, and Dr. Gates and that the ALJ did not properly assess those medical opinions. The Court finds that Claimant’s argument relating to the ALJ’s treatment of Dr. Coffman’s opinion is dispositive of this case.
Thus, there is no need here to address Claimant’s arguments relating to Dr. MacKay and Dr. Gates. See McClurkin v. Soc. Sec. Admin., 625 F. App’x 960, 963 n.3 (11th Cir. 2015) (per curiam) (finding no need to analyze other issues when case must be reversed due to other dispositive errors).
At step four of the sequential evaluation process, the ALJ assesses the claimant’s residual functional capacity (RFC) and ability to perform past relevant work. Phillips v. Barnhart, 357 F. 3d 1232, 1238 (11th Cir. 2004). “The residual functional capacity is an assessment, based upon all of the relevant evidence of a claimant’s remaining ability to do work despite his impairments.” Lewis v. Callahan, 125 F. 3d 1436, 1440 (11th Cir. 1997).
The ALJ is responsible for determining the claimant’s RFC. 20 C.F.R. §§ 404.1546(c); 416.946(c).
In doing so, the ALJ must consider all relevant evidence, including, but not limited to, the medical opinions of the treating, examining, and non-examining medical sources. 20 C.F.R. §§ 404.1545(a)(1), (3); 416.945(a)(1), (3); see also Rosario v. Comm’r of Soc. Sec., 877 F. Supp. 2d 1254, 1265 (M.D. Fla. 2012).1 The consideration of medical source opinions is an integral part of steps four and five of the sequential evaluation process. The Social Security Administration revised its regulations regarding the consideration of medical evidence—with those revisions applicable to all claims filed after March 27, 2017. See 82 FR 5844-01, 2017 WL 168819 (Jan. 18, 2017). Because Claimant filed the claim after March 27, 2017,2 20 C.F.R. § 404.150c and 20 C.F.R. § 416.920c are applicable in this case. Under these provisions, the ALJ must apply the same factors in the consideration of the opinions from all medical sources, rather than afford specific evidentiary weight to certain sources’ opinions. 20 C.F.R. §§ 404.1520c(a); 416.920c(a). The ALJ will assess the persuasiveness of a medical source’s opinion in light of five factors:1) supportability;2) consistency; 3) relationship with the
R. 20.
On November 23, 2020, Dr. Coffman performed a consultative examination of Claimant for purposes of developing a vocational rehabilitation plan. R. 631-46. Dr. Coffman administered a battery of psychological and psychoeducational tests. R. 632, 635-42. Dr. Coffman opined that
Claimant met the criteria for PTSD with panic attacks, major depressive disorder, and borderline personality disorder. R.
644. She found Claimant had the following mental health limitations: (1) difficulty regulating emotions and/or tolerating stress; (2) difficulty with motivation; (3) avoidance of situations that cause stress/anxiety; (4) experiences significant distress (e.g., panic attacks, frequent crying); (5) at increased risk of hurting self/and or others; and (6) at increased risk for problematic substance use. R.
643. Dr. Coffman opined that Claimant required individual accommodation to perform work. T.
644. She further opined that Claimant “is likely to be able to obtain employment, but her interpersonal skills and symptoms related to her Borderline Personality Disorder are likely to create a significant barrier to maintaining competitive employment.” R.
645. In addressing Dr. Coffman’s opinion, the ALJ stated the following: Theodora Coffman, Ph.D., examined the claimant in November 2020. (Exhibit10- F; B-11F) She noted that the claimant has difficulty regulating emotions, is at increased risk for hurting herself or others, is at risk for problematic substance abuse, and requires individualized accommodation to perform work. (Exhibit B10F, pages 14 and 15) While the statements regarding “increased risk” are not opinions regarding functional limitation, the undersigned as limited the claimant’s interaction with others.
However, the opinion that claimant requires accommodation to work is not supported by Dr. Coffman’s examination. Nor is the degree of mental limitation consistent with other evidence; the record indicates that the claimant’s treatment for mental impairments has been relatively conservative in nature. No other source has identified the extreme degree of limitation indicated by Dr. Coffman. In addition, the claimant’s ability to perform volunteer work once a week suggests a higher level of functioning than Dr. Coffman describes. The undersigned has found Dr. Coffman’s report to be not persuasive.
