Grow Therapy vs NextGen Office
Grow Therapy scores 7.0/10 vs 6.8/10. Best for: Solo therapists who want free managed billing and a built-in client referral pipeline.
Grow Therapy scores higher overall at 7.0/10 vs 6.8/10. Buy Grow Therapy if you're a solo therapist who wants free managed billing and a referral pipeline. Skip if you want to control your own insurance relationships or need Capterra/G2-verified reviews before committing.
Grow Therapy 
NextGen Office Rank
#26 of 41
Rank
#31 of 41
Features
14/18
Features
17/18
Starting at
$0/mo
Starting at
$300/mo
User reviews
—
User reviews
3.7/5 (1440)
What they cost
| Grow Therapy | NextGen Office | |
|---|---|---|
| Starting at | Free /mo | $300 /mo |
| Free trial | Free tier available | No |
| Number of plans | 1 | 2 |
What the pricing really means
At first glance, Grow Therapy looks cheaper at $0/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 Grow Therapy wins
- Free platform with full EHR, telehealth, and managed insurance billing
- 100+ insurance plan partnerships including Medicaid in select states
- AI-assisted documentation built in
- 4.7/5 on Trustpilot with 7,500+ reviews — more than most EHRs
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 Grow Therapy falls short
- No presence on G2 or Capterra makes independent comparison harder
- Commission model means lower per-session take-home than billing yourself
- Similar to Headway — you trade independence for convenience
- Not designed for group practices
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?
Grow Therapy
Target: 1 provider
Buy Grow Therapy if you're a solo therapist who wants free managed billing and a referral pipeline. Skip if you want to control your own insurance relationships or need Capterra/G2-verified reviews before committing.
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 | Grow Therapy | 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
Grow Therapy scores 7.0/10 vs NextGen Office's 6.8/10 in our ranking. Grow Therapy is the better pick for 1 provider. NextGen Office is better if you need multi-specialty medical practices with 5+ providers who need a configurable ehr that scales.
Grow Therapy starts at $0/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.
Grow Therapy: Free tier available. NextGen Office: No free trial. Always test with your actual workflow before committing to an annual plan.
Grow Therapy 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.
Yes, Grow Therapy 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 Grow Therapy if...
Solo therapists who want free managed billing and a built-in client referral pipeline
Pick NextGen Office if...
Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales