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 | Onu | mid-size regional | Higher Education | |
| 2 | onX | mid-size regional | Information Technology And Services | |
| 3 | open-bank | mid-size regional | Banking | |
| 4 | opencar networks | enterprise | Leveraging AI to analyze real-time vehicle sensor and user data can enable predictive maintenance, personalized in-car experiences, and new data-as-a-service revenue streams for automakers. | Software development & publishing |
| 5 | opencollar technologies llc | mid-size regional | Leverage AI to automate code generation and testing, reducing project delivery time by 30% and improving margins while expanding into AI consulting services. | IT Services & Consulting |
| 6 | OpenSesame | mid-size regional | It Services And It Consulting | |
| 7 | Open Systems Healthcare | mid-size regional | Hospital And Health Care | |
| 8 | Opentrons | mid-size regional | Biotechnology | |
| 9 | opera mediaworks | mid-size regional | Leveraging generative AI for automated ad creative generation and hyper-personalized campaign optimization to reduce manual effort and improve ROI. | Marketing & Advertising |
| 10 | Opsahl Dawson | regional multi-site | Automated Client Tax Document Ingestion and Triage | Accounting |
| 11 | opswat academy | mid-size regional | Deploy AI-driven adaptive learning paths and automated content generation to scale personalized cybersecurity training, reducing instructor workload and improving certification pass rates. | E-learning & corporate training |
| 12 | optelligent | mid-size regional | Deploy AI-driven predictive maintenance for utility grid assets to reduce outages and optimize maintenance schedules. | Utilities technology |
| 13 | opterra energy services | mid-size regional | Leverage AI for predictive maintenance of solar assets and energy output forecasting to optimize O&M contracts and reduce downtime. | Renewable energy services |
| 14 | Optimae LifeServices | national operator | Hospital And Health Care | |
| 15 | Optimal Wireless | national operator | Telecommunications | |
| 16 | Optimax Systems | mid-size regional | Defense And Space | |
| 17 | Options Group | mid-size regional | Professional Services | |
| 18 | optiproerp software | mid-size regional | Integrate AI-driven predictive analytics and automation into its ERP platform to offer intelligent forecasting, automated workflows, and personalized dashboards for manufacturing and distribution clients. | Enterprise software |
| 19 | Optoro | mid-size regional | Technology Information And Internet | |
| 20 | Orange EV | mid-size regional | Transportation | |
| 21 | Orangutan | mid-size regional | Non Profits And Non Profit Services | |
| 22 | Orbus | mid-size regional | Wholesale | |
| 23 | Orca | mid-size regional | Cloud Compliance Software | |
| 24 | orca bpo | mid-size regional | Deploy AI-driven chatbots and robotic process automation to streamline customer service and back-office operations, reducing costs and improving response times. | Business Process Outsourcing |
| 25 | Orchard Software | mid-size regional | Hospital And Health Care | |
| 26 | Ordermark | mid-size regional | Information Technology And Services | |
| 27 | Ormco | national operator | Medical Devices | |
| 28 | OrthoCarolina | national operator | Automated Patient Intake and Pre-registration | Medical Practice |
| 29 | Orthodontic Experts | regional multi-site | Automated Patient Recall and Appointment Scheduling | Hospital And Health Care |
| 30 | Orthodontist Center | mid-size regional | Automated Patient Recall and Appointment Scheduling | Medical Practice |
| 31 | OrthoLive | mid-size regional | Hospital And Health Care | |
| 32 | Orthopedic | mid-size regional | Automated Patient Intake and Registration | Medical Practice |
| 33 | Orthopedic Center of Palm Beach County | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 34 | Orthopedic Institute of Pennsylvania | regional multi-site | Automated Patient Intake and Registration | Medical Practice |
| 35 | Orthopedic Specialists of SW Florida | regional multi-site | Automated Prior Authorization Processing | Medical Practice |
| 36 | Orthopedic & Sports Institute of the Fox Valley | mid-size regional | Automated Patient Intake and Registration | Medical Practice |
