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 | peplink | mid-size regional | Leverage AI-driven predictive path selection and anomaly detection across Peplink's SD-WAN fabric to autonomously optimize multi-link WAN performance and reduce manual troubleshooting for enterprise clients. | Computer networking & SD-WAN |
| 2 | pepper | mid-size regional | Leverage generative AI to automate end-to-end content creation, personalization, and SEO optimization, transforming Pepper from a content marketplace into an AI-native content intelligence platform. | Computer Software |
| 3 | perch (acquired by razor group) | mid-size regional | Deploy AI-driven demand forecasting and inventory optimization across the brand portfolio to reduce stockouts by 25% and cut excess inventory holding costs by 30%. | E-commerce aggregators & operators |
| 4 | percolate (now part of seismic) | mid-size regional | Leverage generative AI to automate content creation, personalization, and compliance checks across multi-channel campaigns, reducing time-to-market by 60% for enterprise clients. | Marketing software & services |
| 5 | Periodontal Associates | regional multi-site | Automated Patient Intake and Registration | Medical Practice |
| 6 | persona | mid-size regional | Deploy AI-driven document forgery detection and adaptive risk scoring to reduce manual review costs by 40% while improving fraud catch rates. | Identity verification & compliance software |
| 7 | personalization pioneers | mid-size regional | Deploying a unified AI-driven personalization engine that orchestrates real-time, cross-channel customer journeys by synthesizing first-party data, predictive analytics, and generative content creation. | Marketing & Advertising |
| 8 | pff | mid-size regional | Leverage proprietary player grading and tracking data to build predictive AI models for injury risk and player development, creating a new premium subscription tier for NFL and college programs. | Sports Data & Analytics |
| 9 | philadelphia 76ers | mid-size regional | Leverage computer vision and player tracking data to optimize in-game strategy, injury prevention, and personalized fan engagement through AI-driven analytics platforms. | Professional sports & entertainment |
| 10 | Phoenician Medical Center | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 11 | phoenix suns | mid-size regional | Leveraging AI-driven dynamic pricing and computer vision to maximize per-seat revenue and unlock new sponsorship inventory from broadcast and in-venue camera feeds. | Professional sports teams |
| 12 | planet fitness | regional multi-site | Leverage member check-in, equipment usage, and demographic data to build a hyper-personalized AI coaching engine that reduces churn and increases average member lifetime value. | Fitness & wellness centers |
| 13 | planful | mid-size regional | Embed a generative AI co-pilot into the FP&A workflow to automate narrative reporting, variance commentary, and scenario generation, directly boosting user productivity and platform stickiness. | Enterprise software |
| 14 | PMMC | regional multi-site | Automated Prior Authorization Processing | Hospital And Health Care |
| 15 | pmx agency | mid-size regional | Deploy AI-driven media buying and creative optimization to automate campaign performance across channels, reducing cost-per-acquisition by 20-30% while scaling client spend. | Marketing & advertising |
| 16 | pollfish | mid-size regional | Deploy generative AI to automate survey design, dynamically probe open-ended responses, and synthesize multi-source data into narrative insights, dramatically reducing time-to-insight for clients. | Market Research & Consumer Insights |
| 17 | popmenu | mid-size regional | Leverage generative AI to auto-personalize marketing content and menu recommendations at scale across thousands of restaurant locations, driving measurable guest frequency and average check growth. | Restaurant technology & marketing |
| 18 | posit pbc | mid-size regional | Embed an AI copilot directly into the Posit IDE and platform to automate code generation, model selection, and report writing for data scientists, dramatically accelerating time-to-insight for enterprise customers. | Computer software |
| 19 | postscript | mid-size regional | Leverage generative AI to automate hyper-personalized SMS campaign creation and real-time performance optimization, reducing manual effort and boosting conversion rates for Shopify merchants. | SaaS & Marketing Technology |
| 20 | powerobjects | mid-size regional | Leverage generative AI to automate the configuration and customization of Microsoft Dynamics 365 and Power Platform solutions, dramatically reducing project delivery timelines and creating a proprietary AI-assisted implementation methodology. | IT Services & Consulting |
| 21 | power ups | national operator | AI-powered predictive analytics can transform market-making and portfolio management by analyzing vast alternative data sets to forecast price movements and optimize trade execution. | Capital markets & investment banking |
| 22 | pragiti | mid-size regional | Leverage generative AI to automate and personalize end-to-end eCommerce implementation and managed services, reducing time-to-market for clients by 40% while creating a new recurring revenue stream from AI-driven optimization. | IT Services & Digital Consultancy |
| 23 | Praxis Packaging Solutions | regional multi-site | Automated Quality Control Inspection for Pharmaceutical Packaging | Pharmaceuticals |
| 24 | precisely | national operator | Precisely can leverage generative AI to automate the creation of enriched data narratives and predictive location-based insights, directly integrating them into customer workflows to accelerate decision-making. | Data & location intelligence |
| 25 | prediktive | mid-size regional | Leverage AI to automate candidate screening and client-project matching, reducing bench time and improving placement margins across Prediktive's nearshore talent network. | IT Services & Consulting |
| 26 | Preferred Primary Care Physicians | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 27 | Premier Anesthesia | regional multi-site | Automated Anesthesia Case Scheduling and Optimization | Hospital And Health Care |
| 28 | Prima-CARE Medical Center | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 29 | Prime Occupational Medicine | regional multi-site | Automated Appointment Scheduling and Rescheduling Agent | Medical Practice |
| 30 | primitive logic, a logic20/20 company | mid-size regional | Leverage generative AI to automate code generation and accelerate custom software delivery, reducing project timelines by 30-40% while improving margin on fixed-bid contracts. | IT consulting & services |
| 31 | princeton radiology | mid-size regional | Deploy AI-powered diagnostic imaging analysis to accelerate report turnaround times and improve detection accuracy, reducing radiologist burnout and enhancing patient outcomes. | Radiology practices |
| 32 | PRIVATE DUTY HOME HEALTHCARE | regional multi-site | Automated Patient Intake and Eligibility Verification | Hospital And Health Care |
| 33 | PrivoCorp | mid-size regional | Automated Client Onboarding and KYC Verification | Financial Services |
| 34 | progress chef | mid-size regional | Integrating generative AI into Chef's infrastructure-as-code platform to enable natural-language-driven automation, predictive configuration drift detection, and self-healing infrastructure, dramatically reducing mean time to resolution (MTTR) for enterprise DevOps teams. | Information Technology & Services |
| 35 | progyny, inc. | mid-size regional | Leverage AI to personalize fertility treatment plans and optimize patient navigation, improving clinical outcomes and reducing employer costs through predictive analytics on claims and member data. | Health benefits & fertility solutions |
| 36 | Prominence Health | regional multi-site | Automated Patient Intake and Registration | Hospital And Health Care |
| 37 | proof | mid-size regional | Leverage AI to automate identity verification and fraud detection in real-time, reducing manual review costs by over 40% while accelerating transaction closures. | Computer software |
| 38 | Propeller Industries | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 39 | proretention | mid-size regional | Deploy a unified AI churn-prediction engine that ingests behavioral, transactional, and support-ticket data to trigger hyper-personalized retention offers in real time, reducing subscriber loss by 15-20%. | Customer retention software |
| 40 | prosperix ai | mid-size regional | Leverage proprietary workforce data to build predictive talent intelligence models that forecast candidate success and retention, creating a defensible AI moat in the crowded HR tech space. | Computer software |
| 41 | protocol labs | mid-size regional | Leverage LLMs to automate and accelerate the creation of decentralized storage and compute protocols, reducing developer onboarding friction and enabling self-optimizing network infrastructure. | Computer software |
| 42 | provantagex | mid-size regional | Deploy predictive customer lifetime value models to optimize real-time bidding and creative personalization across paid media channels, directly boosting ROAS for clients. | Marketing & Advertising |
| 43 | providence | enterprise | Implementing predictive AI for patient flow and readmission risk can optimize bed capacity, reduce costly readmission penalties, and improve care coordination across this vast network. | Health systems & hospitals |
| 44 | proxet | mid-size regional | Leverage internal project data and code repositories to train a proprietary AI assistant that accelerates software development lifecycles, automates code review, and generates boilerplate code, directly increasing billable efficiency and margins. | Custom software development & IT consulting |
| 45 | proxibid | mid-size regional | Implementing AI-powered asset valuation and personalized bidding recommendations to increase transaction volume and user engagement. | Online Auctions & Marketplaces |
| 46 | psiquantum | mid-size regional | Leverage proprietary quantum simulation data to train AI models that accelerate error correction and photonic chip design, dramatically shortening R&D cycles. | Quantum computing hardware |
| 47 | publicis | national operator | AI-powered dynamic creative optimization (DCO) can automate the generation and real-time personalization of ad creative at scale, dramatically improving campaign performance and reducing manual production costs. | Marketing & Advertising |
| 48 | publicis commerce | enterprise | AI-driven dynamic creative optimization and audience targeting can automate and personalize retail media campaigns at scale, significantly boosting ROI for CPG and retail clients. | Marketing & Advertising |
| 49 | public storage | enterprise | Deploying dynamic pricing algorithms across 3,000+ facilities to optimize revenue per available square foot in real-time based on local demand signals, seasonality, and competitor occupancy. | Self-Storage REITs |
| 50 | pursuit aerospace | national operator | Deploying AI-driven predictive maintenance and digital twin simulations for engine components to reduce unplanned downtime and optimize MRO (Maintenance, Repair, and Overhaul) service contracts. | Aviation & Aerospace |
| 51 | Qatalyst | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 52 | QHR | regional multi-site | Automated Patient Intake and Registration | Hospital And Health Care |
| 53 | quad | enterprise | Deploy AI-driven hyper-personalization engines across Quad's integrated marketing platform to automate creative versioning, optimize omnichannel campaign performance in real time, and unlock new recurring managed-service revenues from enterprise clients. | Marketing & Advertising Services |
| 54 | quanata | mid-size regional | Leverage generative AI to automate the creation of actuarial reports and regulatory filings, reducing manual effort by 70% and accelerating time-to-insight for insurance carriers. | Computer software |
| 55 | quantela inc. | mid-size regional | Leverage generative AI to automate the creation and customization of smart city digital twins, dramatically reducing deployment time and enabling predictive urban simulations for municipal clients. | Information Technology & Services |
| 56 | Quantum Capital Group | regional multi-site | Automated Client Onboarding and Document Verification | Financial Services |
| 57 | questionpro | mid-size regional | Deploying generative AI to automatically analyze open-ended survey responses and generate executive summaries, dashboards, and recommended actions in real time, dramatically reducing time-to-insight for clients. | Computer software |
| 58 | quid | mid-size regional | Leverage generative AI to automate insight generation from unstructured social and news data, transforming raw feeds into executive-ready narratives and predictive alerts. | Computer software |
| 59 | Quincy Medical Group | national operator | Automated Patient Triage and Appointment Scheduling | Hospital And Health Care |
| 60 | quinte financial technologies | mid-size regional | Deploy AI-powered fraud detection and hyper-personalized financial advisory tools to enhance client banks' operational efficiency and customer experience. | IT Services & Financial Technology |
| 61 | radiology associates, llp | mid-size regional | Deploy AI-powered triage and detection tools to prioritize critical cases, reduce radiologist burnout, and improve turnaround times. | Diagnostic imaging & radiology |
| 62 | rapidsos | mid-size regional | Leverage the vast, real-time emergency data stream to build predictive AI models that anticipate incident surges and optimize resource allocation for 9-1-1 centers and first responders. | Public Safety Technology |
| 63 | reailize | mid-size regional | Deploy an internal AI-powered knowledge agent to synthesize past client engagements, frameworks, and market research, dramatically reducing consultant ramp-up time and enabling data-driven, personalized proposal generation. | Management Consulting |
| 64 | redbend | mid-size regional | Leverage real-time vehicle data streams and OTA update logs to build predictive maintenance and anomaly detection models that reduce warranty costs and enable new recurring revenue streams for automakers. | Automotive software |
| 65 | reflexion medical | mid-size regional | Leverage AI to enable real-time adaptive radiotherapy by integrating imaging, tumor tracking, and treatment delivery into a closed-loop system that personalizes each fraction. | Medical Devices |
| 66 | reinvented | mid-size regional | Leverage generative AI for hyper-personalized music curation, automated A&R scouting, and dynamic audio ad insertion to unlock new revenue streams and operational efficiencies. | Broadcast Media & Record Production |
| 67 | relay human cloud | mid-size regional | Integrate an AI-driven orchestration layer to dynamically match human cloud workers to client tasks based on real-time skill profiling, availability, and quality scores, reducing idle time and boosting throughput. | Management consulting |
| 68 | remote | national operator | AI can automate complex global payroll and tax compliance calculations, dramatically reducing errors and operational costs while enabling real-time scenario modeling for workforce planning. | HR & Workforce Management |
| 69 | repstack | mid-size regional | Deploy an AI-driven talent matching and predictive career pathing engine to automate candidate-to-opportunity pairing, reducing time-to-placement by 40% while surfacing passive candidates from its proprietary network. | Human Resources & Recruiting |
| 70 | republic services | enterprise | Leverage AI-powered route optimization and predictive maintenance to reduce fleet fuel costs and downtime, while deploying computer vision for automated recycling sorting to increase material recovery and purity. | Waste Management & Recycling |
| 71 | respond software | enterprise | Implementing predictive AI to analyze IT incident data and system telemetry to forecast outages and automate remediation, drastically reducing mean time to resolution (MTTR). | Enterprise software |
| 72 | resy | mid-size regional | Leverage Resy's rich diner preference and table-turn data to build an AI-powered yield management engine that dynamically prices reservations and optimizes floor plans for partner restaurants. | Restaurant technology & reservations |
| 73 | re-{test} | mid-size regional | Automating end-to-end software testing lifecycles with AI agents that self-heal broken scripts, generate synthetic test data, and predict regression risks before deployment. | IT Services & Software Development |
| 74 | Retina-Vitreous Associates Medical Group | regional multi-site | Automated Appointment Scheduling and Rescheduling Agent | Medical Practice |
