Payment overview · 2025
General Payments
$859.75
47 reported records · 7 companies
Healthcare provider profile · identity verified
Jonathan L Karper, PAC
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · PINEVILLE, WV · NPI 1730270026
Verified facts
What the public records show
CMS Open Payments records show Jonathan L Karper, PAC received $859.75 in general payments during 2025 across 47 reported records.
ABBVIE INC. accounted for 27.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance, Ozempic, Trelegy Ellipta.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Linzess by this doctor in 2024.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Synthroid by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 39 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Jardiance by this doctor in 2024.
GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Trelegy Ellipta by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Jardiance by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 44 claims for Mounjaro by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Trulicity by this doctor in 2024.
Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 56 claims for Ozempic by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $232.73 | 27.1% | 17 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $219.04 | 25.5% | 9 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $170.46 | 19.8% | 11 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $113.77 | 13.2% | 6 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $86.94 | 10.1% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $20.17 | 2.4% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $16.64 | 1.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $859.75 | 47 |
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 |
|---|---|---|---|---|---|
| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $167.91 | 13 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $156.51 | 10 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $156.51 | 10 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $154.93 | 5 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $133.03 | 4 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $126.44 | 13 | 2025 |
Source payment records
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| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $113.77 | 6 | 2025 |
Source payment records
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| PENMENVY Normalized: penmenvy |
Biological | GlaxoSmithKline, LLC. | $72.46 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $48.54 | 3 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $36.81 | 2 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $14.48 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $13.95 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 39 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 21 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 56 | exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 32 | exact normalized | Medicare Part D |
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
12 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
39 | 22 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
21 | 13 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
32 | 18 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
21 | 13 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
44 | 12 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
15 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
56 | 23 |
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.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Omeprazole | Omeprazole | 208 | 107 |
| Levothyroxine Sodium | Levothyroxine Sodium | 203 | 83 |
| Tramadol Hcl | Tramadol Hcl | 191 | 64 |
| Gabapentin | Gabapentin | 177 | 55 |
| Famotidine | Famotidine | 174 | 91 |
| Atorvastatin Calcium | Atorvastatin Calcium | 170 | 85 |
| Potassium Chloride | Potassium Chloride | 160 | 78 |
| Amlodipine Besylate | Amlodipine Besylate | 155 | 67 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 144 | 71 |
| Metformin Hcl | Metformin Hcl | 138 | 61 |
| Montelukast Sodium | Montelukast Sodium | 137 | 60 |
| Lisinopril | Lisinopril | 136 | 72 |
| Prednisone | Prednisone | 129 | 99 |
| Pantoprazole Sodium | Pantoprazole Sodium | 123 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 120 | 58 |
| Ibuprofen | Ibuprofen | 110 | 59 |
| Lorazepam | Lorazepam | 109 | 36 |
| Furosemide | Furosemide | 108 | 54 |
| Meloxicam | Meloxicam | 107 | 49 |
| Tamsulosin Hcl | Tamsulosin Hcl | 102 | 45 |
| Azithromycin | Azithromycin | 97 | 92 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 94 | 53 |
| Losartan Potassium | Losartan Potassium | 88 | 35 |
| Ondansetron Odt | Ondansetron | 81 | 48 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 80 | 70 |
| Fluconazole | Fluconazole | 77 | 37 |
| Trazodone Hcl | Trazodone Hcl | 76 | 37 |
| Hydrochlorothiazide | Hydrochlorothiazide | 74 | 30 |
| Fluticasone Propionate | Fluticasone Propionate | 73 | 51 |
