Case: 17-11999 Date Filed: 08/24/2018 Page: 1 of 6
[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 17-11999
________________________
D.C. Docket No. 4:15-cv-00191-CDL-TQL
JEANIE BARDGE,
Plaintiff - Appellant,
versus
NANCY A. BERRYHILL,
Acting Commissioner, Social Security Administration,
Defendant - Appellee.
________________________
Appeal from the United States District Court
for the Middle District of Georgia
________________________
(August 24, 2018)
Before TJOFLAT and JORDAN, Circuit Judges, and HUCK, ∗ Senior District
Judge.
∗
The Honorable Paul C. Huck, United States District Court for the Southern District of Florida,
sitting by designation.
Case: 17-11999 Date Filed: 08/24/2018 Page: 2 of 6
PER CURIAM:
Jeanie Bardge appeals the district court’s order affirming the Social Security
Commissioner’s denial of her application for supplemental security income (SSI),
pursuant to 42 U.S.C. § 1381. An ALJ found that Ms. Bardge was not disabled
because, although she suffered from numerous severe impairments, none of her
impairments met or equaled a listed impairment (including 12.05, intellectual
disability), and because she still had the residual functional capacity to perform
work that existed in significant numbers in the national economy. See 20 C.F.R.
§ 416.920(a). After careful review, and with the benefit of oral argument, we find
no reversible error, and affirm.
I
We review de novo the district court’s determination of whether substantial
evidence supports the ALJ’s decision. See Wilson v. Barnhart,
284 F.3d 1219,
1221 (11th Cir. 2002). We review the Commissioner’s decision only insofar as
whether it is supported by substantial evidence. See
id. “Substantial evidence is
more than a 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 1436,
1439 (11th Cir. 1997)).
2
Case: 17-11999 Date Filed: 08/24/2018 Page: 3 of 6
II
The ALJ determined that Ms. Bardge suffered from a number of severe
impairments: degenerative disc disease, diabetes mellitus, status post right
humerus replacement, gastroesophageal reflux disease, inflammatory bowel
syndrome, hypertension, obesity, and cognitive impairment/borderline intellectual
functioning. On appeal, Ms. Bardge challenges the ALJ’s determination at step
three of the five-step evaluation process set forth in 20 C.F.R. § 416.920(a) that her
impairments did not meet listing 12.05B or 12.05C. In particular, Ms. Bardge
contends that the ALJ was wrong to reject her IQ score of 59, as determined by a
qualified physician. She also contends that the ALJ incorrectly evaluated the
medical opinion evidence of numerous doctors, and did not properly explain the
weight assigned to each piece of opinion evidence.
A
For an impairment to meet listing 12.05, it must satisfy both the (1)
diagnostic description for intellectual ability as set forth in the listing’s
introductory paragraph and (2) one of four additional sets of criteria (listed in
subparagraphs (A) though (D)). See 20 C.F.R. pt. 404, subpt. P, app. 1, §§ 12.00,
12.05 (2015). See also 20 C.F.R. § 416.925 (explaining how the ALJ applies the
Listing of Impairments). The introductory paragraph of listing 12.05 defined
intellectual disability as requiring (1) significantly subaverage general intellectual
3
Case: 17-11999 Date Filed: 08/24/2018 Page: 4 of 6
functioning, (2) with deficits in adaptive functioning, (3) that manifested before
age 22. See 20 C.F.R. pt. 404, subpt. P, app. 1, § 12.05 (2015). Examples of
“adaptive activities” that may be considered in assessing a claimant’s functional
limitations include “cleaning, shopping, cooking, taking public transportation,
paying bills, maintaining a residence, [and] caring appropriately for . . . grooming
and hygiene.” § 12.00(C)(1) (2015).
Under the applicable version of 12.05(B), a claimant meets the criteria for
presumptive disability when she presents a verbal, performance, or full scale IQ
score at or below 59. See § 12.05(B) (2015). But the IQ score is not considered
alone. Rather, an IQ score should be considered in conjunction with the claimant’s
developmental history and degree of functional limitations. See § 12.05(D)(6)(a)
(2015). We have recognized that an IQ score is not conclusive evidence of
intellectual disability when it is “inconsistent with other evidence in the record on
the claimant’s daily activities and behavior.” Lowery v. Sullivan,
979 F.2d 835,
837 (11th Cir. 1992). See also Crayton v. Callahan,
120 F.3d 1217, 1220 (11th
Cir. 1997) (“[A] valid IQ score need not be conclusive . . . where the IQ score is
inconsistent with other evidence in the record concerning the claimant’s daily
activities and behavior[.]”); Popp v. Heckler,
779 F.2d 1497, 1499 (11th Cir. 1986)
(rejecting claim of intellectual disability despite IQ score due to evidence that
4
Case: 17-11999 Date Filed: 08/24/2018 Page: 5 of 6
claimant had associate’s degree, was enrolled in college, and worked in several
jobs).
Substantial evidence supports the ALJ’s determination that Ms. Bardge
failed to satisfy all the criteria of listing 12.05. Even assuming the ALJ was
incorrect in rejecting her IQ score of 59, Ms. Bardge failed to show that she had
the required deficits in adaptive functioning described in the introductory
paragraph of the listing. See §§ 12.00, 12.05 (2015). Ms. Bardge testified at two
different ALJ hearings about her daily activities, which included cleaning the home
in which she lived alone, going grocery shopping for herself, assisting elderly
church friends running their errands, driving herself, driving a church van on a
weekly basis to transport parishioners between their homes and the church, reading
simple materials, paying her own bills, caring for her grandchildren, and tending to
her own personal hygiene. The evidence shows that she provided similar
information about her activities of daily living to various treating physicians over
the course of years. Because Ms. Bardge did not show she suffered from deficits
in adaptive functioning, the ALJ’s finding that she did not meet listing 12.05 was
supported by substantial evidence. See
Crawford, 363 F.3d at 1158.
B
Ms. Bardge also challenges the weight that the ALJ assigned to her doctors’
opinions.
5
Case: 17-11999 Date Filed: 08/24/2018 Page: 6 of 6
The ALJ considers many factors when weighing medical evidence,
including whether an opinion is well-supported and consistent with the record. See
C.F.R. § 416.927. A medical opinion will often be given a greater weight if the
medical opinion is fairly consistent with the record as a whole, and may be given
lesser weight or rejected outright if the evidence supports a finding contrary to the
medical opinion. See Sharfarz v. Bowen,
825 F.2d 278, 280 (11th Cir. 1987).
The ALJ committed no reversible error in giving little weight to the medical
opinions of Dr. Shapiro and Dr. Shosheim, and in giving some weight to the
medical opinions of Dr. Schwartz and Dr. Garner. In all cases, the ALJ explained
the reasons for the weights assigned, and he relied most heavily on the doctors’
opinions which best aligned with the significant evidence in the record.
III
Substantial evidence supports the commissioner’s denial of SSI benefits.
Therefore, we affirm.
AFFIRMED.
6