| 75 | reveal - ipro | mid-size regional | Integrate generative AI into eDiscovery workflows to automate document review, privilege log creation, and early case assessment, drastically cutting review time and costs. | Legal technology software |
| 76 | revlocal | a hibu company | mid-size regional | Deploy AI-driven hyperlocal campaign optimization that automatically adjusts ad spend, creative, and targeting across thousands of SMB client accounts in real time, dramatically improving ROI and reducing manual account management costs. | Marketing & Advertising |
| 77 | RGS Financial | regional multi-site | Automated Client Onboarding and Document Verification | Financial Services |
| 78 | rhesus tech | mid-size regional | Deploy an AI-driven knowledge management and proposal generation platform to accelerate consultant onboarding, reduce RFP response times, and surface cross-client insights. | Management Consulting |
| 79 | ride | enterprise | Implementing AI-powered dynamic pricing and demand forecasting can maximize revenue per ride and optimize driver allocation across the network. | Internet software & services |
| 80 | RightCapital | regional multi-site | Automated Client Onboarding and Data Aggregation | Financial Services |
| 81 | rise, a quad agency | mid-size regional | Leveraging generative AI to automate content creation and personalization at scale for client campaigns, reducing turnaround time and improving ROI. | Marketing & Advertising |
| 82 | rival | mid-size regional | Embedding generative AI into Rival's talent intelligence platform to automate personalized career pathing, skills inference, and manager coaching nudges, transforming static HR data into a real-time strategic workforce engine. | HR technology & talent management software |
| 83 | riversand, a syndigo company | mid-size regional | Embedding generative AI into the PIM/MDM platform to automate product data enrichment, taxonomy mapping, and syndication rule creation, dramatically reducing time-to-market for retailers and brands. | Information Technology & Services |
| 84 | rms | national operator | Leverage RMS's vast catastrophe modeling and property data to build a generative AI co-pilot that enables insurers to simulate 'what-if' climate scenarios and automate underwriting decisions in real time. | Computer software |
| 85 | ro | mid-size regional | Leverage clinical and pharmacy data to build AI-driven personalized care plans that improve adherence and outcomes for chronic conditions like obesity and diabetes. | Health systems & hospitals |
| 86 | Robertson Stephens | regional multi-site | Automated Client Onboarding and Document Management | Financial Services |
| 87 | Rockbridge | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 88 | rodata | mid-size regional | Leverage its existing AI/analytics focus to productize bespoke client solutions into scalable, self-service SaaS platforms for mid-market enterprises. | IT services & custom software |
| 89 | ROi Resource Optimization & Innovation | regional multi-site | Automated Supply Chain Order Management & Optimization | Hospital And Health Care |
| 90 | Rothschild Wealth | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 91 | rover.com | regional multi-site | Deploy AI-powered dynamic pricing and smart matching to optimize sitter utilization and customer acquisition costs across Rover's two-sided marketplace. | Pet care services |
| 92 | rtcamp | mid-size regional | Deploy AI-powered code generation and automated DevOps pipelines to accelerate enterprise WordPress delivery and reduce manual configuration overhead. | IT Services & Digital Solutions |
| 93 | RubinBrown | regional multi-site | Automated Client Inquiry Triage and Response | Accounting |
| 94 | ruby thunders | national operator | AI-assisted code generation and review can dramatically accelerate development velocity and improve code quality for a large team of enterprise software engineers. | Custom software development |
| 95 | rush university medical center | enterprise | Implementing predictive AI for patient deterioration and readmission risk can significantly improve clinical outcomes and reduce financial penalties associated with value-based care. | Health systems & hospitals |
| 96 | safe foods a division of fortrex | enterprise | Leverage machine learning on pathogen genomic and processing data to predict contamination risks in real time, enabling proactive intervention and reducing foodborne illness outbreaks. | Biotechnology |
| 97 | sailpoint | national operator | AI can transform SailPoint's identity governance by using predictive analytics to automate access certification, detect anomalous user behavior, and intelligently recommend access rights, dramatically reducing manual review workloads and security risks. | Enterprise software |
| 98 | salescomp | mid-size regional | Leverage AI to automate complex commission calculations and provide real-time predictive analytics on compensation plan performance, reducing errors and optimizing sales behaviors. | Computer Software |
| 99 | samba tv | mid-size regional | Leverage real-time ACR data to build predictive, AI-powered ad targeting and content recommendation engines that optimize viewer engagement and ad yield across linear and streaming TV. | TV data & analytics |
| 100 | sams club | mid-size regional | Leverage computer vision and predictive analytics to optimize inventory management and create a frictionless checkout experience for members. | Retail - Warehouse Clubs |
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