R. 22-23.
Claimant contends that the ALJ’s “minimal analysis” finding that Dr. Coffman’s opinion that Plaintiff requires individualized accommodation to perform work was not supported by her examination does not satisfy the ALJ’s duty to consider the supportability of the opinion. Doc. 23 at 23. She further argues that the ALJ’s finding with regard to consistency is not supported by substantial evidence. Id. at 25-27. The Commissioner responds that it was reasonable for the ALJ to find that Dr. Coffman did not support her opinions with sufficient findings. Doc. 24 at 12. The Court agrees with Claimant that the ALJ’s analysis of the supportability of Dr. Coffman’s opinion is insufficient. The ALJ’s analysis of the supportability factor in its entirety is: “the opinion that claimant requires accommodation to work is not supported by Dr. Coffman’s examination.” R.
23. The ALJ did not link any evidence, such as specific test results or other findings in Dr. MacKay’s evaluation, that contradict her opinion. McDaniel v. Comm’r of Soc. Sec., 2022 WL 11348279, at *5 (M.D. Fla. July 5, 2022) (remanding for failure to articulate consideration of the supportability factor because “the exhibits the ALJ references are from other medical sources—the ALJ nowhere explains how [the examiner’s] own treatment and examination notes fail to support his opinions”); Mayfield v. Comm’r of Soc. Sec. Admin, 2021 WL 5300925, *5 (N.D. Alabama November 15, 2021) (remanding where even if ALJ sufficiently addressed consistency of opinions, she failed to explain how she considered the supportability of the opinions).
The Court, therefore, is unable to conduct a meaningful review. See Hanna v. Astrue, 395 F. App’x 634, 636 (11th Cir. 2010) (per curiam) (“The ALJ must state the grounds for his decision with clarity to enable [the court] to conduct meaningful review.”); Brown v. Comm’r of Soc. Sec., 2021 WL 2917562, at *4 (M.D. Fla. July 12, 2021) (noting that when evaluating medical opinions under the new Regulations, the ALJ must “exp/ain his decision, particularly with respect to supportability and consistency”) (citation omitted). “Conclusory statements about consistency and supportability are insufficient to show that substantial evidence supports the ALJ’s decision.” Battie v. Kijakazi, 2022 WL 4000728, at *6 (S.D. Fla. Aug. 9, 2022) (citing Pierson v. Comm’r of Soc Sec., 2020 WL 1957597, at *4 (M.D. Fla. Apr. 8, 2020), report and recommendation adopted by 2020 WL 1955341)); 2020 C.F.R. 404.1520c(b)(2) and 416.920c¢(b)(2) (“[W]e will explain how we considered the supportability and consistency factors for a medical source’s medical opinions
Accordingly, the Court finds that this matter is to be remanded for further proceedings. Since this issue is dispositive, the Court finds that there is no need to address Claimant’s remaining arguments relating to Dr. MacKay and Dr. Gates. See Diorio v. Heckler, 721 F. 2d 726, 729 (11th Cir. 1983) (finding that on remand the ALJ must reassess the entire record); McClurkin v. Soc. Sec. Admin., 625 F. App’x 960, 963 n.3 (11th Cir. 2015) (per curiam) (finding no need to analyze other issues when case must be reversed due to other dispositive errors).
IV. Conclusion
For the stated reasons, it is ORDERED that: 1. The final decision of the Commissioner is REVERSED and Remanded for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g); and 2. The Clerk is directed to enter judgment for Claimant and against the Commissioner, and close the case. ORDERED in Orlando, Florida on November 13, 2023.
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UNITED STATES MAGISTRATE JUDGE
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Authorities Cited
- Winschel v. Comm'r OF Soc. Sec., 631 F.3d 1176 (11th Cir. 2011)
- Jackson Lewis v. Callahan, 125 F.3d 1436 (11th Cir. 1997)
- Diorio v. Heckler, 721 F.2d 726 (11th Cir. 1983)
- Laffat A. Sryock v. Heckler, 764 F.2d 834 (11th Cir. 1985)
- Lewis v. Barnhart, 285 F.3d 1329 (11th Cir. 2002)
- Barbero v. Comm'r of Soc. Sec., 2017 WL 168819 (M.D. Fla. 2022)