BreezyNotes 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.
BreezyNotes 
NextGen Office Rank
#36 of 41
Rank
#31 of 41
Features
14/18
Features
17/18
Starting at
$19/mo
Starting at
$300/mo
User reviews
4/5 (14)
User reviews
3.7/5 (1440)
What they cost
| BreezyNotes | NextGen Office | |
|---|---|---|
| Starting at | CA$19 /mo | $300 /mo |
| Free trial | 30 days | No |
| Number of plans | 3 | 2 |
What the pricing really means
At first glance, BreezyNotes looks cheaper at $19/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 BreezyNotes wins
- Built specifically for Canadian therapists with Canadian billing codes and insurance workflows, which US-based EHRs typically do not support
- Pay-per-note pricing starts at $19/mo and scales with volume, so quiet months cost less instead of a flat fee you pay regardless
- Pricing is per practice, not per therapist, so adding clinicians does not multiply your monthly bill
- Customer support is consistently praised in reviews for being responsive and treating practices like partners, not ticket numbers
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 BreezyNotes falls short
- Only 14 reviews on Capterra, which makes it hard to assess long-term reliability or know what happens when things go wrong
- No native mobile app, so charting between sessions means logging into a browser on your phone
- No e-prescribing or outcome measurement tools, so prescribers and researchers will need separate systems
- Client portal and appointment reminders are reported as not fully functional by some reviewers, with manual data entry still required in spots
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?
BreezyNotes
Target: 1-15 therapists
Buy BreezyNotes if you practice in Canada and need an EHR that understands Canadian insurance billing without workarounds. Skip if you are US-based, need e-prescribing, or want a platform with a larger user community and more reviews.
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 | BreezyNotes | 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 BreezyNotes's 6.5/10 in our ranking. NextGen Office is the better pick for 5-200 providers. BreezyNotes is better if you need canadian mental health professionals who need an ehr that handles canadian billing codes and insurance workflows out of the box.
BreezyNotes starts at $19/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.
BreezyNotes: Yes, 30-day free trial. NextGen Office: No free trial. Always test with your actual workflow before committing to an annual plan.
BreezyNotes covers 14 of 18 features we track. NextGen Office covers 17 of 18. NextGen Office has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, BreezyNotes does not have a mobile app. NextGen Office does have one.
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 BreezyNotes if...
Canadian mental health professionals who need an EHR that handles Canadian billing codes and insurance workflows out of the box.
Pick NextGen Office if...
Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales