Kareo no longer exists as a product you can buy. It merged with PatientPop in late 2021 to form Tebra, and kareo.com began redirecting to tebra.com in December 2024. The charting and billing tools Kareo users knew still run inside Tebra under a different name.
This affects how you read Kareo EMR reviews, since ratings collected over many years now sit under the Tebra name. Our overview draws on recent G2 and Capterra reviews, Tebra's published pricing, and its merger announcements to show where the platform stands in 2026, including for pediatric practices.
Quick Verdict
Tebra averages 3.9 out of 5 across nearly 1,400 Capterra reviews, with ease of use (4.1) scoring higher than customer service (3.8). It suits solo and small independent practices outside pediatrics that want billing and charting in one system.
Staff learn it quickly, a point that shows up across recent reviews. Two complaints also come up repeatedly: documentation templates resist customization, and the interface slows down on high-volume tasks like opening claims.
Pediatric practices have one more thing to weigh: Tebra runs one platform across several specialties, so it's worth checking how Tebra handles well child visits, vaccine claims, and sibling billing before you sign up.
What Happened to Kareo?
Tebra called the December 2024 website switch the completion of Kareo's integration into Tebra. If you're researching Kareo because a colleague recommended it or a billing company mentioned it, you're evaluating Tebra.
This creates a practical problem when you’re reading reviews. Review platforms folded the old Kareo listings into Tebra's, so a single page now mixes feedback about pre-merger software with feedback about the current product. Check the date on any review before you take it into account.
What Is Tebra, Formerly Kareo?
Tebra is a cloud platform combining EMR, billing, and patient engagement tools for independent practices. Kareo brought the charting and revenue cycle side, and PatientPop brought patient acquisition and the front-office layer.
Key Features
- Clinical charting: Notes, e-prescribing, and lab integrations built for outpatient practices.
- Billing and claims: Claim submission and tracking, denial management, and patient billing.
- Managed billing: An optional service that matches the practice with a billing company partner from Tebra's network, working inside the same system.
- Patient engagement: Online booking, reminders, and digital intake forms from the PatientPop side.
- Telehealth: Video visits documented in the same record.
- Tebra University: Free online training for customers, with live sessions, prebuilt courses, and self-paced eLearnings.
Kareo EMR Reviews: What Are Real Users Saying?
On G2, Tebra holds 4.1 out of 5 from 263 reviews, close to its 3.9 on Capterra (both checked October 2026). Older reviews on both sites often call the product Kareo, and our Tebra reviews breakdown covers the billing and support complaints in more detail.
Pros
✅ Guided onboarding. Reviewers describe a hands-on setup led by an onboarding manager who stays involved until the practice goes live.
"The process was easy for on boarding."
Chike O., Owner on Capterra
✅ Easy to learn and predictable. Long-time users say training new employees is simple, and that billing and payments work the same way day to day.
"Ease of use, billing and payment, easy to train employees, predictable and uncomplicated."
Eileen F., Office Manager on Capterra
✅ API access for custom integrations. Teams that want to connect outside tools can build on Tebra's API, and one billing team reports automating most of its revenue cycle work this way.
"I really like the API support in Tebra."
Saqib S. on G2
✅ Technical support resolves tickets. Users who file help tickets for settings issues report quick, effective fixes from the IT team.
"Tebra's IT department has been remarkably responsive and helpful."
Paul L., PMHNP on Capterra
Cons
❌ Templates don't bend far enough. Specialties with distinct documentation needs, such as psychiatry, find note templates harder to reshape than they'd like, which adds steps to each note.
"Some areas of Tebra could be more customizable to better accommodate the specific documentation needs"
Ariel D., APRN on Capterra
❌ Claims screens lag. Billers who open claims and encounters all day notice the delay most, and the waits add up over a long worklist.
"It can be a bit slow when opening claims and encounters."
Katherine O., Biller on G2
❌ Entry cost bites a new practice. A behavioral therapist running a trial found the price high for a first-year practice, and the SMS verification step was slow to clear.
"...the cost could be more affordable for a first starter."
Roy C., Behavioral Therapist on Capterra
❌ The AI tools take adjustment. Even satisfied users describe the AI feature as crowded at first, with a learning period before it fits their routine.
"The AI feature is a bit too loaded, but I am getting used to it."
Aurora C., Administrator on Capterra
Kareo EMR Pricing After the Rebrand
Tebra publishes per-provider rates for its bundles and single solutions, so you can estimate cost before a sales call.
Rates per provider per month, verified October 2026. Billing Starter rates are starting prices.
Practice Essentials covers billing, clinical charting, and telehealth. Practice Automation adds Tebra's Patient Experience suite on top of everything in Essentials.
Billing Starter applies only to practices submitting fewer than 100 claims a month. The same threshold unlocks lower bundle rates, with Practice Essentials starting at $199 a month for non-physicians and $349 for physicians. Run above it for three consecutive months, and you move to standard rates.
Pricing is by subscription, so for non-Starter users, the monthly figure holds steady as collections grow.
AI tools such as AI Note Assist are optional add-ons, starting at $99 per provider per month. Our Tebra pricing guide covers what pediatric clinics pay in practice, including the add-ons that shift the total.
Is Tebra Right for You?
You might like it if you:
- Run a solo or small non-pediatric practice and want billing and charting from one vendor
- Need new staff trained quickly with vendor-led sessions
- Want the option to outsource billing later through a partner that Tebra matches you with
- Already have a clinical tool you like and need the billing layer
You should look elsewhere if you:
- Want a platform built only for pediatric care
- Need note templates shaped closely to your specialty's visits
- Need support that stays as hands-on after go-live as it is during onboarding
Final Verdict
Tebra suits a non-pediatric independent practice with a few providers and standard documentation, and its recent Kareo EMR reviews back that up: setup is guided and new hires settle in fast.
Practices with specialty-specific notes or heavy billing volume should test their own templates and a busy claims day before signing.
Pediatric clinics should test family accounts and immunization workflows, since those touch nearly every visit.
A Kareo Alternative Built for Pediatric Practices
Tebra's pediatrics page highlights well child templates and vaccine billing checks, and the same platform also runs family medicine and mental health practices. Develo's scope is narrower: it serves only pediatric practices, so family records and vaccine workflows sit in the core product. And where Tebra matches practices with an outside billing company, Develo's billing services team is in-house and onshore, working in the same system.
Develo is the AI-native operating system for pediatrics, unifying charting, billing, practice management, and family engagement in one system built solely for pediatric practices, from solo offices to multi-site groups.
- Automated charge capture sets pediatric billing codes, units, and modifiers by visit type through configurable rules, and alerts flag likely underbilling while final coding stays with the provider.
- Immunization forecasting checks each patient's history to recommend vaccines due and flag invalid doses, matches VFC eligibility to funding source, and connects bi-directionally to your state vaccine registry.
- Family balances and payments span siblings in one view, and automated text reminders carry a live balance and a payment link.
- Develo AI scribe writes into the visit note using pertinent chart data, such as growth data and immunizations, and a clinician approves every section.
- A family portal gives each guardian individualized access, creates adolescent confidential visit summaries alongside limited parent summaries, and keeps records-sharing aligned with patient independence status.
If you're weighing specific options, Kareo against Practice Fusion covers that matchup for pediatric clinics, while Tebra alternatives and the best EMRs for small pediatric practices describe the whole shortlist.
Book a demo to walk a well child visit, a vaccine claim, and a family statement through Develo using your own pediatric clinic workflows.
Frequently Asked Questions
Is Kareo Still Available?
Kareo now operates as Tebra. The rebrand followed a 2021 merger with PatientPop, and the Kareo website switched over to tebra.com in December 2024. Kareo's charting and billing tools now run inside Tebra, and new customers buy Tebra modules.
What’s the Difference Between Kareo and Tebra?
Tebra is the combined company formed from Kareo and PatientPop. Kareo contributed the EMR, practice management, and billing tools. PatientPop added patient acquisition, online booking, and reputation management. The clinical and billing workflows Kareo users knew still exist inside Tebra.
How Much Does Kareo Cost?
Tebra publishes rates by provider type and bundle. Practice Essentials is $399 per provider per month for non-physicians and $599 for physicians, with Practice Automation at $449 and $799. Billing Starter starts at $99 and $199 for practices submitting fewer than 100 claims a month.
Is Kareo Good for Pediatric Practices?
Tebra has a pediatrics offering, and pediatrics is one of several specialties it supports. Its pediatrics page lists growth charts and immunization tracking. Practices that bill across siblings or manage adolescent confidentiality should test those workflows in a demo. For pediatric practices, Develo is the stronger fit: it is built only for pediatrics, so sibling billing, adolescent confidentiality, and immunization workflows sit in the core product.
Are Kareo Reviews Still Accurate?
Older Kareo EMR reviews still count toward Tebra's scores, but they describe software that’s changed since 2021. Sort by "most recent" and give the last year or two of feedback the most weight when judging the current product.
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