| Diclofenac Sodium | Diclofenac Sodium | 70 | 34 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 68 | 48 |
| Pregabalin | Pregabalin | 67 | 20 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 57 | 34 |
| Ozempic | Semaglutide | 56 | 23 |
| Clopidogrel | Clopidogrel Bisulfate | 54 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 53 | 33 |
| Escitalopram Oxalate | Escitalopram Oxalate | 53 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 50 | 24 |
| Ezetimibe | Ezetimibe | 48 | 22 |
| Eliquis | Apixaban | 47 | 26 |
| Pravastatin Sodium | Pravastatin Sodium | 47 | 18 |
| Simvastatin | Simvastatin | 45 | 22 |
| Mounjaro | Tirzepatide | 44 | 12 |
| Alprazolam | Alprazolam | 43 | 11 |
| Atenolol | Atenolol | 42 | 14 |
| Baclofen | Baclofen | 42 | 25 |
| Cephalexin | Cephalexin | 42 | 41 |
| Nystatin | Nystatin | 41 | 24 |
| Allopurinol | Allopurinol | 40 | 19 |
| Citalopram Hbr | Citalopram Hydrobromide | 40 | 19 |
| Farxiga | Dapagliflozin Propanediol | 39 | 22 |
| Cefdinir | Cefdinir | 37 | 34 |
| Duloxetine Hcl | Duloxetine Hcl | 37 | 20 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 36 | 15 |
| Pioglitazone Hcl | Pioglitazone Hcl | 36 | 16 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 36 | 17 |
| Januvia | Sitagliptin Phosphate | 35 | 15 |
| Torsemide | Torsemide | 35 | 18 |
| Carvedilol | Carvedilol | 34 | 12 |
| Clonazepam | Clonazepam | 34 | suppressed |
| Fenofibrate | Fenofibrate | 34 | 14 |
| Glimepiride | Glimepiride | 33 | 14 |
| Ropinirole Hcl | Ropinirole Hcl | 33 | 17 |
| Donepezil Hcl | Donepezil Hcl | 32 | 12 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 32 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 32 | 18 |
| Quetiapine Fumarate | Quetiapine Fumarate | 31 | 16 |
| Alendronate Sodium | Alendronate Sodium | 29 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 29 | 15 |
| Mupirocin | Mupirocin | 28 | 27 |
| Paxlovid | Nirmatrelvir/Ritonavir | 28 | 28 |
| Chlorthalidone | Chlorthalidone | 26 | 14 |
| Clindamycin Hcl | Clindamycin Hcl | 26 | 22 |
| Clonidine Hcl | Clonidine Hcl | 26 | 15 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 25 | 18 |
| Paroxetine Hcl | Paroxetine Hcl | 25 | 12 |
| Azelastine Hcl | Azelastine Hcl | 24 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 24 | 12 |
| Meclizine Hcl | Meclizine Hcl | 24 | 14 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 24 | 16 |
| Valsartan | Valsartan | 24 | 11 |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | 12 |
| Colchicine | Colchicine | 23 | 13 |
| Vascepa | Icosapent Ethyl | 23 | 12 |
| Warfarin Sodium | Warfarin Sodium | 23 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 23 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 22 | 19 |
| Fluoxetine Hcl | Fluoxetine Hcl | 22 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 21 | 11 |
| Bupropion Xl | Bupropion Hcl | 21 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 21 | 17 |
| Ibu | Ibuprofen | 21 | 18 |
| Jardiance | Empagliflozin | 21 | 13 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 21 | suppressed |
| Finasteride | Finasteride | 18 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 18 | suppressed |
| Temazepam | Temazepam | 18 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 17 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 17 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 17 | 12 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 17 | suppressed |
| Sucralfate | Sucralfate | 17 | suppressed |
| Celecoxib | Celecoxib | 16 | suppressed |
| Diazepam | Diazepam | 16 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Trulicity | Dulaglutide | 15 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 15 | suppressed |
| Amoxicillin | Amoxicillin | 14 | 13 |
| Buspirone Hcl | Buspirone Hcl | 14 | suppressed |
| Naproxen | Naproxen | 14 | suppressed |
| Spironolactone | Spironolactone | 14 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 13 | 12 |
| Methylprednisolone | Methylprednisolone | 13 | 13 |
| Tresiba Flextouch U-200 | Insulin Degludec | 13 | suppressed |
| Glipizide | Glipizide | 12 | suppressed |
| Linzess | Linaclotide | 12 | suppressed |
| Nifedipine Er | Nifedipine | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Ranolazine Er | Ranolazine | 12 | suppressed |
| Synthroid | Levothyroxine Sodium | 12 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 12 | suppressed |
| Desloratadine | Desloratadine | 11 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 11 | 11 |
| Lactulose | Lactulose | 11 | suppressed |
| Memantine Hcl | Memantine Hcl | 11 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Tradjenta | Linagliptin | 11 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
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 | $859.75 · 47 records | ABBVIE INC. | AIRSUPRA, FARXIGA, JARDIANCE, Ozempic, PENMENVY, QULIPTA, Rybelsus, TRELEGY ELLIPTA, UBRELVY, VERQUVO, VRAYLAR, Wegovy | 9 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- 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