Julia Marie Raices v. Commissioner of Social Security ( 2020 )


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  •            Case: 19-12718   Date Filed: 03/05/2020   Page: 1 of 6
    [DO NOT PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 19-12718
    Non-Argument Calendar
    ________________________
    D.C. Docket No. 5:18-cv-00267-PRL
    JULIA MARIE RAICES,
    Plaintiff-Appellant,
    versus
    COMMISSIONER OF SOCIAL SECURITY,
    Defendant-Appellee.
    ________________________
    Appeal from the United States District Court
    for the Middle District of Florida
    ________________________
    (March 5, 2020)
    Before MARTIN, ROSENBAUM, and TJOFLAT, Circuit Judges.
    PER CURIAM:
    Case: 19-12718     Date Filed: 03/05/2020    Page: 2 of 6
    Julia Raices applied for a period of disability and Social Security disability
    insurance benefits. Her application was denied. Raices then requested a hearing
    before an administrative law judge (“ALJ”), who found that she was not disabled.
    Next, Raices requested review by the Appeals Council of the ALJ’s decision based
    on new evidence from one of her doctors, but the Appeals Council declined to
    review the decision. Therefore, the ALJ’s decision became the final decision of
    the Commissioner of Social Security, and Raices appealed to the United States
    District Court for the Middle District of Florida. The District Court affirmed the
    decision.
    Racies appeals, arguing (I) that the Appeals Council erred in declining to
    consider her new evidence, and (II) that the ALJ’s finding regarding the extent of
    her disability was inadequate, not specific, and not supported by substantial
    evidence. We disagree on both claims. Therefore, we affirm.
    I.
    We first consider whether the Appeals Council erred in declining to consider
    new evidence that had not been submitted to the ALJ. We conclude that the
    Appeals Council did not err because, even if it erroneously concluded that the
    evidence was temporally irrelevant, the new evidence was not material.
    If a claimant presents evidence not heard by the ALJ to the Appeals Council
    after the ALJ’s decision, the Appeals Council must consider the evidence if it is:
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    (1) new, (2) material, and (3) chronologically relevant. See Ingram v. Comm’r of
    Soc. Sec. Admin., 
    496 F.3d 1253
    , 1261 (11th Cir. 2007). If the Appeals Council
    erroneously refuses to consider such evidence, then it commits legal error and
    remand is appropriate. See Washington v. Soc. Sec. Admin., Comm’r, 
    806 F.3d 1317
    , 1323 (11th Cir. 2015). We review the Appeals Council’s refusal to consider
    new evidence and denial of review de novo. 
    Id. at 1321
    .
    Here, the Appeals Council declined to review the new evidence because it
    found the evidence to be chronologically irrelevant. Even if this basis for
    declining review was erroneous, we agree with the District Court that the Appeals
    Council’s refusal to consider the evidence should be affirmed because the new
    evidence was not material.
    New evidence is material if it is “relevant and probative so that there is a
    reasonable possibility that it would change the administrative result.” Hyde v.
    Bowen, 
    823 F.2d 456
    , 459 (11th Cir. 1987) (quoting Milano v. Bowen, 
    809 F.2d 763
    , 766 (11th Cir. 1987)). Here, Raices has not shown that there is a reasonable
    probability that the questionnaire she submitted from Dr. Martinez-Sanchez would
    have changed the ALJ’s decision. First, the questionnaire was not created until
    after the ALJ decision, and some of Dr. Martinez-Sanchez’s “opinions” in the
    questionnaire conflicted with her medical records regarding Raices’s treatment
    from before the ALJ decision. Second, the questionnaire itself was based on
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    Raices’s report of her subjective symptoms, which the ALJ discredited, and it
    lacked support or explanations for the medical opinions it contained. Therefore,
    while the questionnaire might have supported Raices’s claim, she has not shown a
    reasonable probability that it would have changed the ALJ’s decision.
