[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FILED
FOR THE ELEVENTH CIRCUITU.S. COURT OF APPEALS
________________________ ELEVENTH CIRCUIT
APR 11, 2011
No. 10-14557 JOHN LEY
Non-Argument Calendar CLERK
________________________
D.C. Docket No. 1:09-cv-00114-MP-AK
MELISSA SUZANNE SMITH,
llllllllllllllllllllllllllllllllllllllll Plaintiff-Appellant,
versus
COMMISSIONER OF SOCIAL SECURITY,
lllllllllllllllllllllllllllllllllllllll lDefendant-Appellee.
________________________
Appeal from the United States District Court
for the Northern District of Florida
________________________
(April 11, 2011)
Before BARKETT, WILSON and BLACK, Circuit Judges.
PER CURIAM:
Melissa Suzanne Smith appeals the district court’s order affirming the
Social Security Administration’s denial of her application for disability insurance
benefits, 42 U.S.C. § 405(g). On appeal, Smith argues that the ALJ’s finding of a
severe combination of listed impairments at step two of the evaluation was not
supported by substantial evidence because the evidence showed that four other
impairments were also severe. Smith contends that the ALJ failed to consider an
opinion of a non-examining consultant in making the determination of severe
impairments. Smith also asserts that the Administrative Law Judge (ALJ) legally
erred by failing to consider her mental and physical impairments in combination
when evaluating her level of disability. Further, Smith argues that the evidence
does not support the ALJ’s determination that Smith’s testimony was not entirely
credible, and Smith challenges the ALJ’s residual functional capacity
determination, which was predicated, in part, on the credibility determination, and
also provided the basis for the ultimate finding that Smith was not disabled.
Finally, Smith argues that the ALJ’s findings were not sufficient to allow
meaningful appellate review.
We review a Commissioner’s decision denying Social Security benefits to
determine whether it is supported by substantial evidence and whether the proper
legal standards were applied. Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155,
1158 (11th Cir. 2004). The Commissioner’s factual findings are conclusive if
“supported by substantial evidence,” but the Commissioner’s “conclusions of law,
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including applicable review standards, are not presumed valid.” Martin v.
Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990) (quotation omitted). “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, 363 F.3d at
1158 (quotation omitted). We “may not decide facts anew, reweigh the evidence,
or substitute our judgment for that of the Commissioner.” Dyer v. Barnhart, 395
F.3d 1206, 1210 (11th Cir. 2005) (quotation and alteration omitted). “Even if the
evidence preponderates against the [Commissioner’s] factual findings, we must
affirm if the decision reached is supported by substantial evidence.” Martin, 894
F.2d at 1529.
The Social Security Regulations outline a five-step process used to determine
whether a claimant is disabled. 20 C.F.R. § 404.1520(a)(4). Under the first step, the
claimant has the burden to show that she is not currently engaged in substantial
gainful activity. Id. § 404.1520(a)(4)(i). At step two, the claimant must show that
she has a severe impairment or combination of impairments. Id. § 404.1520(a)(4)(ii).
Third, she must attempt to show that the impairment meets or equals the criteria
contained in one of the Listings of Impairments. Id. § 404.1520(a)(4)(iii). Fourth,
if the claimant cannot meet or equal the criteria, the claimant’s residual functional
capacity is assessed, and she must show that she has an impairment which prevents
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her from performing her past relevant work. Id. § 404.1520(a)(4)(iv). Fifth, once a
claimant establishes that she cannot perform her past relevant work due to some
severe impairment, the burden shifts to the Commissioner to show that significant
numbers of jobs exist in the national economy which the claimant can perform. Id.
§ 404.1520(a)(4)(v); Phillips v. Barnhart, 357 F.3d 1232, 1239 (11th Cir. 2004).
At step two of the sequential analysis, the claimant bears the burden of proving
that she has a severe impairment or combination of impairments to demonstrate a
qualifying disability. See Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005)
(holding that the regulations place “a very heavy burden” on the claimant to
demonstrate a qualifying disability); Phillips, 357 F.3d at 1237 (noting that the
second step of the analysis requires the ALJ to consider the severity of the claimant’s
impairments alone or in combination). Impairments, alone or in combination, are
severe if they “‘significantly limit’ the claimant’s ‘physical or mental ability to do
basic work skills.’” Phillips, 357 F.3d at 1237 (quoting 20 C.F.R. § 404.1520(c)).
When a claimant attempts to establish disability through her own testimony
concerning pain or other subjective symptoms, the claimant must satisfy two parts of
a three-part “pain standard,” which requires evidence of an underlying medical
condition, and either (A) objective medical evidence that confirms the severity of the
alleged pain stemming from that condition, or (B) that the objectively determined
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medical condition is so severe that it can reasonably be expected to cause the alleged
pain. Wilson v. Barnhart, 284 F.3d 1219, 1225 (11th Cir. 2002). “After considering
a claimant’s complaints of pain, the ALJ may reject them as not creditable, and that
determination will be reviewed for substantial evidence.” Marbury v. Sullivan, 957
F.2d 837, 839 (11th Cir. 1992).
Generally, the opinions of examining or treating physicians are given more
weight than non-examining or non-treating physicians unless “good cause” is shown.
See 20 C.F.R. § 404.1527(d)(1), (2); Lewis v. Callahan, 125 F.3d 1436, 1440 (11th
Cir. 1997). Good cause exists to discredit a physician’s testimony when a physician’s
opinion is conclusory, contrary to or unsupported by the evidence of record, or
inconsistent with the physician’s own medical records. Lewis, 125 F.3d at 1440.
“[F]indings and other opinions of State agency medical and psychological consultants
. . . [are considered] as opinion evidence . . .” of non-examining sources. 20 C.F.R.
§ 404.1527(f)(2)(i).
In this case, a review of the entire record and consideration of the parties’
briefs reflects that the ALJ’s finding of a severe combination of certain listed
impairments was supported by substantial evidence, as was the conclusion that the
other four impairments named by Smith did not affect Smith’s ability to work, were
not severe, and did not impact the severity of the combination of impairments. The
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ALJ properly followed the opinion of the examining physician over the opinion of
a nonexamining consultant, in characterizing the severe impairments. See 20 C.F.R.
§ 404.1527(d)(1) and (f)(2)(i). The record also reflects that the ALJ considered
Smith’s impairments in combination and did not legally err in this regard because the
ALJ’s analysis and ultimate determinations were properly predicated on the combined
effect of Smith’s impairments and symptoms. Further, the ALJ’s determination was
clearly articulated and supported by substantial evidence. Based on all of Smith’s
impairments, the ALJ’s residual functional capacity determination was also supported
by substantial evidence. This determination was supported by an examining
physician’s opinion, by the opinions of nonexamining consultants, and by the
testimony of a vocational expert. Based on the record, we cannot say the ALJ erred
in concluding that Smith was not disabled, and the ALJ’s decision was sufficiently
supported and articulated to allow our meaningful review.
AFFIRMED.
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