Softwr

Healthcare · head to head

Kareo Clinical vs NextGen Enterprise EHR

Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite
NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product; NextGen Enterprise EHR no pricing published on website
  • They diverge on capability: Kareo Clinical covers Scheduling, NextGen Enterprise EHR covers Clinical Documentation.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo Clinical and NextGen Enterprise EHR actually diverge.

Attributes where Kareo Clinical and NextGen Enterprise EHR differ
AttributeKareo ClinicalNextGen Enterprise EHR
Starting price$89/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb, Desktop
Founded20101997

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Kareo Clinical

  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Clearinghouses
  • SOC2
  • Mobile support

Only in NextGen Enterprise EHR

  • Clinical Documentation
  • Revenue Cycle Management
  • Patient Management
  • Interoperability
  • Reporting
  • HL7
  • FHIR
  • HITRUST

Both cover

  • Electronic Health Records
  • Analytics
  • Labs
  • Pharmacies
  • HIPAA
  • Cloud deployment
  • Web support

What people use each for

The jobs each tool is most often brought in to do.

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot NextGen Enterprise EHR
  • Electronic health records and e-prescribing for small clinicsnot NextGen Enterprise EHR
  • Insurance claim submission and patient payment collectionnot NextGen Enterprise EHR

NextGen Enterprise EHR

  • Patient Carenot Kareo Clinical
  • Medical Recordsnot Kareo Clinical
  • Practice Managementnot Kareo Clinical
  • Telehealthnot Kareo Clinical

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

NextGen Enterprise EHR

  • No pricing published on website

Pricing, plan by plan

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

NextGen Enterprise EHR

On request

No published plan breakdown. See the NextGen Enterprise EHR review.

Which should you pick?

Choose Kareo Clinical if

  • You need scheduling.
  • You work on Web, Mobile.
  • You also want patient portal.
Kareo Clinical review

Choose NextGen Enterprise EHR if

  • You need clinical documentation.
  • You work on Web, Desktop.
  • You also want revenue cycle management.
NextGen Enterprise EHR review

Questions people ask

Is Kareo Clinical or NextGen Enterprise EHR better?
Neither clearly leads. Kareo Clinical starts at $89/month and NextGen Enterprise EHR at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo Clinical or NextGen Enterprise EHR?
Kareo Clinical starts at $89/month and NextGen Enterprise EHR at On request.
Does Kareo Clinical or NextGen Enterprise EHR run on more platforms?
Kareo Clinical runs on Web, Mobile. NextGen Enterprise EHR runs on Web, Desktop.
What is Kareo Clinical best used for?
Kareo Clinical is most often used for practice management, scheduling and billing for independent medical practices, electronic health records and e-prescribing for small clinics, insurance claim submission and patient payment collection. Of those, practice management, scheduling and billing for independent medical practices and electronic health records and e-prescribing for small clinics are not what NextGen Enterprise EHR is typically brought in for.
What can Kareo Clinical do that NextGen Enterprise EHR cannot?
Kareo Clinical covers Scheduling, Patient Portal, Medical Billing, ePrescribing. NextGen Enterprise EHR covers Clinical Documentation, Revenue Cycle Management, Patient Management, Interoperability. Both handle Electronic Health Records, Analytics, Labs, Pharmacies.

Answered from the vendors’ own pages

Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

Source
NextGen Enterprise EHR: What is NextGen Enterprise EHR pricing?

NextGen Healthcare does not publish pricing for its Enterprise solutions on their website. The company uses a consultative sales model where pricing is determined after understanding specific practice requirements and needed features.

Source
Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

Source
Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

Source
Share

Related pages

More on Kareo Clinical

More on NextGen Enterprise EHR

Keep looking

Other head to heads