Scatorchia v. Commissioner of Social Security ( 2005 )

Opinions of the United
2005 Decisions States Court of Appeals
for the Third Circuit
6-15-2005
Scatorchia v. Comm Social Security
Precedential or Non-Precedential: Non-Precedential
Docket No. 04-3626
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
No. 04-3626
EILEEN C. SCATORCHIA,
Appellant
v.
COMMISSIONER OF SOCIAL SECURITY
On Appeal from the United States District Court
for the District of New Jersey
(D.C. No. 01-cv-06013)
District Judge: Honorable Mary L. Cooper
Submitted Pursuant to Third Circuit L.A.R. 34.1(a)
June 6, 2005
Before: FUENTES, VAN ANTWERPEN and BECKER, Circuit Judges.
(Filed June 15, 2005 )
OPINION OF THE COURT
VAN ANTWERPEN, Circuit Judge.
Appellant Eileen Scatorchia (“Scatorchia”) appeals from the District Court’s judgment
affirming the denial by the Commissioner of Social Security (“Commissioner”) of her application
for disability insurance benefits. Scatorchia challenges the ALJ’s determination at steps three and
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four of the five-step evaluation process that the Social Security Administration has promulgated for
determining whether an individual is entitled to such disability insurance benefits. See 20 C.F.R.
§ 404.1520. Scatorchia alternatively argues that her case should be remanded to the ALJ in order
to consider additional evidence that she has now but did not attempt to obtain until after her hearing.
We have jurisdiction pursuant to 28 U.S.C. § 1291 and will affirm.
I.
Scatorchia was 35 years old at the time of her administrative hearing. She has a twelfth grade
education and past relevant work experience as a bookkeeper. Scatorchia claimed that her disability
began on June 26, 1998, when she became unable to work because of low back pain, low extremity
pain, and other adverse symptoms associated with her history of spondylolisthesis, or slipped
vertebra.
At the conclusion of her administrative hearing, the ALJ denied Scatorchia’s application for
disability benefits on November 24, 1999. The ALJ determined that Scatorchia was not entitled to
benefits because, notwithstanding evidence of some pain and related symptoms arising from her
spondylolisthesis, she remained able to perform her past work as a bookkeeper. Subsequently, on
October 24, 2001, the Appeals Council denied Scatorchia’s request to review the ALJ’s decision,
causing the ALJ’s decision to become the final decision of the Commissioner.
Scatorchia then sought judicial review of Commissioner’s final decision in United States
District Court for the District of New Jersey pursuant to 42 U.S.C. § 405(g) . On June 25, 2004, the
District Court granted the Commissioner’s motion for summary judgment. This appeal followed.
II.
Our review of the Commissioner’s final decision is necessarily limited. We are bound by
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the Commissioner’s findings of fact provided that they are supported by substantial evidence in the
record. See 42 U.S.C. § 405(g); Plummer v. Apfel, 186 F.3d 422, 427 (3d Cir. 1999). “Substantial
evidence” is defined as “more than a mere scintilla. It means such relevant evidence as a reasonable
mind might accept as adequate.” Plummer, 186 F.3d at 427 (citations omitted).
III.
Scatorchia first challenges the ALJ’s decisions at steps three and four of the five-step
evaluation process that is required by the Social Security Administration for use in determining
whether an individual is disabled. See 20 C.F.R. § 404.1520. In step one, the Commissioner
decides whether the claimant is presently engaging in substantial gainful activity. If the claimant
is working, he or she is not eligible for disability insurance benefits. 20 C.F.R. § 404.1520(b).
In step two, the Commissioner determines whether the claimant is suffering from a severe
impairment. If the claimant is not suffering from a severe impairment, the claimant is not
eligible for disability insurance benefits. 20 C.F.R. § 404.1520(c). In step three, the
Commissioner evaluates whether the claimant’s impairment meets or equals one of the
impairments listed in Appendix 1 of the regulations (the “Listings”). 20 C.F.R. § 404, Subpt. P,
App. 1. If the claimant’s condition meets or equals one of the impairments listed in Appendix 1,
he or she is entitled to benefits; if not, the Commissioner proceeds to step four. 20 C.F.R. §
404.1520(d). In step four, the Commissioner determines whether the claimant retains what is
called the residual functional capacity to perform his or her past relevant work. If the claimant
remains able to perform that past relevant work, he or she is not entitled to disability insurance
benefits. 20 C.F.R. § 404.1520(f). Finally, in the fifth step, the Commissioner considers whether
there exists work opportunities in the national economy that the claimant can perform given his
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or her medical impairments, age, education, past work experience, and residual functional
capacity. If the Commissioner demonstrates that such work exists, the claimant is not entitled to
disability insurance benefits. 20 C.F.R. § 404.1520(g).
We first consider Scatorchia’s step three argument. Scatorchia argues that the ALJ erred
at step three by failing to determine that her impairment equaled one in the Listings set forth at
Section 1.05(c). Scatorchia admits that her impairment, spondylolisthesis, does not specifically
appear in the Listings, but argues that it nonetheless falls within Section 1.05(c)’s description of
“other vertobrogenic disorders.” In light of our standard of review, we disagree with this
argument, because substantial evidence supports the ALJ’s determination. Scatorchia’s
impairment is not equivalent to the Listing at Section 1.05(c), which requires an impairment to
consist of both “(1) Pain, muscle spasm, and significant limitation of motion in the spine; and (2)
Appropriate radicular distribution of significant motor loss with muscle weakness and sensory
reflex loss.” 20 C.F.R. § 404, Subpt. P, App. 1, § 1.05(c). Scatorchia’s medical evidence,
however, fails to show that she suffered from the requisite “significant limitation of motion in the
spine.” § 1.05(c). For example, Dr. Hess, a consultive examiner who completed a full
examination of Scatorchia, found that “when [Scatorchia] relaxed, range of motion [of the spine]
seemed to be near normal.” As a result of his examination, Dr. Hess reported “no major
objective findings.” Because Scatorchia did not offer any evidence at her ALJ hearing to rebut or
contradict Dr. Hess’ observations, we find that the ALJ properly discharged its duties in
evaluating the relevant evidence on this claim, and that substantial evidence supports the ALJ’s
finding as to this facet of the step three determination.
Scatorchia next contends that the ALJ failed to identify the Listing in the regulations that
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came closest to matching her symptoms. She relies on Burnett v. Commissioner of Social
Security Admin., 220 F.3d 112, 119-20 (3d Cir. 2000) (placing the burden of identifying relevant
Listings on ALJs). Scatorchia’s reliance on Burnett is ultimately misplaced, however. In Jones
v. Barnhart, 364 F.3d 501 (3d Cir. 2004), we adopted, subsequent to Burnett, a more flexible
approach on this issue of similar Listings at step three. See Jones, 364 F.3d at 505 (holding that
an ALJ is not required “to use particular language or adhere to a particular format in conducting
his analysis,” but must merely ensure “that there be sufficient explanation to provide meaningful
review of the step three determination”). We concluded in Jones that an ALJ had satisfied this
standard by clearly evaluating the available medical evidence in the record and then setting forth
that evaluation in an opinion, even where the ALJ did not identify or analyze the most relevant
Listing. Id. Similarly, in this case, the ALJ clearly and fully evaluated and explained the medical
evidence set forth in the record. The ALJ discussed the medical evidence, and its effects on
Scatorchia, with specificity. As such, the ALJ properly discharged its responsibilities under
Jones. We accordingly discern no error with respect to this facet of the ALJ’s step three analysis,
either.
IV.
Scatorchia’s next argument is that the ALJ erred at step four by concluding that
Scatorchia would be able to return to her past relevant work as a bookkeeper. The ALJ based
this determination on objective medical evidence introduced at her hearing, some of which we
have discussed in our review of step three, as well as the ALJ’s evaluation of Scatorchia’s
credibility at her administrative hearing. Scatorchia does not contest this record evidence, but
rather only the ALJ’s credibility determination, in which he found that Scatorchia’s allegations of
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pain were not fully credible.
