Carl Evans v. Commissioner, Social Security Administration
551 F. App'x 521
11th Cir.2014Background
- Evans injured his back circa June 7, 2007, diagnosed with degenerative disc disease and depressive disorder, and applied for DIB and SSI benefits.
- Treating physician Dr. Bienvenido Samera completed physical exams (2009–2010) and a mental RFC finding multiple marked and two extreme limitations, concluding Evans could not work.
- Non-treating consultative/agency reviewers (Drs. Schoenrock, Peterson, Rowan) concluded Evans’s mental impairments were not severe enough to preclude work.
- The ALJ found a combination of severe impairments but not meeting/listing-level, gave reduced weight to Samera’s opinion, adopted a RFC with moderate concentration limits, and posed a hypothetical to a VE describing that RFC.
- The VE identified jobs the RFC claimant could perform; when Evans’s counsel added a marked concentration limitation (based on Samera), the VE said no jobs existed.
- The magistrate and Appeals Council affirmed the denial; Evans appealed, arguing improper rejection of his treating physician and failure to credit the VE answer tied to Samera’s RFC.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether ALJ improperly rejected treating physician Samera’s opinion | Evans: ALJ lacked medical expertise and improperly discredited treating physician; Samera’s RFC was consistent with at least one reviewer | ALJ: Good cause existed—Samera’s extreme/marked conclusions contradicted his own exam notes, other physicians’ opinions, and claimant’s reported activities | Court: ALJ had good cause, articulated reasons, and substantial evidence supports discounting Samera’s opinion |
| Whether ALJ erred by relying on VE testimony to find jobs existed despite VE’s answer to Evans’s hypothetical tied to Samera | Evans: VE’s response adopting Samera’s RFC established disability from June 7, 2007 | ALJ: The controlling hypothetical reflected the RFC supported by majority medical evidence; VE testimony was properly relied upon | Court: Hypothetical matched record-supported RFC (moderate concentration); VE testimony constituted substantial evidence; Appeals Council did not err |
Key Cases Cited
- Sims v. Apfel, 530 U.S. 103 (2000) (Appeals Council decision becomes Commissioner’s final decision)
- Wilson v. Barnhart, 284 F.3d 1219 (11th Cir. 2002) (standard for reviewing Commissioner’s final decision)
- Ingram v. Comm’r of Soc. Sec., 496 F.3d 1253 (11th Cir. 2007) (deference to ALJ factfinding; review standards)
- Moore v. Barnhart, 405 F.3d 1208 (11th Cir. 2005) (review of legal principles de novo; substantial evidence standard)
- Lewis v. Callahan, 125 F.3d 1436 (11th Cir. 1997) (treating physician rule and good cause to discount opinion)
- Sharfarz v. Bowen, 825 F.2d 278 (11th Cir. 1987) (ALJ must state weight given to medical opinions and reasons)
- Crawford v. Comm’r of Social Security, 363 F.3d 1155 (11th Cir. 2004) (court will not reweigh evidence if substantial evidence supports decision)
- Winschel v. Comm’r of Soc. Sec., 631 F.3d 1176 (11th Cir. 2011) (ALJ must include all impairments in VE hypothetical)
- Jones v. Apfel, 190 F.3d 1224 (11th Cir. 1999) (VE testimony can constitute substantial evidence)
