Tebra (Kareo) vs AdvancedMD
Two systems aimed squarely at the one-to-ten-provider independent practice.
Which practice each is built for
These two do not divide by size of vendor. They divide by size of practice. Both start at 1 (solo), so the split is at the top end: Tebra serves up to 6–15, AdvancedMD up to 16–50.
The registry puts Tebra (Kareo) at 0.3% and AdvancedMD at 0.4%. This measures the EMR identified by the Direct-messaging endpoint a practice registered with the federal NPPES registry. Vendors that sell mainly to small independent practices are systematically under-represented, because small practices are the least likely to have registered an endpoint at all. Read it as a floor, not as installed base. Both of these sell mainly to small independent practices, so those figures understate both of them — and there is no way to know by how much. They are not a ranking. Compare them on fit instead.
Which one to shortlist
- Users rate it higher — 3.9/5 across 1,368 reviews, against 3.6/5.
- Your specialty is one of 5 that Tebra serves and AdvancedMD does not, including Oncology, Rheumatology, Occupational Therapy.
- You expect to grow past 6–15 providers, which is where Tebra's tiers stop. AdvancedMD lists 16–50.
- You want a number before you talk to sales. AdvancedMD publishes $429–$1,070 per provider / month; Tebra quotes privately.
Get a real comparison for your practice
Everything above is what we can say about these two in general. What we cannot tell you from a page is what either costs at your provider count, in your specialty. Tell us and we will get you quotes from the vendors that actually fit — free, and we never charge practices.
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Other comparisons
Share figures are EMR Match Research analysis of the CMS NPPES Direct-endpoint data, July 2026 dissemination (n=37,310 identified providers) — the same source as our open data page, so the two can never disagree. This measures the EMR identified by the Direct-messaging endpoint a practice registered with the federal NPPES registry. Vendors that sell mainly to small independent practices are systematically under-represented, because small practices are the least likely to have registered an endpoint at all. Read it as a floor, not as installed base. Ratings and prices are as published by the review source and the vendor; sourcing on our methodology page.