Greenway vs. NextGen vs. Develo for Pediatric Clinics (2026)

Greenway and NextGen are mid-market, private-equity-owned ambulatory EMRs that can run a pediatric clinic once you configure them for it. NextGen is the more modern of the pair and scales further, while Greenway shows its age in the interface and is moving customers to Novare, which reads as Intergy under a new name. Both now offer an ambient AI scribe.

We compared both with Develo, the one option built for children's care from the ground up, on AI, pediatric fit, cost, and scale.

Greenway vs. NextGen vs. Develo: TL;DR

• Greenway: Best for a multi-specialty group already on Intergy or Prime Suite that plans to stay with the vendor through its move to Novare.
  
  
• NextGen: Best for a mid-to-large multi-specialty group that wants broad specialty templates and a product line that scales from small office to enterprise.
  
  
• Develo: Best when pediatrics is your whole practice and you want well child visits, vaccine billing, and family records built in. 

Meet the Contenders

Greenway Health: The Long-Running Incumbent

Greenway is a mid-market ambulatory EMR built around two older products, Intergy and Prime Suite, which came together in a 2013 merger. Its newest platform, Novare, launched in March 2026, and Greenway's own Intergy page calls it "the next evolution of Intergy EHR," so it reads as a rebranded Intergy rather than a new system. Greenway also offers managed billing, so a practice can outsource its revenue cycle.

NextGen Healthcare: The Modernizing Veteran

NextGen is an established ambulatory EMR with an ambient AI scribe and templates for different specialties. It sells NextGen Office for small practices and NextGen Enterprise for larger groups, so it scales from solo to multi-site.

Develo: The Pediatric Specialist

Develo is the AI-native pediatric operating system, unifying charting, billing, practice management, and family engagement in one system built for outpatient pediatric care. Everything in it is designed around how children's practices actually work, from well child visits to vaccine billing.

Greenway vs. NextGen vs. Develo: At a Glance

Pricing correct as of October 2026. Verify with each vendor.

Greenway vs. NextGen vs. Develo: Feature Breakdown

AI and Documentation

Greenway offers Greenway Clinical Assist, an ambient documentation tool built with Nabla that works inside Prime Suite and Intergy. Greenway now markets Novare as natively AI-enabled, though Clinical Assist began as a partner-built add-on.

NextGen ships Ambient Assist, an ambient AI scribe that drafts structured visit notes from the conversation.

Develo was built AI-native, and the scribe is one of six AI capabilities. The Develo AI scribe covers visit intake and writes into the visit note section by section, using the child's chart context, with a clinician making the final call. Develo doc intel files incoming e-faxes and uploads to the right chart, Develo reports Q&A answers practice data questions in plain English, and Develo AI forms digitizes practice and patient forms. Develo ships minor releases weekly and major releases every two weeks.

Winner: Develo, because its AI reaches past the scribe into documents, reporting, and forms.

Pediatric Fit

Greenway treats pediatrics as a configurable specialty, which is workable but built on an adult-first foundation you adapt.

NextGen covers pediatrics as one of 40+ specialties, but pediatric essentials such as developmental screeners and family relationship tools can require extra configuration or third-party add-ons.

Develo handles well child visit schedules, age-based coding, vaccine forecasting, vaccine inventory, and sibling and guardian records natively, since no other specialty is competing for the roadmap.

Winner: Develo. It's the only one of the three with pediatric workflows built in from the start.

True Cost

Greenway keeps its quotes private, so you'll need a written proposal to see what you'd pay, and it hasn't published pricing for Novare.

NextGen doesn't publish pricing. Third-party estimates put it at roughly $300 to $550 per provider per month, and that's before the fees NextGen lists in its own certification disclosure: lab and immunization registry interfaces each carry a license fee, an implementation fee, and an ongoing support fee, and on NextGen Enterprise the patient portal adds a setup fee and a per-provider monthly subscription. Enterprise practices buy clearinghouse services as a separate NextGen EDI product. A pediatric clinic often layers on paid tools for screeners and intake too. On a payer mix weighted toward Medicaid rates rather than commercial ones, each add-on takes a bigger share of every visit's revenue.

