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Software · head to head

Kareo vs TherapyNotes

Kareo logo

Kareo

Software

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
TherapyNotes logo

TherapyNotes

Software

EHR and practice management for therapists

From
$39/month
Rated
-

The short version

  • Each has a real cost: Kareo 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 covers Medical Billing, TherapyNotes covers Billing.

Where they differ

Only the attributes on which Kareo and TherapyNotes actually diverge.

Attributes where Kareo and TherapyNotes differ
AttributeKareoTherapyNotes
Starting price$99/month$39/month
PlatformsWeb, MobileWeb

Identical on both: pricing model (subscription), free tier (No), user rating (Not yet rated), category (Unknown), 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

  • Medical Billing
  • Payment Processing
  • 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

  • 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
  • Medical Recordsnot Kareo
  • Practice Managementnot Kareo
  • Telehealthnot Kareo

Where each one falls short

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

Kareo

  • 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

$99/month
  • Starter$99/month
    • EHR
    • Scheduling
    • Patient Portal
  • Professional$199/month
    • Everything in Starter
    • Billing
    • Reporting

TherapyNotes

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

Which should you pick?

Choose Kareo if

  • You need medical billing.
  • You work on Web, Mobile.
  • You also want payment processing.

Choose TherapyNotes if

  • You need billing.
  • You also want telehealth.

Questions people ask

Is Kareo or TherapyNotes better?
Neither clearly leads. Kareo starts at $99/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 or TherapyNotes?
Kareo starts at $99/month and TherapyNotes at $39/month.
Does Kareo or TherapyNotes run on more platforms?
Kareo runs on Web, Mobile. TherapyNotes runs on Web.
What is Kareo best used for?
Kareo 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 do that TherapyNotes cannot?
Kareo covers Medical Billing, Payment Processing, Labs, Pharmacies. TherapyNotes covers Billing, Telehealth, Outcome Tracking, Insurance. Both handle Electronic Health Records, Scheduling, Patient Portal, Clearinghouses.

Answered from the vendors’ own pages

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
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
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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