# Tebra EHR, PM, Billing (Kareo) vs SimplePractice for Clinicians

The clearest difference is rating: SimplePractice for Clinicians at 4.7 against Tebra EHR, PM, Billing (Kareo)'s 1.8. SimplePractice for Clinicians also leads on monetization model (free vs freemium) and ratings volume (34K vs 238). On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

SimplePractice for Clinicians holds the better App Store score, 4.7 against 1.8. That said, the two scores are not equally well evidenced: SimplePractice for Clinicians has 34K ratings behind it against 238, so its average is the more settled of the two. Written reviews point the same way: 4% of Tebra EHR, PM, Billing (Kareo)'s written reviews are positive against 29% of SimplePractice for Clinicians's.

Both ship on a similar rhythm, roughly every 3 weeks. The most recent releases landed on September 21, 2026 and September 24, 2026 respectively.

## The numbers

| Metric | Tebra EHR, PM, Billing (Kareo) | SimplePractice for Clinicians |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.8 (238 ratings)](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934/reviews) | **[4.7 (34K ratings)](https://appshunter.io/ios/app/simplepractice-for-clinicians/id738207604/reviews)** |
| Number of ratings | 238 | **34K** |
| Positive reviews | 4.3% of reviews | **28.8% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 weeks | Every 3 weeks |
| Monetization | Freemium | **Free** |
| Best chart rank | — | **#206** |
| Size | 113 MB | 137 MB |
| Requires iOS | 18.6 | **17.3** |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 12+ |
| Developer | [Tebra Technologies, Inc.](https://appshunter.io/developer/1733539075) | [SimplePractice, LLC.](https://appshunter.io/developer/738207607) |

## What reviewers say

### Tebra EHR, PM, Billing (Kareo)

[App page](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934)

This integrated platform offers comprehensive tools for independent medical practices to manage schedules, patient records, and billing from a mobile device. It provides secure communication, document management, and clinical note-taking capabilities, enhancing practice efficiency and patient engagement.

**Highlights:** Schedule management, Patient record access, Secure messaging, Document management, Clinical note creation, Billing analytics, E-prescribing

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Useful for basic functions
- 📱 Convenient mobile access
- 🗓 Helpful for checking schedule

**What reviewers complain about**

- 🐛 Frequent crashes and bugs
- 🔍 Unreliable app functionality
- 🔒 Login issues and security problems
- 🤖 Poor customer support
- 💰 Expensive for limited features

**Reported bugs**

- Calendar and schedule not syncing properly
- Inability to log in or frequent log outs
- App crashing when trying to access patient data
- Prescription sending not working as expected
- Inconsistent app performance across devices

**Requested features**

- Improve calendar and scheduling features
- Add ability to create and sign notes
- Enable prescription refilling from app
- Enhance document upload and management
- Provide better integration with desktop version


### SimplePractice for Clinicians

[App page](https://appshunter.io/ios/app/simplepractice-for-clinicians/id738207604)

**Currently charting:** #206 Top Free · Medical (US App Store)

Manage your practice on the go with intuitive tools for scheduling, client management, and administrative tasks. This HIPAA-compliant app offers a streamlined experience for clinicians to connect with clients, manage appointments, and access client information securely from their mobile devices.

**Highlights:** Client scheduling and management, HIPAA-compliant security, Session note writing, Document sharing and uploading, Secure messaging, Invoice and payment processing, Optimized mobile interface

**Features:** Apple Wallet

**In-app purchases:** none

**What reviewers like**

- 🚀 Convenient mobile app
- 📝 Helpful note-taking features
- 💳 Efficient billing and payment processing
- 🗓️ Useful scheduling and calendar integration
- 🔒 Secure client portal

**What reviewers complain about**

- 🐛 Buggy app updates causing crashes and freezes
- 📱 Limited functionality compared to desktop version
- 🕰️ Confusing calendar and scheduling interface
- 🔍 Difficulty accessing certain features and reports
- 🔊 Poor video/audio quality for telehealth

**Reported bugs**

- Inconsistent behavior when syncing appointments
- Unreliable push notifications and reminders
- Issues with insurance billing and payment tracking
- Problems accessing client documents and files on mobile

**Requested features**

- iPad app support
- Ability to edit invoices and payments
- More customization options for client portal
- Improved calendar view and scheduling functionality
- Better integration with other productivity apps


## Frequently asked questions

### Is Tebra EHR, PM, Billing (Kareo) free?

Tebra EHR, PM, Billing (Kareo) is free to download, with no in-app purchases.

### Is SimplePractice for Clinicians free?

SimplePractice for Clinicians is free to download, with no in-app purchases.

### Which has better reviews, Tebra EHR, PM, Billing (Kareo) or SimplePractice for Clinicians?

SimplePractice for Clinicians is rated higher. Tebra EHR, PM, Billing (Kareo) averages 1.8 out of 5 from 238 ratings, while SimplePractice for Clinicians averages 4.7 from 34K ratings.

### Do Tebra EHR, PM, Billing (Kareo) or SimplePractice for Clinicians have ads?

Neither Tebra EHR, PM, Billing (Kareo) nor SimplePractice for Clinicians shows ads.

### Which is updated more often, Tebra EHR, PM, Billing (Kareo) or SimplePractice for Clinicians?

Tebra EHR, PM, Billing (Kareo) ships an update every 3 weeks, and SimplePractice for Clinicians every 3 weeks. Most recently, Tebra EHR, PM, Billing (Kareo) was updated on September 21, 2026 and SimplePractice for Clinicians on September 24, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*