Develo uses comprehensive pricing built on a per-provider monthly fee, with no implementation fee because data migration, configuration, and training are bundled in. There's no per-interface fee for state immunization registry connections and no separate clearinghouse charge. The Develo AI scribe is priced separately.

Winner: It depends on your setup. Greenway and NextGen both quote privately, so only a written proposal shows sticker price, while Develo's comprehensive pricing makes total cost easier to predict once you count the screening and intake tools a general EMR often needs.

Scale and Breadth

Greenway fits comfortably with mid-market ambulatory groups and brings decades of stability to the table.

NextGen spans solo practices to large multi-specialty groups, and it says its Mirth Connect engine powers many public health information exchanges, so it scales broadly.

Develo serves pediatrics only, from solo practices to multi-site groups and MSOs with a centralized back office, so it doesn't cover the specialty ground the other two do. Everything it has goes into pediatrics, while Greenway and NextGen span dozens of specialties.

Winner: NextGen, for sheer range. Develo is the better pick if pediatric depth matters more to you than breadth.

What Real Users Say

On Capterra, as of October 2026, Greenway's Prime Suite averages 3.8/5 across 205 reviews, while NextGen Office averages 4.0/5 across 1,284 reviews. Develo doesn't have enough public reviews yet for a comparable rating, so we've left it out of this section.

Here's what users highlight most, drawn from verified reviews on EHRreviews, Capterra, Software Advice, and EMRFinder. 

Greenway

Pros

✅ Customizable workflows across specialties

One physician noted that Greenway's workflows adapt well across the different specialties in a single clinic. 

Dr. Jennifer, Physician, EHRreviews 

✅ Easy to use with minimal training

One user found Prime Suite easy to use and needing little training to get started. 

Loganne Y., Ultrasound Technologist, Capterra

✅ Solid clinical and admin tools to start

One reviewer said Prime Suite covered the core clinical and administrative tools a growing practice needed, with a smooth initial setup. 

Christopher, Hospital and Health Care, EMRFinder

Cons

❌ Dated interface with a real learning curve

One family-practice reviewer found the interface dated and the learning curve for new staff significant, calling it practical once you adjust but not the most modern or intuitive.

Anderson, Family Practice, EMRFinder

❌ Billing errors, slow support, and thin care plans

One reviewer reported being overbilled for more providers than the practice had, with slow responses on billing and software issues, and wanted stronger functional care plans. 

Kenderia P., Program Manager, Capterra

NextGen

Pros

✅ User-friendly with strong practice management

One practice owner described NextGen as easy to use, with efficient practice management and simple billing and insurance processing, backed by great support.

Lisette N., Owner, Capterra

✅ Handles the full range of clinic operations

An office manager at a large primary-care organization said NextGen covers their day-to-day needs across scheduling, charting, prescriptions, and billing and coding, and that patient-portal appointment requests have improved communication and access. 

Latasha F., Medical Office Manager, Software Advice

✅ Strong billing and claims functionality

A billing manager who has used NextGen for over 10 years praised its billing tools for submitting primary and secondary claims, reworking denials, and auto-posting payments, plus a ledger that tracks patient balances and statements.

Chez G., Billing and Credentialing Manager, Capterra 

Cons

❌ Updates can crash the system

A reviewer said that updates tend to make the whole system crash in some way, and that when it happens, the help desk struggles to resolve it, which stalls both offices since neither can run without the EMR working. 

Nicole B., Practice Staff, Software Advice 

❌ Cluttered interface and slow-loading features

One admin reviewer found the NextGen Office interface cluttered at times, with certain features slow to load and third-party integrations that could run more smoothly. 

Anonymous User, Admin, Capterra

Which Tool Should You Choose?

