NoBackOffice vs. Headway, Tebra, and DIY for psychiatry practice
NoBackOffice handles formation through credentialing, scheduling, charting, billing, and the rest of the back office - you stay focused on patients. We never own your practice and never take an equity stake: you keep 100% ownership of your professional corporation. There is no employer-style W2 or 1099 relationship with us; you operate independently as the owner of your entity while we run the workflows behind you.
Below, see how that compares to DIY, Headway, and Tebra on cost and capabilities.
NoBackOffice
$0 to start
We handle the back office; you keep the practice.
100% ownership of your PC - NoBackOffice does not own your practice. No W2 or 1099 employment with us. Scheduling, billing automation, AI scribe: $0 extra. Per visit when you treat; RCM % when insurance pays; state fees pass through.
Do It Yourself
~$400/mo+
Typical stack (EHR + billing + scribe + cal): ~$400-$1,200/mo. Year one all-in often ~$6,000-$12,000+.
Headway
Rev share
Portion of insured session payments; varies by plan. No flat monthly EHR fee in public materials. You do not get complete ownership of an independent practice in the same way as running your own entity: you operate inside their network. They may help with some formation and credentialing, but it is not a fully owner-controlled solo practice model.
Tebra
~$10/mo+
Often ~$10-$50/mo entry; ~$80-$100+/provider/mo EHR and PM; marketing ~$200-$400/mo; managed billing ~4-8% collections. Tebra does not help with practice formation or standing up your entity: you bring or build the practice separately, then plug it into their software.
| Capability | NoBackOffice | Do It Yourself | Headway | Tebra |
|---|---|---|---|---|
| Typical recurring cost | $0 subscription; per visit + RCM when paid | ~$400-$1,200/mo tools | Session revenue share | ~$80-$100+/provider/mo EHR and PM; +$200-$400/mo marketing common |
| Practice ownership | 100% yours: full ownership of your PC and practice. NoBackOffice never owns your practice. No W2 or 1099 employer relationship with us - you stay independent; we provide platform and operations support. | Yours: full ownership; you choose and pay each vendor. | Not complete independent ownership: you practice within Headway's network and economics. Some formation or credentialing help may be available, but not the same as owning a standalone practice outside that model. | You own your business if you already have one; Tebra sells software and services, not formation of your practice or entity. |
| Automated scheduling | Included, $0 extra | Separate apps; ~$0-$50/mo | In workflow | In suite |
| Insurance billing | Automated, $0 extra | ~$50-$250/mo or % of claims | In revenue share | Integrated; managed ~4-8% if bought |
| Customizable AI scribe | $0 extra | ~$99-$199/mo typical | Varies | Tier or add-on |
| PC formation, NPI Type II, credentialing | Guided | Self-service; state fees | Some support inside their network; not the same as standing up a fully independent owned entity on your own. | Does not offer practice formation or entity setup; EHR and PM only. |
| Overhead | One stack | Many vendors | Network model | Modular |