AdvancedMD vs NextGen Office
NextGen Office scores 6.8/10 vs 6.5/10. Best for: Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales.
NextGen Office scores higher overall at 6.8/10 vs 6.5/10. Buy NextGen if you're a multi-specialty medical practice with 5+ providers who needs a configurable EHR that scales. Skip if you're a therapist or solo practitioner — this is medical-practice enterprise software with medical-practice enterprise pricing.
AdvancedMD 
NextGen Office Rank
#35 of 41
Rank
#31 of 41
Features
18/18
Features
17/18
Starting at
$130/mo
Starting at
$300/mo
User reviews
3.6/5 (525)
User reviews
3.7/5 (1440)
What they cost
| AdvancedMD | NextGen Office | |
|---|---|---|
| Starting at | $130 /mo | $300 /mo |
| Free trial | 30 days | No |
| Number of plans | 3 | 2 |
What the pricing really means
At first glance, AdvancedMD looks cheaper at $130/month vs $300/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where AdvancedMD wins
- NOW plan at $130/mo specifically targets small mental health practices, capped at 3 providers
- 300+ customizable documentation templates
- Clearinghouse connects to 1,800+ insurance carriers
- Actual 30-day free trial available on the mental health plan
Where NextGen Office wins
- Handles virtually any medical specialty with customizable templates
- AI Ambient Assist for hands-free documentation
- 1,279 Capterra reviews provides large peer base for troubleshooting
- Mobile e-prescribing including EPCS
Where AdvancedMD falls short
- Full EHR+PM bundle at $729/provider/mo is prohibitively expensive for small practices
- 3.6 ratings on both G2 and Capterra are the lowest in this category
- Automated reminders cost extra on top of already high monthly prices
- API access is an add-on, not included in standard plans
Where NextGen Office falls short
- Implementation costs starting at $10,000 are prohibitive for solo practices
- 3.7 G2 rating despite large install base suggests mixed satisfaction
- Not built for behavioral health specifically — general healthcare EHR
- Estimated $300-500/provider/mo with no transparent pricing
Who is each product built for?
AdvancedMD
Target: 1-200+ providers
Buy AdvancedMD if you're a mid-size multi-specialty practice that needs enterprise customization, or try the NOW plan at $130/mo if you're a small mental health practice. Skip if price matters — outside the NOW plan, this is built for practices with bigger budgets.
NextGen Office
Target: 5-200 providers
Buy NextGen if you're a multi-specialty medical practice with 5+ providers who needs a configurable EHR that scales. Skip if you're a therapist or solo practitioner — this is medical-practice enterprise software with medical-practice enterprise pricing.
Feature comparison
| Feature | AdvancedMD | NextGen Office |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
NextGen Office scores 6.8/10 vs AdvancedMD's 6.5/10 in our ranking. NextGen Office is the better pick for 5-200 providers. AdvancedMD is better if you need mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the now plan.
AdvancedMD starts at $130/month. NextGen Office starts at $300/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
AdvancedMD: Yes, 30-day free trial. NextGen Office: No free trial. Always test with your actual workflow before committing to an annual plan.
AdvancedMD covers 18 of 18 features we track. NextGen Office covers 17 of 18. AdvancedMD has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, AdvancedMD has a mobile app. NextGen Office does too.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick AdvancedMD if...
Mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the NOW plan
Pick NextGen Office if...
Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales