Tebra (Kareo)
TherapyNotes
| Feature | Tebra (Kareo) | TherapyNotes |
|---|---|---|
| Pricing | Contact sales | From $49/mo |
| Free Plan | ✗ No | ✗ No |
| Rating | 3.9 / 5 | 4.6 / 5 |
| Best For | independent-practices, small-clinics, solo-physicians, mental-health-providers | therapists, psychologists, counselors, behavioral-health-practices |
| Founded | 2004 | 2010 |
| Practice Management | ✓ | ✗ |
| Ehr | ✓ | ✗ |
| Billing | ✓ | ✗ |
| Patient Portal | ✓ | ✓ |
| Telehealth | ✓ | ✓ |
| Scheduling | ✓ | ✓ |
| Progress Notes | ✗ | ✓ |
| Insurance Billing | ✗ | ✓ |
| Credit Card Processing | ✗ | ✓ |
✓ Tebra (Kareo) Pros
- Designed for small practices
- Good billing features
- Patient portal
- Easy to use
✗ Tebra (Kareo) Cons
- Limited for large practices
- Support inconsistencies
- Feature depth limited
✓ TherapyNotes Pros
- Purpose-built for therapists
- Excellent documentation templates
- Reliable customer support
- Insurance billing included
✗ TherapyNotes Cons
- Limited customization options
- No telehealth on basic plan
- Interface could be modernized
The Verdict
Tebra (Kareo) is built for independent practices and small clinics, with a focus on practice-management and ehr. TherapyNotes targets therapists and psychologists and leads with progress-notes and scheduling.
Tebra (Kareo) uses custom enterprise pricing, while TherapyNotes starts at $49/mo — a tangible advantage for teams with a fixed budget.
Neither tool offers a free plan, so factor the subscription cost into your decision from the start.
TherapyNotes edges out on user ratings (4.6 vs 3.9). While both are well-regarded, that gap reflects real differences in user satisfaction worth considering.
Bottom line: TherapyNotes has a slight overall edge — but if designed for small practices matters most to you, Tebra (Kareo) may still be the right call.