    Accordingly, the new evidence was not material, and we affirm on this issue.
    II.
    We next consider whether the ALJ’s finding regarding the severity of
    Raices’s disability was adequately and specifically supported by substantial
    evidence. We conclude that it was.
    The individual seeking Social Security disability benefits bears the burden of
    proving that she is disabled. Moore v. Barnhart, 
    405 F.3d 1208
    , 1211 (11th Cir.
    2005). A claimant may establish that she has “a disability through [her] own
    testimony of pain or other subjective symptoms.” Dyer v. Barnhart, 
    395 F.3d 1206
    , 1210 (11th Cir. 2005).
    In evaluating a claimant’s testimony, the ALJ should consider, among other
    things, (1) the claimant’s daily activities, 
    20 C.F.R. § 404.1529
    (c)(3)(i), (2) the
    “duration, frequency, and intensity” of the claimant’s symptoms, 
    id.
    § 404.1529(c)(3)(ii), (3) the “type, dosage, effectiveness, and side effects of any
    medication” taken to alleviate symptoms, id. § 404.1529(c)(3)(iv), and (4)
    the treatment or other measures taken by the claimant to alleviate symptoms, id.
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    § 404.1529(c)(3)(v). The ALJ is to consider these factors in light of the other
    evidence in the record. Id. § 404.1529(c)(4).
    If the ALJ discredits the claimant’s testimony regarding her subjective
    symptoms, the ALJ must clearly “articulate explicit and adequate reasons for doing
    so.” Foote v. Chater, 
    67 F.3d 1553
    , 1561–62 (11th Cir. 1995). Such “credibility
    determinations are the province of the ALJ, and we will not disturb a clearly
    articulated credibility finding supported by substantial evidence.” Mitchell v.
    Comm’r, Soc. Sec. Admin., 
    771 F.3d 780
    , 782 (11th Cir. 2014) (internal citation
    omitted). “Substantial evidence is more than a scintilla, but less than a
    preponderance. It is such relevant evidence [that] a reasonable person would
    accept as adequate to support a conclusion.” Phillips v. Barnhart, 
    357 F.3d 1232
    ,
    1240 n.8 (11th Cir. 2004) (quoting Bloodsworth v. Heckler, 
    703 F.2d 1233
    , 1239
    (11th Cir. 1983)).
    Here, the ALJ specifically and adequately found that Raices’s testimony
    regarding her subjective symptoms was inconsistent with record and medical
    evidence. First, Raices testified about the extent that she was limited in her daily
    activities, but her treatment notes did not entirely corroborate the severity of her
    claimed limitations. Second, the ALJ noted that she was able to work part-time as
    an assistant manager during the relevant period, which was inconsistent with the
    extent of the disability that she claimed. Third, the ALJ found that, despite
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    Raices’s claims, she had only been receiving conservative treatment and had not
    been recommended for surgery, which was also inconsistent with the extent of
    disability that she claimed.
    Given these inconsistencies, the ALJ’s conclusion that Raices was capable
    of performing some work activity was supported by more than a scintilla of
    evidence. Accordingly, while the ALJ could have come to a different decision on
    this record, the decision he reached was supported by substantial evidence. As
    such, we must affirm. See Phillips, 
    357 F.3d at
    1240 n.8 (“We may not decide the
    facts anew, reweigh the evidence, or substitute our judgment for that of the
    [Commissioner].” (alteration in original) (quoting Bloodsworth, 
    703 F.2d at 1239
    )); Edwards v. Sullivan, 
    937 F.2d 580
    , 584 n.3 (11th Cir. 1991) (noting that
    this Court will not reverse a decision supported by substantial evidence even if,
    had we been the finder of fact, we would have reached a contrary result and even if
    the evidence preponderates against the Commissioner’s decision).
    III.
    For the reasons set forth above, the judgment of the District Court is
    affirmed.
    AFFIRMED.
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