Payment overview · 2025
General Payments
$2,373.12
105 reported records · 38 companies
Healthcare provider profile · identity verified
Sarah P Fleming
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · WEST PALM BEACH, FL · NPI 1629586102
Verified facts
What the public records show
CMS Open Payments records show Sarah P Fleming received $2,373.12 in general payments during 2025 across 105 reported records.
Janssen Biotech, Inc. accounted for 15.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 58 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $374.54 | 15.8% | 18 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $184.17 | 7.8% | 10 | 2025 |
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $170.62 | 7.2% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $155.91 | 6.6% | 11 | 2025 |
| Stemline Therapeutics Inc. | Unresolved — no canonical attribution shown | $103.89 | 4.4% | 4 | 2025 |
| Legend Biotech USA Inc. | Unresolved — no canonical attribution shown | $95.79 | 4.0% | 4 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $90.09 | 3.8% | 4 | 2025 |
| Incyte Corporation | Unresolved — no canonical attribution shown | $80.43 | 3.4% | 3 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $77.04 | 3.2% | 3 | 2025 |
| SOBI, INC | Unresolved — no canonical attribution shown | $72.29 | 3.0% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $64.86 | 2.7% | 3 | 2025 |
| BeiGene USA, Inc. | Unresolved — no canonical attribution shown | $60.23 | 2.5% | 3 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $59.86 | 2.5% | 3 | 2025 |
| TerSera Therapeutics LLC | Unresolved — no canonical attribution shown | $56.16 | 2.4% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $49.59 | 2.1% | 2 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $49.16 | 2.1% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $47.25 | 2.0% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $40.85 | 1.7% | 2 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $39.76 | 1.7% | 2 | 2025 |
| Adaptive Biotechnologies Corporation | Unresolved — no canonical attribution shown | $38.86 | 1.6% | 2 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $37.40 | 1.6% | 2 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $36.39 | 1.5% | 2 | 2025 |
| PUMA BIOTECHNOLOGY, INC. | Unresolved — no canonical attribution shown | $36.09 | 1.5% | 2 | 2025 |
| Agios Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $31.92 | 1.4% | 1 | 2025 |
| PharmaEssentia USA Corporation | Unresolved — no canonical attribution shown | $28.23 | 1.2% | 1 | 2025 |
| Deciphera Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $28.13 | 1.2% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $27.80 | 1.2% | 1 | 2025 |
| Exelixis Inc. | Unresolved — no canonical attribution shown | $26.40 | 1.1% | 1 | 2025 |
| Iovance Biotherapeutics, Inc. | Unresolved — no canonical attribution shown | $24.63 | 1.0% | 1 | 2025 |
| TAIHO ONCOLOGY, INC. | Unresolved — no canonical attribution shown | $22.51 | 0.9% | 1 | 2025 |
| Karyopharm Therapeutics Inc. | Unresolved — no canonical attribution shown | $22.45 | 0.9% | 1 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $21.84 | 0.9% | 1 | 2025 |
| ADC THERAPEUTICS AMERICA, INC. | Unresolved — no canonical attribution shown | $21.71 | 0.9% | 1 | 2025 |
| Delcath Systems | Unresolved — no canonical attribution shown | $21.26 | 0.9% | 1 | 2025 |
| Dendreon Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $20.47 | 0.9% | 1 | 2025 |
| ARRAY BIOPHARMA INC | Unresolved — no canonical attribution shown | $19.78 | 0.8% | 1 | 2025 |
| BeOne Medicines USA, Inc. | Unresolved — no canonical attribution shown | $18.11 | 0.8% | 1 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.65 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,373.12 | 105 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CARVYKTI Normalized: carvykti |
Biological, Drug | Janssen Biotech, Inc., Legend Biotech USA Inc. | $190.50 | 7 | 2025 |
Source payment records
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| Ocrevus Normalized: ocrevus |
Biological | Genentech USA, Inc. | $146.20 | 1 | 2025 |
Source payment records
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| DARZALEX Normalized: darzalex |
Biological | Janssen Biotech, Inc. | $144.07 | 8 | 2025 |
Source payment records
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| TECVAYLI Normalized: tecvayli |
Biological | Janssen Biotech, Inc. | $144.07 | 8 | 2025 |
Source payment records
|
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| Orserdu Normalized: orserdu |
Drug | Stemline Therapeutics Inc. | $103.89 | 4 | 2025 |
Source payment records
|
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| ELAHERE Normalized: elahere |
Drug | ABBVIE INC. | $92.87 | 4 | 2025 |
Source payment records
|
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| EPKINLY Normalized: epkinly |
Drug | ABBVIE INC. | $91.30 | 6 | 2025 |
Source payment records
|
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| IMBRUVICA Normalized: imbruvica |
Drug | ABBVIE INC. | $91.30 | 6 | 2025 |
Source payment records
|
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| RYBREVANT Normalized: rybrevant |
Drug | Janssen Biotech, Inc. | $90.87 | 5 | 2025 |
Source payment records
|
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| ENHERTU Normalized: enhertu |
Biological, Drug | AstraZeneca Pharmaceuticals LP, Daiichi Sankyo Inc. | $78.38 | 3 | 2025 |
Source payment records
|
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| Vonjo Normalized: vonjo |
Drug | SOBI, INC | $72.29 | 2 | 2025 |
Source payment records
|
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| KISQALI Normalized: kisqali |
Drug | Novartis Pharmaceuticals Corporation | $66.58 | 6 | 2025 |
Source payment records
|
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $59.86 | 3 | 2025 |
Source payment records
|
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| Zoladex Normalized: zoladex |
Drug | TerSera Therapeutics LLC | $56.16 | 2 | 2025 |
Source payment records
|
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| BRUKINSA Normalized: brukinsa |
Drug | BeOne Medicines USA, Inc., BeiGene USA, Inc. | $54.55 | 3 | 2025 |
Source payment records
|
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| JAKAFI Normalized: jakafi |
Drug | Incyte Corporation | $53.15 | 2 | 2025 |
Source payment records
|
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $49.59 | 2 | 2025 |
Source payment records
|
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| Xofigo Normalized: xofigo |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $49.59 | 2 | 2025 |
Source payment records
|
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| LIBTAYO Normalized: libtayo |
Biological | Regeneron Healthcare Solutions, Inc. | $49.16 | 2 | 2025 |
Source payment records
|
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| LUTATHERA Normalized: lutathera |
Drug | Novartis Pharmaceuticals Corporation | $47.76 | 3 | 2025 |
Source payment records
|
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $44.89 | 2 | 2025 |
Source payment records
|
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| Xtandi Normalized: xtandi |
Drug | Astellas Pharma US Inc | $40.85 | 2 | 2025 |
Source payment records
|
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| JEMPERLI Normalized: jemperli |
Biological | GlaxoSmithKline, LLC. | $39.76 | 2 | 2025 |
Source payment records
|
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| ZEJULA Normalized: zejula |
Drug | GlaxoSmithKline, LLC. | $39.76 | 2 | 2025 |
Source payment records
|
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| clonoSEQ Normalized: clonoseq |
Device | Adaptive Biotechnologies Corporation | $38.86 | 2 | 2025 |
Source payment records
|
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| ZEPZELCA Normalized: zepzelca |
Drug | JAZZ PHARMACEUTICALS INC. | $36.39 | 2 | 2025 |
Source payment records
|
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| NERLYNX Normalized: nerlynx |
Drug | PUMA BIOTECHNOLOGY, INC. | $36.09 | 2 | 2025 |
Source payment records
|
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| PYRUKYND Normalized: pyrukynd |
Drug | Agios Pharmaceuticals, Inc. | $31.92 | 1 | 2025 |
Source payment records
|
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $31.09 | 1 | 2025 |
Source payment records
|
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| BESREMI Normalized: besremi |
Drug | PharmaEssentia USA Corporation | $28.23 | 1 | 2025 |
Source payment records
|
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| QINLOCK Normalized: qinlock |
Drug | Deciphera Pharmaceuticals Inc. | $28.13 | 1 | 2025 |
Source payment records
|
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| ROMVIMZA Normalized: romvimza |
Drug | Deciphera Pharmaceuticals Inc. | $28.13 | 1 | 2025 |
Source payment records
|
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| SpaceOAR VUE System - 10mL Normalized: spaceoar vue system 10ml |
Device | Boston Scientific Corporation | $27.80 | 1 | 2025 |
Source payment records
|
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| MONJUVI Normalized: monjuvi |
Drug | Incyte Corporation | $27.28 | 1 | 2025 |
Source payment records
|
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| ZYNYZ Normalized: zynyz |
Drug | Incyte Corporation | $27.28 | 1 | 2025 |
Source payment records
|
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| CABOMETYX Normalized: cabometyx |
Drug | Exelixis Inc. | $26.40 | 1 | 2025 |
Source payment records
|
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $25.69 | 1 | 2025 |
Source payment records
|
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| Amtagvi Normalized: amtagvi |
Drug | Iovance Biotherapeutics, Inc. | $24.63 | 1 | 2025 |
Source payment records
|
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| Itovebi Normalized: itovebi |
Biological | Genentech USA, Inc. | $24.42 | 1 | 2025 |
Source payment records
|
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| Phesgo Normalized: phesgo |
Biological | Genentech USA, Inc. | $24.42 | 1 | 2025 |
Source payment records
|
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| VPRIV Normalized: vpriv |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $24.11 | 1 | 2025 |
Source payment records
|
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| TEVIMBRA Normalized: tevimbra |
Drug | BeiGene USA, Inc. | $23.79 | 1 | 2025 |
Source payment records
|
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| FRUZAQLA Normalized: fruzaqla |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $22.89 | 1 | 2025 |
Source payment records
|
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| INQOVI Normalized: inqovi |
Drug | TAIHO ONCOLOGY, INC. | $22.51 | 1 | 2025 |
Source payment records
|
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| LONSURF Normalized: lonsurf |
Drug | TAIHO ONCOLOGY, INC. | $22.51 | 1 | 2025 |
Source payment records
|
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| XPOVIO Normalized: xpovio |
Drug | Karyopharm Therapeutics Inc. | $22.45 | 1 | 2025 |
Source payment records
|
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| Onivyde Normalized: onivyde |
Drug | Ipsen Biopharmaceuticals, Inc | $21.84 | 1 | 2025 |
Source payment records
|
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| ZYNLONTA Normalized: zynlonta |
Drug | ADC THERAPEUTICS AMERICA, INC. | $21.71 | 1 | 2025 |
Source payment records
|
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| CABLIVI Normalized: cablivi |
Biological | GENZYME CORPORATION | $21.60 | 1 | 2025 |
Source payment records
|
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| HEPZATO KIT Normalized: hepzato kit |
Drug | Delcath Systems | $21.26 | 1 | 2025 |
Source payment records
|
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| PROVENGE Normalized: provenge |
Drug | Dendreon Pharmaceuticals LLC | $20.47 | 1 | 2025 |
Source payment records
|
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $20.22 | 1 | 2025 |
Source payment records
|
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| BRAFTOVI Normalized: braftovi |
Drug | ARRAY BIOPHARMA INC | $19.78 | 1 | 2025 |
Source payment records
|
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| LORBRENA Normalized: lorbrena |
Drug | ARRAY BIOPHARMA INC | $19.78 | 1 | 2025 |
Source payment records
|
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| VONVENDI Normalized: vonvendi |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $17.86 | 1 | 2025 |
Source payment records
|
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $16.65 | 1 | 2025 |
Source payment records
|
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| LYNPARZA Normalized: lynparza |
Biological | Merck Sharp & Dohme LLC | $14.81 | 1 | 2025 |
Source payment records
|
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| SCEMBLIX Normalized: scemblix |
Drug | Novartis Pharmaceuticals Corporation | $10.48 | 1 | 2025 |
Source payment records
|
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $2,373.12 · 105 records | Janssen Biotech, Inc. | Amtagvi, BESREMI, BRAFTOVI, BRUKINSA, CABLIVI, CABOMETYX, CARVYKTI, DARZALEX, DATROWAY, ELAHERE, ENHERTU, EPKINLY, ERLEADA, FRUZAQLA, HEPZATO KIT, IMBRUVICA, INQOVI, Itovebi, JAKAFI, JEMPERLI, KEYTRUDA, KISQALI, LIBTAYO, LONSURF, LORBRENA, LUTATHERA, LYNPARZA, MONJUVI, NERLYNX, Nubeqa, Ocrevus, Onivyde, Orserdu, PLUVICTO, PROVENGE, PYRUKYND, Phesgo, QINLOCK, ROMVIMZA, RYBREVANT, SCEMBLIX, SpaceOAR VUE System - 10mL, TAGRISSO, TECVAYLI, TEVIMBRA, ULTOMIRIS, VONVENDI, VPRIV, Vonjo, XPOVIO, Xofigo, Xtandi, ZEJULA, ZEPZELCA, ZYNLONTA, ZYNYZ, Zoladex, clonoSEQ | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error