National AI Adoption Leaderboard
AI Adoption Leaderboard — 134,278 US companies ranked
Ranked leaderboard of 134,278 US companies by Meo AI adoption score. Average score 58. Updated 2026-05-14.
134278
Companies Scored
58
Avg Adoption Score
mid-size regional
Top Stage
Which US companies lead in AI adoption?
- What is the average AI adoption score across the United States?
- Who are the top AI-adopting companies among 134,278 US firms scored?
| # | Company | Stage | Key Opportunity | Industry |
|---|---|---|---|---|
| 1 | rgsolutions | mid-size regional | Implement AI-driven clinical decision support and revenue cycle automation to improve patient outcomes and reduce administrative costs. | Health systems & hospitals |
| 2 | Rheumatic Disease Center | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 3 | ribbon | mid-size regional | AI-driven automated underwriting and property valuation to enable instant cash offers with reduced risk and faster closings. | Real Estate Technology |
| 4 | ribus group | mid-size regional | Leveraging AI to automate IT support and enhance managed services delivery, reducing resolution times and improving client satisfaction. | IT Services & Consulting |
| 5 | Rice Kitchen | regional multi-site | Food And Beverages | |
| 6 | richardson sales performance | mid-size regional | Leverage generative AI to create hyper-personalized, real-time sales coaching simulations and content, scaling Richardson's expert methodology across global client teams. | Professional Training & Coaching |
| 7 | Richmond Gastroenterology Associates | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 8 | Richmond Times-Dispatch | regional multi-site | Newspapers | |
| 9 | richrelevance | regional multi-site | Deploying generative AI to create dynamic, personalized product descriptions and marketing copy at scale, directly enhancing conversion rates and average order value for their retail clients. | Data analytics & personalization |
| 10 | richter pumps and valves | mid-size regional | Predictive maintenance for pump and valve systems using IoT sensor data to reduce unplanned downtime and optimize field service. | Industrial valve manufacturing |
| 11 | ridenroll • the global mobility hub | mid-size regional | Leverage AI to build a dynamic, predictive routing and multimodal trip-planning engine that optimizes real-time supply and demand across fragmented mobility providers, reducing latency and increasing ride-matching efficiency. | Mobility & Transportation Software |
| 12 | ridgeline | mid-size regional | Embedding a generative AI copilot across the platform to automate portfolio commentary, trade rationale documentation, and client reporting, directly reducing manual hours for asset managers. | Enterprise Software |
| 13 | rightpoint | regional multi-site | Rightpoint can leverage AI to automate and enhance its service delivery, using AI-powered code generation, automated QA, and intelligent client analytics to dramatically increase project velocity, quality, and profitability. | Digital consultancy & IT services |
| 14 | rightscale from flexera | national operator | AI can transform Flexera's RightScale platform by predicting cloud cost anomalies and automating policy-based remediation, delivering immediate ROI through waste reduction. | Cloud management & IT operations software |
| 15 | rimes | mid-size regional | Automating data quality checks and enrichment with AI to reduce manual reconciliation time and improve investment data accuracy for asset managers. | Financial data & technology |
| 16 | rimon pc | mid-size regional | Deploying AI-driven contract review and e-discovery tools to reduce billable hour leakage and increase matter throughput for mid-market corporate clients. | Law Practice |
| 17 | rina wireless | mid-size regional | Leveraging AI-driven predictive maintenance and network optimization to reduce downtime and improve service quality in rural coverage areas. | Telecommunications |
| 18 | ringcentral events | mid-size regional | Leverage generative AI to automate event content creation, personalized attendee matchmaking, and real-time language translation to enhance virtual event experiences and drive platform differentiation. | Event technology |
| 19 | rise media | mid-size regional | Leverage generative AI to automate creative asset production and hyper-personalize ad campaigns at scale, dramatically reducing turnaround time and cost per acquisition for clients. | Marketing & Advertising |
| 20 | Rivas & Associates PLLC | mid-size regional | Automated Document Review and Analysis for Case Preparation | Law Practice |
| 21 | Rivcoda | regional multi-site | Law Enforcement | |
| 22 | river bank | mid-size regional | Deploy AI-powered fraud detection and personalized customer service chatbots to improve operational efficiency and customer experience. | Banking |
| 23 | riverbed technology | national operator | Leveraging AI to autonomously predict, diagnose, and remediate network performance issues before they impact end-user experience. | Enterprise software & network performance |
| 24 | river metals recycling - a nucor company | mid-size regional | Deploy computer vision and machine learning for automated scrap sorting and quality assessment to increase throughput and metal recovery rates. | Scrap metal recycling & processing |
| 25 | Riverside Dental Group | regional multi-site | Automated Patient Communication and Appointment Reminders | Medical Practice |
| 26 | riverside payments | mid-size regional | Deploy AI-driven dynamic fraud detection and chargeback prediction to reduce false positives and revenue loss, directly improving margins for mid-market merchant clients. | Financial services & payment processing |
| 27 | riverside technologies, inc. (rti) | mid-size regional | Implement AI-driven predictive maintenance and automated incident response to reduce downtime and improve service delivery efficiency for managed IT clients. | IT Services & Consulting |
| 28 | riverview health | national operator | Deploy ambient AI scribes and clinical decision support to reduce physician burnout and improve documentation accuracy across its community hospital network. | Health systems & hospitals |
| 29 | RLD Associates | mid-size regional | Automated Claims Triage and Initial Assessment | Insurance |
| 30 | Rlmgmt | regional multi-site | Hospital And Health Care | |
| 31 | R&M Consulting | regional multi-site | Automated Client Onboarding and Document Collection | Accounting |
| 32 | rms computer corp | mid-size regional | Implement AI-driven IT service management (ITSM) to automate ticket routing, incident resolution, and predictive maintenance, reducing mean time to resolution (MTTR) by 30%. | IT Services & Consulting |
| 33 | roadie | mid-size regional | Optimize driver-sender matching and route planning with real-time AI to reduce delivery times and costs. | Logistics & Delivery |
| 34 | robbins-gioia, llc | regional multi-site | AI can automate project risk analysis and resource allocation, enabling consultants to proactively mitigate delays and cost overruns for large-scale client programs. | Management Consulting |
| 35 | robertshaw | enterprise | Implementing AI-driven predictive maintenance for its installed base of industrial and residential control systems can dramatically reduce field service costs and prevent downtime for customers. | Industrial controls & components |
| 36 | robinson+cole | mid-size regional | Deploying a firm-wide, private large language model for contract review and due diligence to reduce associate hours by 40% and accelerate client turnaround. | Law Practice |
| 37 | robodoc | mid-size regional | Leverage intraoperative data from robotic systems to build predictive models that provide real-time surgical guidance and reduce complication rates. | Medical Devices |
| 38 | robopup | mid-size regional | Leverage AI-driven personalization and predictive analytics to transform pet product recommendations and subscription retention, increasing customer lifetime value by 20-30%. | Internet & software services |
| 39 | roch capital inc. | regional multi-site | Implementing AI for predictive analytics and algorithmic trading can enhance portfolio returns by identifying market inefficiencies and automating execution with superior risk-adjusted parameters. | Asset & portfolio management |
| 40 | rocket fuel inc, formerly [x+1] | regional multi-site | Deploying AI for real-time, predictive audience segmentation and dynamic creative optimization can dramatically increase ad campaign ROI by targeting users with personalized content at the optimal moment. | Marketing & Advertising Technology |
| 41 | rocketpower, a kellyocg company | mid-size regional | Deploying AI-driven talent intelligence to predict candidate success and automate sourcing, directly improving placement speed and quality for mid-market clients. | Human Resources & Talent Solutions |
| 42 | rocket travel by agoda | mid-size regional | Deploy a real-time personalization engine that dynamically ranks hotel offers and loyalty rewards based on individual traveler behavior, predicted trip intent, and real-time inventory signals to maximize booking conversion and partner margin. | Online travel & hospitality |
| 43 | Rogers & Hollands | regional multi-site | Hospital And Health Care | |
| 44 | rogii | mid-size regional | Integrate AI-driven predictive models into StarSteer to automate real-time wellbore positioning, reducing drilling risks and non-productive time. | Oil & Energy Software |
| 45 | rogue wave software | mid-size regional | Integrate AI-powered code generation and debugging assistants into their development tool suite to enhance developer productivity and modernize legacy product lines. | Software development tools |
| 46 | ROK Financial | regional multi-site | Automated Client Onboarding and Document Verification | Financial Services |
| 47 | rokid corporation ltd | mid-size regional | Integrate on-device SLMs with spatial computing to deliver context-aware, hands-free AI assistants for frontline industrial workers, moving beyond consumer entertainment into high-ROI enterprise solutions. | Computer hardware & consumer electronics |
| 48 | roko labs | mid-size regional | Embedding generative AI into the software development lifecycle to automate code generation, testing, and documentation, reducing time-to-market for client projects by 30-40%. | IT Services & Consulting |
| 49 | rokt | regional multi-site | Implementing AI-powered predictive analytics and dynamic offer optimization can significantly increase customer lifetime value for ROKT's e-commerce clients by delivering hyper-personalized, real-time promotions. | Marketing & e-commerce software |
| 50 | romack inc. | mid-size regional | Leverage generative AI to automate code generation and testing, reducing project delivery times by 30% and enhancing service margins. | IT Services & Consulting |
| 51 | Roman & Associates | mid-size regional | Automated Intake and Triage for New Investigations | Security And Investigations |
| 52 | Romi | regional multi-site | Government Administration | |
| 53 | ronin capital | mid-size regional | Leverage generative AI to automate deal sourcing, due diligence, and portfolio company performance analysis, dramatically accelerating investment decisions and reducing manual analyst workload. | Financial Services & Investment Management |
| 54 | roofstacks | mid-size regional | Leverage generative AI to automate the design-to-code pipeline for mobile and web apps, dramatically reducing time-to-prototype and allowing RoofStacks to offer AI-powered personalization engines to its tourism and hospitality clients. | Software & IT Services |
| 55 | Rose Snyder & Jacobs | mid-size regional | Automated Client Document Ingestion and Categorization | Accounting |
| 56 | rothy's | national operator | AI-driven demand forecasting and inventory optimization can dramatically reduce waste and stockouts by predicting regional style preferences and sales velocity for their recycled-material shoes. | Apparel & Fashion |
| 57 | roundel | mid-size regional | Leverage AI to automate and optimize cross-channel media buying and creative personalization for Roundel's retail media network, driving higher ROAS for brand partners. | Marketing & advertising |
| 58 | routeone | mid-size regional | Deploy AI-powered credit decisioning and fraud detection to reduce loan processing times by 40% and default rates by 15%, directly boosting lender ROI and dealership throughput. | Fintech & Auto Finance |
| 59 | royally appointed(mca) | enterprise | Implementing AI-powered predictive analytics and dynamic content generation can significantly enhance campaign personalization, optimize media spend in real-time, and dramatically improve client ROI. | Marketing & Advertising |
| 60 | royal user - a social network company | regional multi-site | Implementing AI-powered content recommendation and moderation to dramatically increase user engagement and platform safety while reducing operational costs. | Social media platforms |
| 61 | royo apps | mid-size regional | Leverage proprietary project data to train a generative AI coding assistant that accelerates custom app development, reducing time-to-market by 30% and increasing developer utilization. | IT Services & Custom Software |
| 62 | rpi entertainment & media group, llc. | regional multi-site | Leverage predictive analytics on audience data to greenlight projects with higher ROI and optimize distribution strategies across streaming platforms. | Entertainment & Media |
| 63 | rsi | regional multi-site | Leverage AI to automate complex revenue reconciliation and anomaly detection across multi-source billing data, reducing manual effort and accelerating cash flow for enterprise clients. | Computer Software |
| 64 | rs integrated supply | national operator | AI-powered predictive analytics can optimize inventory levels across client networks, reducing carrying costs and stockouts by forecasting demand with greater accuracy. | Supply Chain & Logistics |
| 65 | rubicon technology systems | mid-size regional | Leverage AI-driven personalization and predictive analytics to optimize mobile ad targeting and content recommendations, increasing user engagement and ad revenue. | Online media & publishing |
| 66 | ruesch international | mid-size regional | Automate cross-border payment reconciliation and FX hedging with AI to reduce manual errors, lower operational costs, and improve margin predictability. | International payments & FX |
| 67 | rugs usa | mid-size regional | Deploy AI-driven personalization and dynamic pricing to boost conversion rates and average order value across the rug and home decor catalog. | E-commerce & Retail |
| 68 | rume health | regional multi-site | AI-powered predictive analytics can optimize patient flow, predict readmission risks, and personalize care plans, directly improving clinical outcomes and operational efficiency for a mid-sized digital health provider. | Health systems & hospitals |
| 69 | russelectric, a siemens business | mid-size regional | Deploy AI-driven predictive maintenance and remote monitoring across installed switchgear to reduce downtime and create recurring service revenue. | Electrical equipment manufacturing |
| 70 | russell investments | national operator | AI-driven portfolio construction and risk modeling can optimize manager selection and asset allocation for institutional clients, enhancing risk-adjusted returns at scale. | Asset & wealth management |
| 71 | russell tobin | mid-size regional | AI-driven candidate matching and automated screening can dramatically reduce time-to-fill and improve placement quality across professional roles. | Staffing & recruiting |
| 72 | Rutgers Cancer Institute | regional multi-site | AI-Powered Patient Intake and Triage Automation | Hospital And Health Care |
| 73 | ruth | mid-size regional | Deploy an AI-powered creative analytics engine to predict ad performance before spend, optimizing creative assets and media mix in real time for higher client ROI. | Marketing & Advertising |
| 74 | ruvisoft technologies llc | mid-size regional | Embed AI-assisted development and intelligent automation into client delivery workflows to reduce project timelines by 30% and unlock higher-margin managed services. | Custom software & IT services |
| 75 | ruxton media group | mid-size regional | Leveraging generative AI for personalized ad creative and automated media buying to improve campaign ROI and reduce manual effort. | Marketing & Advertising |
| 76 | rêvelation™ lab grown diamonds | mid-size regional | Leverage AI-driven personalized product recommendations and virtual try-on experiences to increase online conversion rates and average order value for high-consideration diamond purchases. | Luxury goods & jewelry |
| 77 | rx30 pharmacy management system | mid-size regional | Integrating AI-driven predictive analytics into the pharmacy workflow to optimize inventory, forecast demand, and personalize patient adherence programs, directly increasing pharmacy profitability and patient outcomes. | Healthcare IT & Pharmacy Software |
| 78 | RxBenefits | national operator | Automated Prior Authorization Processing | Insurance |
| 79 | ryder supply chain solutions | enterprise | Implementing AI-powered dynamic routing and load optimization can significantly reduce empty miles, fuel consumption, and driver wait times, directly boosting fleet profitability and service reliability. | Logistics & supply chain solutions |
| 80 | ryder system, inc. | enterprise | Implementing AI-powered dynamic routing and predictive maintenance for its massive leased and managed vehicle fleet can dramatically reduce fuel costs, unplanned downtime, and empty miles. | Logistics & transportation |
| 81 | Rysun | regional multi-site | Management Consulting | |
| 82 | rythmos | mid-size regional | Leveraging AI-driven automation for IT operations and client service delivery to reduce costs and improve efficiency. | IT Services & Consulting |
| 83 | s2w media | regional multi-site | AI can automate creative asset generation and dynamic ad copy optimization, dramatically reducing production time and increasing campaign performance across diverse digital channels. | Marketing & Advertising |
| 84 | saatchi & saatchi, ogilvy | mid-size regional | Deploy generative AI to automate the creation and personalization of healthcare provider (HCP) and direct-to-consumer (DTC) marketing content at scale, reducing production time by 70% while maintaining strict regulatory compliance. | Marketing & Advertising |
| 85 | saatchi us | mid-size regional | Deploying generative AI for hyper-personalized creative asset production at scale, reducing campaign turnaround times by 60% and enabling real-time A/B testing across digital channels. | Marketing & Advertising |
| 86 | sabadell bank & trust | mid-size regional | Deploy AI-driven personalization and fraud detection to enhance customer experience and operational efficiency across retail banking and wealth management. | Banking & financial services |
| 87 | saba inc. | mid-size regional | Deploy generative AI to automate content creation, keyword research, and personalized campaign optimization, reducing manual effort by 40% while improving client ROI. | Marketing & Advertising |
| 88 | saba software | national operator | Saba can deploy generative AI to create hyper-personalized, adaptive learning paths and career development recommendations, directly enhancing user engagement and retention for its enterprise clients. | Enterprise Software |
| 89 | sabiosciences, a qiagen company | national operator | AI can accelerate biomarker discovery and validation by analyzing complex qPCR and gene expression datasets to identify novel therapeutic targets with higher predictive power. | Life Sciences Research Tools |
| 90 | sabre airline solutions | national operator | AI can optimize airline network planning and dynamic pricing in real-time by analyzing passenger demand, competitor actions, and external factors like weather and events. | Airline & travel software |
| 91 | Sacred Heart Medical Group | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Hospital And Health Care |
| 92 | Sacred Heart University | regional multi-site | Education Management | |
| 93 | saexploration | mid-size regional | Leverage AI-driven seismic data processing and interpretation to reduce turnaround time and improve subsurface imaging accuracy, enabling faster drilling decisions. | Oil & Gas Services |
| 94 | Safeguard Medical | regional multi-site | Automated Supply Chain Demand Forecasting | Medical Devices |
| 95 | safer systems, part of industrial scientific | national operator | AI can transform their vast sensor and personnel data into predictive safety insights, forecasting hazardous conditions and preventing incidents before they occur. | Industrial Software & Safety Solutions |
| 96 | Safety National | regional multi-site | Insurance | |
| 97 | safevision | regional multi-site | AI can enhance the precision and safety of surgical vision systems by integrating real-time tissue recognition and procedural guidance, reducing surgeon cognitive load and improving patient outcomes. | Medical device manufacturing |
| 98 | SagaciousElevate | regional multi-site | Automated Legal Document Review and Analysis | Legal Services |
| 99 | sagenet | mid-size regional | AI-driven network optimization and predictive maintenance to reduce downtime and improve service reliability for enterprise satellite networks. | Telecommunications |
| 100 | sageworks | mid-size regional | Deploy generative AI copilots that automate financial spreading, credit memo drafting, and covenant monitoring to dramatically reduce analyst turnaround time and improve loan portfolio risk detection. | Financial services & technology |
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