Choose NextGen if you:

• Run a multi-specialty or mid-to-large ambulatory group
• Want broad specialty templates across 40+ specialties
• Can budget for pediatric add-ons if children's care is part of the mix

Choose Greenway if you:

• Are already on Intergy or Prime Suite and plan to stay with Greenway through its move to Novare
• Prefer the option to outsource billing to the vendor
• Can live with an older interface and a platform in transition, with no published Novare migration timeline

Choose Develo if you:

• Run a pediatric-only practice and want pediatric workflows by default
• Want vaccine billing, screeners, and family records without bolt-ons
• Value comprehensive pricing, with a per-provider monthly fee and no implementation fee, over a base fee plus pediatric add-ons

Our Final Verdict for Pediatric Clinics

NextGen is the stronger platform for most multi-specialty practices, thanks to its broader feature set and specialty range, while Greenway mainly suits groups already on Intergy or Prime Suite that plan to stay with the vendor through its move to Novare.

For a pediatric clinic, though, neither was built for you. Both handle pediatrics through configuration and third-party tools, so you often pay for the platform and then again for the pieces that make it work for children.

Develo cuts much of that layered cost by treating pediatrics as the entire job. Screeners, vaccine logic, growth tracking, and family billing are already there. Its youth shows in a thinner integration catalog and fewer public case studies. 

For a practice that sees only kids, a purpose-built system saves you most of the setup work the other two require.

Ready to See Develo for Pediatrics?

If children are your entire patient panel, it's worth seeing what a pediatric-native platform handles out of the box:

• Well child visits: Age-based preventive codes apply from the documented visit, so the correct code is captured the first time.
• Vaccine billing: Vaccine codes and admin codes for each component are built in, so doses don't get charted and then missed at billing.
• Family records: Siblings, guardians, and shared balances stay linked at the family level, so you update a guardian's details or a shared balance once.
• AI beyond the scribe: The Develo AI scribe, Develo doc intel, Develo reports Q&A, and Develo AI forms run inside the same system, so there's no separate AI vendor to integrate.

Book a demo to see how Develo runs your pediatric workflows end to end.

Frequently Asked Questions

Is NextGen or Greenway Better for Pediatrics?

NextGen is better than Greenway for pediatrics on interface and feature breadth, but neither is pediatric-specific. Both market pediatric features such as growth charts and immunization tracking, but on a general ambulatory core, so vaccine forecasting, digital screeners, and family-level records often need configuration or add-on tools. Develo, built only for pediatrics, fits a children's practice more directly.

How Much Does NextGen Cost for a Small Practice?

NextGen typically runs about $300 to $550 per provider per month before add-ons, based on third-party estimates, since NextGen doesn't publish official pricing. Its own certification disclosure lists separate fees for lab and immunization registry interfaces, and pediatric clinics often spend more once they add screener, intake, and family-management tools.

Does Greenway Have an AI Scribe Like NextGen?

Yes, Greenway has an AI scribe called Greenway Clinical Assist, which inserts notes into your preferred note templates. NextGen's equivalent is Ambient Assist, which NextGen says uses ambient listening to generate a note in seconds. The Develo AI scribe runs in an intake mode and a provider mode, supports dozens of languages, and always returns the note in English.

Can NextGen and Greenway Handle Pediatric Billing?

Both can process pediatric billing, but neither specializes in it. Component-based vaccine codes, age-based well child visit coding, and family-level statements often need configuration or add-ons. Develo builds these in.

Is Greenway Novare Different From Intergy?

Not much, by Greenway's own description. Its launch messaging presents Novare as a fresh start, but its Intergy page calls Novare "the next evolution of Intergy EHR," and an Intergy billing vendor reports that fee schedules and claim history carry straight over. Greenway hasn't published Novare pricing, a general availability date, or a timeline for moving Intergy and Prime Suite practices. If you're on either today, ask in writing whether moving means a new contract, a new implementation, or a data conversion, and how long your current version stays supported.

Can You Migrate From Greenway or NextGen to Develo?

Yes. Greenway and NextGen are both among the systems Develo has migrated practice data from, listed on Develo's data migration page. Data migration, configuration, and training are bundled into the subscription with no implementation fee. For Intergy and Prime Suite practices headed to Novare, a data move is coming either way. Before go-live, check the pediatric fields that break most often in any migration: immunization histories with lot numbers and VFC eligibility, growth and vitals series, and the links between each child and their caregivers.