Under the applicable Social Security regulations, allegations of pain and other subjective
symptoms advanced by a claimant must be supported by objective medical evidence. See 20
C.F.R. § 404.1529. If an ALJ concludes that the available medical findings and evidence could
reasonably cause a claimant’s alleged subjective symptoms, the ALJ must attempt to ascertain
and evaluate the severity of the claimant’s pain as well as the degree to which it may limit the
claimant’s ability to perform various types of work. “This obviously requires the ALJ to
determine the extent to which a claimant is accurately stating the degree of pain or the extent to
which he or she is disabled by it.” Hartranft v. Apfel, 181 F.3d 358, 362 (3d Cir. 1999). When
an ALJ undertakes this required credibility determination, 20 C.F.R. § 404.1529(c) and Social
Security Ruling 96-7p provide necessary guidance. SSR 96-7p articulates several factors for an
ALJ to consider in making the credibility determination about pain and subjective symptoms,
including, inter alia: “the individual’s daily activities” and “the consistency of the individual’s
own statements.” SSR 96-7p. Those are the factors that the ALJ considered here in determining
that Scatorchia was not fully credible.
The ALJ found inconsistencies between Scatorchia’s testimony as to her daily living
activities, on the one hand, and her claimed level of pain and incapacitation, on the other hand.
For example, Scatorchia claimed that she could not remain in one position for any length of time,
move easily, or carry anything heavier than a few pounds. The ALJ observed record evidence,
however, including testimony by Scatorchia, showing that she was able to cook, shop, perform
household cleaning chores, visit with friends, provide care for two young children, and drive a
car. Further, the ALJ observed that medical evaluations by Scatorchia’s physicians did not
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support her subjective complaints, as none of her doctors opined that Scatorchia was either
unable to work or incapacitated to the degree she had claimed. For both of these reasons,
substantial evidence exists in the record to support the ALJ’s credibility determinations as to
Scatorchia’s levels of pain and incapacitation. It was therefore proper for the ALJ to accord only
limited weight to Scatorchia’s testimony as to her subjective symptoms when the ALJ
determined her residual functional capacity pursuant to step four.
V.
Scatorchia’s final argument is that she should receive a new hearing so that the ALJ may
consider new evidence she acquired after her original hearing. After receiving an adverse ruling
from the ALJ on November 24, 1999, Scatorchia apparently sought and obtained additional
medical opinions in an attempt to buttress her position. These included an MRI analysis on
December 3, 1999 and written observations by new doctors dated October 2, 2001 and March 26,
2002. Scatorchia asks this Court to require the ALJ to consider this new evidence on remand.
However, before a court may remand an agency determination on this ground, a claimant must
show “that there is new evidence which is material and that there is good cause for the failure to
incorporate such evidence into the record in a prior proceeding.” 42 U.S.C. § 405(g). Four
factors must be considered pursuant to this requirement. See, e.g., Newhouse v. Heckler, 753
F.2d 283, 287 (3d Cir. 1985). First, the evidence must be new and not merely cumulative of
what is already in the record. Id. at 287. Second, the evidence must be material, relevant and
probative. Id. Third, there must exist a reasonable probability that the new evidence would have
caused the Commissioner to reach a different conclusion. Id. Fourth, the claimant must show
good cause as to why the evidence was not incorporated into the earlier administrative record.
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Id.Here, Scatorchia has not provided any explanation for her failure to acquire this
additional medical information prior to her hearing. This alone is sufficient to determine that
Scatorchia cannot make the necessary good cause showing. See, e.g., Matthews v. Apfel, 239
F.3d 589, 595 (3d Cir. 2001) (declining to remand for lack of good cause where Social Security
claimant could not “explain[] why she did not attempt to obtain [an] evaluation at a time when it
could be considered by the ALJ”). Moreover, in circumstances such as these, we are mindful
that “[i]f we were to order remand for each item of new and material evidence, we would open
the door for claimants to withhold evidence from the ALJ in order to preserve a reason for
remand.” Matthews, 239 F.3d at 595. Finally, from our review of Scatorchia’s additional
evidence we discern that not only is good cause lacking for its belated introduction, but also that
there is not a reasonable probability that the new evidence would have caused the Commissioner
to reach a different conclusion. See Newhouse, 753 F.2d at 287. For all of these reasons, we
decline to accept Scatorchia’s invitation to remand this matter.
VI.
In conclusion, the ALJ’s determinations at steps three and four of the five-step evaluation
process for disability insurance benefits are both supported by substantial evidence. Scatorchia’s
additional arguments are without merit. We have considered the other arguments advanced by
the parties and conclude that no further discussion is necessary. Accordingly, the judgment of
the District Court will be affirmed.
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