Thunderdome B2B SaaS AI Visibility Index

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September 2026 snapshot · 72 AI answers Leader emerging

Medical Practice Management & EHR: AI Visibility Ranking

Electronic health record and practice management systems for physician offices and clinics. Right now, athenahealth is the brand AI assistants recommend most, with a Visibility Score of 69 and the #1 spot in 49% of answers. Head-to-head: athenahealth vs eClinicalWorks →

These rankings are measured from what the three models know from training, not a live web search. When the models DO search the web, see which sources they cite. Methodology.

athenahealth dominates; everyone else is fighting for relevance.

athenahealth leads #2 eClinicalWorks by 37 points and wins the first-pick slot in 49% of answers, a gap that makes the rest of the field look like a footnote. The three models largely agree on athenahealth's primacy, though Gemini nearly ignores eClinicalWorks while handing Elation Health a 67 model score that no other model comes close to matching. Below athenahealth, scores cluster between 29 and 33, meaning positions 2 through 5 are essentially tied and none has found a way to break out.

AI-generated analysis of the September 2026 measurements.

# Brand Visibility Score Trend (2 mo) Mention rate Avg. position #1 pick rate Models
1 athenahealth
69
±4.4
Aug 2026: 72.4 · Sep 2026: 69.2 flat 76% 1.9 49% ChatGPT #1 Claude #1 Gemini #1
2 eClinicalWorks
33
±4.7
Aug 2026: 35.7 · Sep 2026: 32.5 flat 42% 3.2 0% ChatGPT #2 Claude #5 Gemini #8
3 Tebra
31
±5.9
Aug 2026: 25.7 · Sep 2026: 31.3 flat 44% 4.0 4% ChatGPT #4 Claude #8 Gemini #3
4 Elation Health
31
±4.3
Aug 2026: 26 · Sep 2026: 30.6 flat 38% 2.9 8% ChatGPT #9 Claude #11 Gemini #2
5 Epic
29
±1.6
Aug 2026: 31.2 · Sep 2026: 29.4 flat 33% 2.2 13% ChatGPT #6 Claude #2 Gemini #5
6 DrChrono
22
±3.6
Aug 2026: 24.4 · Sep 2026: 21.5 flat 39% 5.5 0% ChatGPT #7 Claude #3 Gemini #9
7 AdvancedMD
21
±4.4
Aug 2026: 23.9 · Sep 2026: 20.8 flat 31% 4.2 0% ChatGPT #3 Claude #13 Gemini #11
8 Practice Fusion
17
±4.7
Aug 2026: 15.8 · Sep 2026: 16.9 flat 26% 4.6 1% ChatGPT #5 Claude #12 Gemini #7
9 Kareo
16
±5.9
Aug 2026: 18.5 · Sep 2026: 16.1 flat 25% 4.6 1% ChatGPT #10 Claude #4 Gemini #13
10 SimplePractice
14
±3.1
Aug 2026: 6.1 · Sep 2026: 14.2 ▲ 8 21% 4.2 0% ChatGPT Claude #7 Gemini #6
11 CharmHealth
14
±4.3
Aug 2026: 17.9 · Sep 2026: 13.9 flat 17% 2.7 6% ChatGPT #11 Claude #15 Gemini #4
12 NextGen Healthcare
10
±2.6
Aug 2026: 7.9 · Sep 2026: 10.4 flat 17% 4.8 0% ChatGPT #8 Claude #14 Gemini #10
13 Modernizing Medicine
10
±3.7
Aug 2026: 7.8 · Sep 2026: 10.1 flat 17% 4.9 0% ChatGPT Claude #6 Gemini #14
14 Jane App
9
±3.1
Aug 2026: 11 · Sep 2026: 9.2 flat 13% 3.7 3% ChatGPT Claude #9 Gemini #12
15 OpenEMR
6
±3.9
Aug 2026: 3.5 · Sep 2026: 6.3 flat 8% 3.5 1% ChatGPT #12 Claude #10 Gemini #15

The ± under each score is the reliability band: how much the number would move if we re-ran the identical measurement. It is tight because each prompt is sampled multiple times. It is not the same as how much the ranking depends on which prompts we ask — a separate, wider figure shown on hover.

Just below the cutoff: AWS (6.3), Oracle Health (5.1), ModMed (5), Microsoft Entra ID (4.4), Microsoft Azure (4). 58 brands were scored in this category; the leaderboard shows the top 15.

Visibility Score: position-weighted presence across all measured answers, 0 to 100. A score of 100 means the brand was the first recommendation in every answer. Every point in a trend line is a live monthly measurement; there is no modeled or backfilled history. Full methodology.

Openness 31/100: the share of this category's recommendation weight not held by the leader.

Compare brands in Medical Practice Management & EHR head-to-head →  ·  Explore the prompt tree →

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Do the models agree?

Per-model Visibility Scores for the top 10. A long gray bar means the three assistants disagree about the brand. Hover a row for exact values.

ChatGPT Claude Gemini
0 25 50 75 100 Visibility Score · 0 = never mentioned, 100 = always the first recommendation athenahealth eClinicalWorks Tebra Elation Health Epic DrChrono AdvancedMD Practice Fusion Kareo SimplePractice

Where they land in the answer

When a brand is mentioned, where does it appear? Box shows the middle 50% of positions, the thick line is the median, whiskers are the extremes. Hover a row for the detail.

1 2 3 4 5 6 7 8 9 10 Position in the answer · 1 = the first product recommended athenahealth eClinicalWorks Tebra Elation Health Epic DrChrono AdvancedMD Practice Fusion Kareo SimplePractice

What each model recommends first

ChatGPT

gpt-5.4

1 athenahealth
75
2 eClinicalWorks
56
3 AdvancedMD
50
4 Tebra
35
5 Practice Fusion
26

Claude

claude-sonnet-4-6

1 athenahealth
61
2 Epic
44
3 DrChrono
35
4 Kareo
31
5 eClinicalWorks
31

Gemini

gemini-3-flash-preview

1 athenahealth
72
2 Elation Health
67
3 Tebra
36
4 CharmHealth
27
5 Epic
21

The questions we asked

Each model answered every prompt 3 times in September 2026. Prompts are brand-neutral so no vendor gets seeded into the question.

  1. Best overall
    What's the best EHR and practice management system for a small medical practice? See who wins it →
  2. Use-case fit
    We're a 4-provider family medicine clinic that needs scheduling, charting, and insurance billing in one system. What should we use? See who wins it →
  3. Top tools in 2026
    What are the top EHR platforms for outpatient practices in 2026? See who wins it →
  4. Startup & small team
    Which EHR is best for a solo primary care physician on a budget? See who wins it →
  5. Enterprise pick
    Which undefined should a large enterprise standardize on, considering security, compliance, and scale? See who wins it →
  6. Feature-led ask
    I need an EHR with e-prescribing, patient portal, and integrated medical billing for our clinic. What do you recommend? See who wins it →
  7. If you could pick one
    If you could only pick one EHR for an outpatient practice, which would it be and why? See who wins it →
  8. Budget & alternatives
    What EHR has the best value for money for a small independent practice? See who wins it →