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Healthcare · head to head

Kareo Clinical vs TherapyNotes

Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
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; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: Kareo Clinical covers Medical Billing, TherapyNotes covers Billing.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo Clinical and TherapyNotes actually diverge.

Attributes where Kareo Clinical and TherapyNotes differ
AttributeKareo ClinicalTherapyNotes
Starting price$89/month$39/month
PlatformsWeb, MobileWeb

Identical on both: pricing model (subscription), free tier (No), user rating (Not yet rated), category (Healthcare), founded (2010).

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

  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

Only in TherapyNotes

  • Billing
  • Telehealth
  • Outcome Tracking
  • Insurance

Both cover

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Clearinghouses
  • HIPAA
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile 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 TherapyNotes
  • Electronic health records and e-prescribing for small clinicsnot TherapyNotes
  • Insurance claim submission and patient payment collectionnot TherapyNotes

TherapyNotes

  • 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

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

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

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

Which should you pick?

Choose Kareo Clinical if

  • You need medical billing.
  • You work on Web, Mobile.
  • You also want eprescribing.
Kareo Clinical review

Choose TherapyNotes if

  • You need billing.
  • You also want telehealth.
TherapyNotes review

Questions people ask

Is Kareo Clinical or TherapyNotes better?
Neither clearly leads. Kareo Clinical starts at $89/month and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo Clinical or TherapyNotes?
Kareo Clinical starts at $89/month and TherapyNotes at $39/month.
Does Kareo Clinical or TherapyNotes run on more platforms?
Kareo Clinical runs on Web, Mobile. TherapyNotes runs on Web.
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 TherapyNotes is typically brought in for.
What can Kareo Clinical do that TherapyNotes cannot?
Kareo Clinical covers Medical Billing, ePrescribing, Analytics, Labs. TherapyNotes covers Billing, Telehealth, Outcome Tracking, Insurance. Both handle Electronic Health Records, Scheduling, Patient Portal, Clearinghouses.

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
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

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
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

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
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

Source
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