| 37 | OrthoSC | regional multi-site | Automated Patient Intake and Registration | Medical Practice |
| 38 | OrthoVirginia | national operator | Automated Patient Intake and Registration | Medical Practice |
| 39 | osmotica pharmaceutical corp. | mid-size regional | Leverage AI-driven drug repurposing and real-world evidence analytics to accelerate pipeline development and optimize clinical trial design. | Pharmaceuticals |
| 40 | otis elevator co. | enterprise | AI-powered predictive maintenance can drastically reduce elevator downtime and service costs by analyzing real-time IoT sensor data from millions of units worldwide. | Elevator manufacturing & services |
| 41 | Ottawa | mid-size regional | Higher Education | |
| 42 | Otter Products | national operator | Consumer Goods Rental | |
| 43 | outliant | mid-size regional | Integrate generative AI across the software development lifecycle and launch AI strategy consulting to boost margins and open new revenue streams. | Software development & IT services |
| 44 | outright quotes | mid-size regional | Automating personalized insurance quote generation and risk assessment using AI to increase conversion rates and reduce manual underwriting costs. | Insurance |
| 45 | ownersedge | mid-size regional | Leverage AI for automated deal sourcing and due diligence to identify high-potential investment targets and accelerate portfolio company growth. | Venture Capital & Private Equity |
| 46 | Oxfam America | mid-size regional | Non Profit Organizations | |
| 47 | Oxford Finance | mid-size regional | Automated Loan Application Pre-screening and Data Verification | Financial Services |
| 48 | Oxy | mid-size regional | Investment Banking | |
| 49 | ozonetel | onecxi | mid-size regional | Enhance its cloud contact center platform with AI-driven conversational agents and predictive analytics to boost customer satisfaction and reduce operational costs. | Computer Software |
| 50 | pacer healthcare solutions | mid-size regional | Automating clinical documentation and revenue cycle management with AI to reduce provider administrative burden and improve financial outcomes. | Healthcare IT services |
| 51 | Pacific Alliance Medical Center | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Hospital And Health Care |
| 52 | pacific communications | mid-size regional | Leveraging generative AI for personalized ad creative and copy at scale, reducing production time and improving campaign performance. | Marketing & Advertising |
| 53 | Pacific Power Group | mid-size regional | Machinery | |
| 54 | Pacific Science Center | mid-size regional | Museums And Institutions | |
| 55 | PAIGE | mid-size regional | Apparel And Fashion | |
| 56 | Pain Management Group | regional multi-site | Automated Patient Intake and Pre-Registration | Hospital And Health Care |
| 57 | pallycon | mid-size regional | Automating content piracy detection and forensic watermarking using machine learning to reduce manual review and improve real-time takedown response. | Media & entertainment software |
| 58 | Palm Beach Dermatology | mid-size regional | Automated Patient Intake and Registration | Medical Practice |
| 59 | palni inc | mid-size regional | Leveraging generative AI to automate code generation and accelerate software development lifecycles for clients. | IT Services & Consulting |
| 60 | Palo Verde Cancer Specialists | mid-size regional | Automated Prior Authorization Processing | Medical Practice |
| 61 | Pan-African Academy of Christian Surgeons | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 62 | Pando | mid-size regional | Transportation Logistics Supply Chain And Storage | |
| 63 | Panhandle Eye Group L.L.P | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 64 | parkar | mid-size regional | Leveraging AI to automate code generation, testing, and project management, reducing delivery timelines by 30% and boosting margins on fixed-bid contracts. | IT Services & Consulting |
| 65 | Parker Palm Springs | mid-size regional | Hospitality | |
| 66 | Parker University | mid-size regional | Higher Education | |
| 67 | park national bank | national operator | Leverage AI for personalized financial advisory and automated loan underwriting to improve customer experience and reduce operational costs. | Banking & Financial Services |
| 68 | Park Seed | mid-size regional | Consumer Goods | |
| 69 | Park West Gallery | mid-size regional | Art Galleries | |
| 70 | Par Pacific | national operator | Oil And Gas | |
| 71 | PartnerMD | regional multi-site | Automated Patient Intake and Onboarding | Medical Practice |
| 72 | PartsSource | mid-size regional | Medical Devices | |
| 73 | Passport | mid-size regional | Information Technology And Services | |
| 74 | PathAdvantage | mid-size regional | Automated Patient Intake and Registration | Medical Practice |
| 75 | Patterson + Sheridan | regional multi-site | Automated Legal Document Review and Analysis | Law Practice |
| 76 | Pattillo Brown & Hill | regional multi-site | Automated Client Inquiry Triage and Response | Accounting |
| 77 | pavion | national operator | Implement AI-driven predictive maintenance and remote monitoring for AV and collaboration systems to reduce downtime, optimize service dispatch, and create recurring managed services revenue. | Technology integration & services |
| 78 | pavlov media | mid-size regional | Leverage generative AI to automate and personalize digital ad content creation and campaign optimization, reducing manual effort and improving ROI for clients. | Advertising & Marketing |
| 79 | paxi inc. | mid-size regional | Implement AI-driven dynamic pricing and demand forecasting to optimize fleet utilization and increase revenue per ride. | Ground Passenger Transportation |
| 80 | PAXXUS | mid-size regional | Packaging And Containers Manufacturing | |
| 81 | paycom | enterprise | Deploying AI-powered predictive analytics and chatbots can automate complex payroll inquiries, preempt compliance errors, and personalize employee benefits guidance, significantly reducing administrative overhead and improving user experience. | Payroll & HR software |
| 82 | Paymerang | mid-size regional | Finance | |
| 83 | Pcb | national operator | Electrical Electronic Manufacturing | |
| 84 | PCWorld | mid-size regional | Publishing | |
| 85 | PDQ | mid-size regional | It Services And It Consulting | |
| 86 | Peace Caa | mid-size regional | Civic And Social Organization | |
| 87 | peacehealth southwest medical center | mid-size regional | Deploy AI-powered clinical decision support and patient flow optimization to reduce ED wait times and improve care coordination across the PeaceHealth network. | Health systems & hospitals |
| 88 | peak | mid-size regional | Deploy AI-powered genomic prediction models to shorten breeding cycles, optimize trait selection, and increase crop resilience to climate stress. | Agricultural Biotechnology |
| 89 | Pearly Whites | mid-size regional | Automated Patient Intake and Registration | Medical Practice |
| 90 | Peñate Medical Center | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 91 | Pediatric Associates of Austin P.A | mid-size regional | Automated Appointment Scheduling and Reminders | Medical Practice |
| 92 | PEDIATRIC ASSOCIATES OF THE NORTHWEST P.C | mid-size regional | Automated Appointment Scheduling and Rescheduling | Medical Practice |
| 93 | Pediatric Healthcare | regional multi-site | Automated Appointment Scheduling and Confirmation | Medical Practice |
| 94 | peerstreet | mid-size regional | Real Estate | |
| 95 | pegasus | mid-size regional | Leverage AI to deliver hyper-personalized guest offers and dynamic pricing across the hotel distribution network, boosting direct bookings and RevPAR. | Hospitality technology |
| 96 | PEI Global | mid-size regional | Automated Client Onboarding and KYC Verification | Financial Services |
| 97 | pellucid labs | mid-size regional | Leverage generative AI to automate code generation and testing, reducing project delivery times and costs for clients. | IT services & consulting |
| 98 | pena4, india | mid-size regional | Leverage generative AI to automate code generation and testing, reducing project delivery times and improving margins. | IT Services & Consulting |
| 99 | Penserra | mid-size regional | Automated Client Onboarding and KYC Verification | Financial Services |
| 100 | penske | enterprise | AI-powered dynamic routing and predictive maintenance can optimize a vast fleet, reducing fuel costs, unplanned downtime, and delivery delays across its global operations. | Logistics & Transportation |
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