Jeffrey Frazier v. Mato Corporation
20-0406
| W. Va. | Sep 22, 2021Background
- Jeffrey Frazier injured his left elbow slipping on ice on February 22, 2013; claim held compensable for left elbow contusion.
- Initial imaging showed no fracture; conservative treatment followed. Claim was referred for permanent impairment evaluation under the AMA Guides (4th ed.).
- Dr. Joseph Grady (claims administrator IME, Sept. 2017) found the contusion resolved and assigned 0% whole‑person impairment.
- Dr. Robert Walker (treating/occupational medicine, Feb. 2019) measured ROM deficits and rated 10% upper‑extremity impairment, converted to 6% whole‑person impairment attributable to the compensable injury.
- Dr. Prasadarao Mukkamala (independent physiatrist, Aug. 2019) found normal ROM, no neurovascular deficit, MMI, and 0% impairment.
- The Office of Judges (Dec. 2019) and the Board of Review (May 2020) affirmed the 0% award, finding Grady and Mukkamala persuasive and Walker an outlier; the Supreme Court of Appeals affirmed.
Issues
| Issue | Frazier's Argument | Mato's Argument | Held |
|---|---|---|---|
| Whether Frazier is entitled to permanent partial disability for the 2013 left elbow contusion | Dr. Walker’s ROM measurements support 10% UE → 6% WPI; residual impairment exists | Independent IMEs (Drs. Grady & Mukkamala) found the injury resolved and 0% impairment under AMA Guides | Affirmed: 0% PPD. Board and Office found Grady and Mukkamala persuasive; Walker was an outlier |
Key Cases Cited
- Hammons v. W. Va. Off. of Ins. Comm’r, 235 W. Va. 577 (2015) (sets out deference to board findings and limited grounds for reversal)
- Justice v. West Virginia Office Insurance Commission, 230 W. Va. 80 (2012) (applies de novo review to legal questions arising from board decisions)
- Davies v. W. Va. Off. of Ins. Comm’r, 227 W. Va. 330 (2011) (addresses standard of review for legal issues in workers’ compensation appeals)
