Compare · Practice software sold worldwide
PixelCare and SimplePractice
Cloud EHR and practice-management software for US solo and small-group therapists and allied health practitioners (counsellors, SLPs, OTs, dietitians, psychiatrists), covering scheduling, notes, telehealth, client billing and US insurance claims.
How SimplePractice is delivered
Cloud, in a web browser, with iOS and Android apps. An internet connection is required.
Its published price
USD 49 to 99 a month for one clinician. A group pays USD 99 for the first clinician and USD 69 to 74 for each one after.
Its pricing page →On our 28 questions
SimplePractice’s website confirms 14 in full and 6 in part or as a paid add-on. PixelCare is built to answer all 28 in one product.
SimplePractice’s website →Worth knowing
What a buyer should check about SimplePractice.
Each point is from SimplePractice’s own material, read on 3 October 2026.
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No offline mode: an internet connection is required and changes made without connectivity are not saved.
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US-centric: electronic claims only with US insurers, ePrescribe unusable outside the US, all data stored in the US, reminders sent from US phone numbers, USD/CAD payments only via Stripe.
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Team members, roles and the clinician income allocation report are Plus-only; each extra clinician costs $69-74/month and a practice manager $39/month.
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Usage fees on top of the subscription: 3.15% + $0.30 per card payment, $0.39 per insurance claim from 1 Oct 2026, ePrescribe $49/month + $89 setup per clinician.
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No public API and no inventory, pharmacy, purchasing or general-ledger accounting; finance leaves the product via QuickBooks/CSV export.
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Side by side
All 28 questions.
“Not stated” means we found nothing either way on SimplePractice’s website. Check with the vendor before you decide.
| Capability | PixelCare | SimplePractice |
|---|---|---|
| Appointments by doctor | Yes Each doctor’s hours, slot length, leave and holidays | Yes Calendar with per-clinician availability, office locations, filters and colour coding (filters Essential+, colour coding Plus only). Source |
| Patients book online | Yes Under the clinic’s own name, with booking rules | Yes Clients request appointments in the Client Portal against set availability and services on all plans; embeddable website widget only on Plus. Source |
| Walk-ins and token queue | Yes Tokens, one queue, waiting-room screen | Not stated |
| Reminders by SMS, WhatsApp or email | Yes In the clinic’s own words and sender name | Yes Email, text (SMS) and voice reminders, free on Essential/Plus; Starter only for telehealth; no WhatsApp; texts sent from US numbers. Source |
| Visit record and vitals | Yes Structured record, vitals with trends, templates | In part Therapy-oriented progress/psychotherapy notes, SOAP/DAP/BIRP templates, treatment plans; vitals only as free-text chart notes, no structured vitals found. Source |
| Prescriptions | Yes Written from the pharmacy’s own shelf, printed or sent | Paid add-on ePrescribe via DrFirst at $49/month per clinician plus $89 setup; US only, cannot be accessed from outside the US. Source |
| Lab and imaging orders | Yes Orders, results and abnormal-value flags | Not stated |
| Phone and video visits | Yes Booked, noted and billed like any visit | Yes Built-in HIPAA video with waiting room, screen share, whiteboard, no session limits, on all plans; group telehealth on Plus. Source |
| Billing, discounts and refunds | Yes Limits per role, part payments, credit | Yes Invoices, automated invoicing, products and packages, discounts, superbills, payments allocated to invoices, card refunds. Source |
| Online and card payments | Yes Local gateways, wallets, QR and card machines | Yes Stripe only (3.15% + $0.30 per transaction), stored cards, AutoPay, Tap to Pay; other processors must be used outside the product. Source |
| Company and insurer billing | Yes Agreed rates, monthly invoice, ageing | Yes US electronic claims, ERA posting, CMS-1500, eligibility checks; charged per claim/check; e-claims only with US insurers. Source |
| Doctor’s share and payouts | Yes Any arrangement, a ledger per doctor, payout runs | In part Plus-only Income allocation report and pay periods help calculate clinician pay; no built-in commission rules or payouts. Source |
| Pharmacy stock by batch and expiry | Yes Earliest expiry first, never an expired batch | Not stated |
| Pharmacy till | Yes Barcode, shifts, returns, works offline | Not stated |
| Suppliers and purchasing | Yes Orders, goods received, returns, supplier balances | Not stated |
| Full accounts inside the product | Yes Ledger, trial balance, profit and loss, balance sheet | No No ledger, trial balance or balance sheet; payments export as QuickBooks or CSV files for outside bookkeeping. Source |
| Reports | Yes Financial and operational, PDF and spreadsheet | Yes Analytics dashboard, income, outstanding balances, attendance, insurance and reminder reports, export to Excel/CSV (dashboard Essential+). Source |
| Several clinics and branches | Yes Separate books, combined reports | In part One practice account can hold several office locations with location filters; no evidence of managing separate clinics or branches centrally. Source |
| Roles and permissions | Yes Per-person switches and money limits | Yes Plus only: clinician access levels, practice manager, biller, scheduler, supervisor roles plus optional extra permissions; role-based, not per-field. Source |
| The clinic’s own brand | Yes Name, logo, colours and web address on every screen | In part Practice logo on documents and invoices, custom domain for portal and website; no option found to remove SimplePractice branding or set colours. Source |
| Custom fields and forms | Yes On patient, booking and visit forms | Yes Template builder for intakes, notes, assessments and treatment plans (Essential/Plus); Starter can customise intake forms only. Source |
| Languages and right-to-left | Yes Per clinic, per user and per patient | In part Client Portal in English and Mexican Spanish (web only, partly untranslated); clinician app English only; no right-to-left languages. Source |
| Works without internet | Yes Till and day list carry on; work posts itself later | No Vendor states an internet connection is required and offline work is unsupported; unsaved changes are lost. Source |
| Mobile apps | Yes For patients, doctors and the desk | Yes Free iOS and Android clinician app (calendar, notes, payments, messages) and a separate Client Portal app. Source |
| API and integrations | Yes Documented interface and webhooks | No No public API per help centre; built-in links only (Stripe, DrFirst, calendar sync, QuickBooks/CSV export). Source |
| Audit trail | Yes Permanent, with every record opening logged | Yes Activity page with change history, sign-in events and HIPAA audit log of record access, with IP and location. Source |
| Export of all data | Yes Every list, restricted and logged | Yes Client list and complete data exports any time; about 60 days to export after cancelling, then data deleted. Source |
| Patient portal | Yes Bookings, receipts, prescriptions and results | Yes Clients request appointments, complete intake forms and measures, sign documents, pay invoices, message, join telehealth; practice controls access. Source |
Also compared: Cliniko, Jane, Carepatron, Medesk, Tebra. See every product in one table.
See what PixelCare does that SimplePractice does not.
The live demo is a working clinic with sample patients, stock and seven weeks of history. Enter as the owner, the receptionist, the doctor, the pharmacist or a patient.