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
regional multi-site
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 | OATS Transit | regional multi-site | Transportation | |
| 2 | OBGYN Associates of Erie | mid-size regional | Automated Patient Appointment Scheduling and Reminders | Hospital And Health Care |
| 3 | obsidian entertainment | mid-size regional | Deploy generative AI to accelerate AAA RPG content creation (dialogue, quests, environments) while maintaining narrative coherence, potentially reducing development cycles by 20-30%. | Video game development |
| 4 | Occc | regional multi-site | Hospitality | |
| 5 | Ocean Bank | regional multi-site | Automated Customer Inquiry Resolution for Banking Services | Banking |
| 6 | ocean sf | mid-size regional | Deploy AI-powered personalization and predictive inventory management to increase average order value and reduce stockouts. | Retail - E-commerce |
| 7 | oceans talent | mid-size regional | Deploy AI-driven talent matching and predictive attrition models to reduce time-to-hire by 40% and improve client retention through proactive candidate success monitoring. | Talent outsourcing & offshoring |
| 8 | oceanx by cart.com | regional multi-site | AI-powered dynamic routing and load optimization can reduce empty miles and fuel costs by 10-15%, directly boosting margins in a low-margin industry. | Logistics & supply chain |
| 9 | ochsner health | enterprise | Deploying predictive AI for patient deterioration and readmission risk can optimize clinical workflows, improve outcomes, and reduce costly complications across their large network. | Health systems & hospitals |
| 10 | och-ziff capital management | mid-size regional | Deploy machine learning models to enhance quantitative trading strategies and improve risk-adjusted returns. | Asset Management |
| 11 | octane® | regional multi-site | AI-driven dynamic credit scoring and fraud detection can expand approval rates for thin-file borrowers while reducing default risk, directly increasing loan volume and profitability. | Fintech Lending |
| 12 | octa one networks | mid-size regional | Leverage AI for personalized content recommendations and automated video editing to increase viewer engagement and reduce production costs. | Media & Broadcasting |
| 13 | octillion power systems | mid-size regional | Leverage AI-driven predictive analytics on battery telemetry data to optimize performance, extend lifecycle, and enable proactive maintenance for fleet EV customers. | Electrical/Electronic Manufacturing |
| 14 | octo digital forensics | mid-size regional | Automating digital evidence triage and analysis using AI to accelerate incident response and reduce manual effort. | Cybersecurity & Digital Forensics |
| 15 | octoscope is now spirent communications | national operator | AI can transform network testing by automating complex scenario generation, predicting network failures before they occur, and optimizing test cycles to accelerate time-to-market for new wireless technologies. | Wireless communications equipment & testing |
| 16 | oddball | mid-size regional | Deploy a retrieval-augmented generation (RAG) platform to accelerate proposal writing and compliance checks for federal RFPs, reducing bid-cycle time by 40% and improving win rates. | Digital services & IT consulting |
| 17 | ode partners | mid-size regional | Deploy an internal AI-driven knowledge management and project delivery platform to capture institutional expertise, automate proposal generation, and accelerate client solution design across digital transformation engagements. | IT consulting & services |
| 18 | odis hardin advertising | mid-size regional | Deploy generative AI to automate personalized ad creative production, enabling rapid A/B testing at scale while reducing manual design costs by 30-40%. | Marketing & Advertising |
| 19 | odyssey logistics | national operator | Deploying an AI-driven control tower that unifies real-time visibility, predictive ETAs, and dynamic routing across Odyssey's global intermodal network to reduce detention costs and improve on-time performance by over 15%. | Logistics & Supply Chain |
| 20 | oep pharma | regional multi-site | AI can accelerate drug discovery and clinical trial design by predicting molecular interactions and optimizing patient recruitment, dramatically reducing time-to-market for new therapies. | Pharmaceutical Manufacturing |
| 21 | offerhills.com | mid-size regional | Leveraging generative AI for automated content creation and personalization to increase user engagement and ad revenue. | Online media |
| 22 | office practicum | mid-size regional | Integrating ambient AI scribes and predictive analytics into their pediatric EHR to reduce physician burnout and automate quality reporting for value-based care contracts. | Healthcare IT & Practice Management Software |
| 23 | officespace software | mid-size regional | Leverage generative AI to automate space planning and move management, transforming static floor plans into dynamic, self-optimizing layouts based on real-time utilization data. | Workplace Management Software |
| 24 | Offit Kurman | regional multi-site | Automated Legal Document Review and Analysis | Law Practice |
| 25 | offsec | mid-size regional | AI-driven adaptive learning paths and automated, dynamic penetration testing labs that personalize training at scale. | Cybersecurity training & services |
| 26 | ofs | national operator | Leverage machine learning on OTDR and manufacturing sensor data to predict fiber breaks and optimize production quality in real-time, reducing waste and field failures. | Telecommunications equipment manufacturing |
| 27 | ogilvy health | national operator | AI can dramatically accelerate content creation and personalization for healthcare campaigns, enabling rapid, compliant adaptation of core messaging across diverse channels and global markets. | Marketing & Advertising |
| 28 | ohiohealth | enterprise | Deploying predictive AI for patient flow optimization and readmission risk stratification can significantly improve clinical outcomes and operational efficiency across its large hospital network. | Health systems & hospitals |
| 29 | oip insurtech | regional multi-site | Implementing AI-driven underwriting and claims automation to drastically reduce processing time and improve risk assessment accuracy. | Insurance technology & services |
| 30 | Oklahoma Heart Hospital | national operator | AI-Powered Patient Intake and Registration Automation | Hospital And Health Care |
| 31 | oklahoma medical research foundation | mid-size regional | Accelerating target discovery and biomarker validation by deploying AI-driven multi-omics integration across OMRF's extensive disease cohort data to shorten preclinical timelines. | Biomedical Research |
| 32 | okrp | regional multi-site | Implementing AI-powered creative intelligence platforms to automate audience insight generation, predict campaign performance, and dynamically optimize creative assets across channels, significantly reducing time-to-insight and improving ROI. | Marketing & Advertising |
| 33 | oktana | mid-size regional | Leverage proprietary project data across 200+ Salesforce implementations to build an AI-powered 'Smart Consultant' copilot that accelerates solution design, code generation, and testing for consultants, directly improving billable utilization and project margins. | IT services & custom software development |
| 34 | olaplex | mid-size regional | Leverage generative AI for hyper-personalized virtual hair consultations and product recommendations, driving direct-to-consumer conversion and loyalty. | Beauty & Personal Care |
| 35 | Old Dutch Foods | regional multi-site | Food Production | |
| 36 | old navy | enterprise | Implementing AI-powered demand forecasting and dynamic pricing can optimize inventory across its vast store network, reducing markdowns and stockouts to significantly boost margins. | Apparel retail |
| 37 | Olean Medical Group | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 38 | oliver wyman forum | enterprise | AI can automate the synthesis of vast global datasets to generate real-time, predictive insights on economic and geopolitical trends, dramatically accelerating research velocity and enhancing the foresight of its published reports. | Think tanks & research organizations |
| 39 | olly olly | mid-size regional | Deploy an AI-driven campaign optimization engine that automates A/B testing, budget allocation, and creative personalization across client accounts, reducing manual hours by 40% while improving ROAS. | Marketing & Advertising |
| 40 | Olmsted Medical Center | national operator | Automated Prior Authorization Processing Agent | Hospital And Health Care |
| 41 | Olsson Frank Weeda Terman Matz PC | mid-size regional | Automated Legal Document Review and Analysis | Law Practice |
| 42 | olympus corporation of the americas | enterprise | AI-powered real-time analysis of endoscopic video during procedures can enhance polyp detection, tissue characterization, and surgical guidance, improving diagnostic accuracy and patient outcomes. | Medical devices & instruments |
| 43 | omd | enterprise | AI-driven predictive media mix modeling can optimize multi-channel ad spend in real-time, increasing ROI by 15-25% while reducing manual analysis. | Advertising & media agencies |
| 44 | Omega Accounting Solutions | mid-size regional | Automated Invoice Processing and Data Entry | Accounting |
| 45 | omega equipment & supply | mid-size regional | AI-driven demand forecasting and inventory optimization to reduce stockouts and overstock across their distribution network. | Industrial equipment distribution |
| 46 | omg23 | mid-size regional | Deploying generative AI to automate creative production and hyper-personalize ad campaigns at scale, directly boosting client ROI and agency margins. | Marketing & Advertising |
| 47 | OMG Hospitality Group Home New | regional multi-site | Hospitality | |
| 48 | omnicom commerce | national operator | AI can automate the creation and dynamic optimization of personalized ad creative and media buys across retail platforms, dramatically improving client ROI and campaign scalability. | Marketing & Advertising |
| 49 | omnicom health | national operator | AI can optimize multi-channel campaign performance by dynamically allocating budgets, personalizing content, and predicting physician/HCP engagement in real-time. | Marketing & Advertising |
| 50 | omnidian | mid-size regional | Leverage fleet-wide solar production and equipment telemetry data to build predictive digital twins that automate maintenance dispatch, optimize warranty claims, and dynamically forecast energy yield for asset owners. | Renewable Energy Services |
| 51 | omni.pro | mid-size regional | Leverage generative AI to automate code generation and accelerate custom software delivery, reducing project timelines and costs. | IT Services & Consulting |
| 52 | Omni Tax Solutions | regional multi-site | Automated Client Onboarding and Document Collection | Financial Services |
| 53 | omnivision | national operator | AI can be integrated directly into the sensor design to enable on-chip, low-power computer vision for edge devices like smartphones, automotive cameras, and IoT. | Semiconductors |
| 54 | omni visions, inc. | national operator | AI can automate the classification, routing, and quality assurance of incoming tasks and projects, significantly boosting operational efficiency and client satisfaction. | Custom software development & IT services |
| 55 | on3 | rivals | mid-size regional | Leverage AI to personalize recruiting content and automate video highlights from thousands of high school athlete profiles, dramatically increasing subscriber engagement and reducing editorial costs. | Digital media & sports publishing |
| 56 | OnCall | regional multi-site | Automated Client Onboarding and Data Ingestion | Management Consulting |
| 57 | On Call Counsel | regional multi-site | Automated Legal Document Review and Analysis | Legal Services |
| 58 | onclusive social | mid-size regional | Deploy generative AI to auto-synthesize cross-channel social listening data into narrative-ready executive briefs, reducing analyst time-to-insight by 80% and unlocking premium advisory upsells. | Enterprise SaaS & Market Intelligence |
| 59 | OncoHealth | regional multi-site | Automated Patient Intake and Pre-Registration | Hospital And Health Care |
| 60 | Oncospark | regional multi-site | Automated Prior Authorization Processing | Hospital And Health Care |
| 61 | ondot systems, inc. | mid-size regional | Leverage AI to power hyper-personalized cardholder experiences and predictive fraud analytics, transforming a card management platform into an intelligent, autonomous financial engagement engine. | Information Technology & Services |
| 62 | one80 intermediaries | national operator | AI-powered risk assessment and policy matching can automate underwriting support, analyze complex submissions, and recommend optimal carrier placements to dramatically improve broker productivity and placement accuracy. | Insurance brokerage & services |
| 63 | one & all agency | regional multi-site | Implementing AI for predictive audience segmentation and dynamic creative optimization can dramatically increase campaign ROI by delivering hyper-personalized content at scale. | Marketing & Advertising Agencies |
| 64 | onecommand | mid-size regional | Deploying AI-driven predictive analytics to optimize customer engagement and retention campaigns for automotive dealerships, increasing service lane revenue and vehicle sales. | Marketing & advertising |
| 65 | OneHealth | mid-size regional | Automated Prior Authorization Processing | Hospital And Health Care |
| 66 | one health microbiome center at penn state | regional multi-site | AI can accelerate microbiome discovery by analyzing complex multi-omics datasets to identify novel microbial signatures linked to human health and disease. | Life sciences R&D |
| 67 | One Hope United | regional multi-site | Individual And Family Services | |
| 68 | o'neil digital solutions | mid-size regional | Leverage AI to automate code generation and testing, reducing project delivery times and improving margins for custom software development projects. | IT services & consulting |
| 69 | onelife top | mid-size regional | Deploy AI-driven content personalization and automated editing to scale video output across platforms while reducing post-production time by 40%. | Entertainment & Media |
| 70 | onemain financial | enterprise | AI-powered underwriting models can expand credit access to thin-file customers while reducing default risk through enhanced predictive analytics of alternative data. | Consumer finance & lending |
| 71 | onemarketdata | mid-size regional | Deploy an AI-powered natural language query interface for OneTick's tick database, enabling traders and quants to generate complex analytics using plain English, dramatically reducing time-to-insight. | Financial data & analytics |
| 72 | onepacs | regional multi-site | AI-powered automated analysis and prioritization of medical images can significantly reduce radiologist workload, accelerate diagnostic turnaround times, and improve early detection of critical conditions. | Medical Imaging Software |
| 73 | One Resource Group | mid-size regional | Automated Claims Triage and Data Extraction | Insurance |
| 74 | onespan | regional multi-site | OneSpan can deploy AI to analyze user behavior and transaction patterns in real-time, significantly enhancing fraud detection and adaptive authentication while reducing false positives for enterprise clients. | Cybersecurity & identity software |
| 75 | onfire group inc | enterprise | AI-driven creative asset generation and dynamic ad copy optimization can dramatically reduce campaign production time and cost while enabling hyper-personalization at scale. | Marketing & Advertising |
| 76 | onit | regional multi-site | AI can transform Onit's platform by automating contract review, predicting legal outcomes, and intelligently routing workflow tasks, dramatically increasing efficiency for corporate legal departments. | Enterprise software |
| 77 | online banking solutions (now part of fiserv) | enterprise | Implementing AI-driven anomaly detection and predictive analytics on transaction data can dramatically reduce fraud losses and improve real-time compliance monitoring for client banks. | Banking & Financial Technology |
| 78 | OnMed | mid-size regional | Automated Patient Intake and Registration | Hospital And Health Care |
| 79 | onovo | mid-size regional | Accelerate drug discovery and clinical trial optimization using generative AI and machine learning on proprietary datasets. | Pharmaceuticals |
| 80 | Onpoint Healthcare | regional multi-site | Automated Prior Authorization Processing | Hospital And Health Care |
| 81 | On Q Home Loans | regional multi-site | Automated Loan Application Pre-qualification and Data Verification | Financial Services |
| 82 | onshape by ptc | mid-size regional | Embed generative design and natural-language CAD prompting into Onshape's cloud-native platform to reduce design iteration cycles by 40% and attract non-expert users. | Computer software |
| 83 | onslow memorial park | mid-size regional | Deploy AI-driven predictive analytics to optimize patient flow, reduce readmissions, and enhance revenue cycle management. | Health systems & hospitals |
| 84 | onsolve | mid-size regional | Integrating AI to predict critical events from disparate data streams and automate multi-channel response orchestration, reducing mean time to resolution. | Critical event management software |
| 85 | ontic | mid-size regional | Embedding generative AI into the protective intelligence platform to automate threat signal correlation and generate natural-language risk summaries, reducing analyst workload and accelerating response times. | Enterprise software |
| 86 | onto innovation | national operator | AI-powered defect detection and classification can dramatically improve yield and throughput in semiconductor manufacturing by analyzing complex inspection data in real-time. | Semiconductor manufacturing equipment |
| 87 | onx homes | mid-size regional | Leverage generative design and predictive analytics to optimize land acquisition, reduce architectural plan cycle times, and personalize buyer options at scale, directly improving margin and inventory turnover. | Homebuilding & Construction |
| 88 | onyx centersource | mid-size regional | Deploy AI-driven fraud detection and chargeback prevention to reduce losses and improve merchant trust. | Payment processing & fintech |
| 89 | onyx pharmaceuticals, inc., an amgen subsidiary | regional multi-site | AI-driven predictive modeling can accelerate the discovery and optimization of novel targeted cancer therapies by identifying promising drug candidates and patient biomarkers with higher precision. | Biotechnology & Pharmaceuticals |
| 90 | op | mid-size regional | Leverage AI to automate candidate matching and client project scoping, reducing bench time and accelerating proposal generation for faster revenue realization. | IT Services & Consulting |
| 91 | opencommerce group | mid-size regional | Deploy AI-driven personalization engines that dynamically tailor product recommendations, pop-ups, and email content in real time to lift merchant conversion rates and average order value. | E-commerce enablement & marketing technology |
| 92 | Opendoorhealth | regional multi-site | Hospital And Health Care | |
| 93 | openeye | mid-size regional | Deploy computer vision models on existing camera streams to automate real-time threat detection, reduce false alarms, and generate actionable retail foot-traffic analytics. | Video surveillance & analytics |
| 94 | open intelligence | mid-size regional | Embedding generative AI copilots into its data integration platform to automate schema mapping, data quality checks, and pipeline orchestration, reducing manual engineering effort by 40-60%. | Enterprise software & IT services |
| 95 | opensignal | mid-size regional | Leverage AI to fuse real-time network performance data with consumer behavior signals, enabling telcos to predict and prevent churn with personalized quality-of-experience interventions. | Telecommunications |
| 96 | open source firmware foundation | mid-size regional | Leverage AI to automate firmware vulnerability detection and patch generation, accelerating security hardening for the open-source ecosystem. | Computer software |
| 97 | open systems technologies | mid-size regional | Deploy AI-driven candidate matching and automated engagement workflows to reduce time-to-fill by 30% and increase placement success rates. | Staffing & recruiting |
| 98 | opentable | national operator | AI-powered dynamic pricing and table yield management can optimize restaurant fill rates and revenue per seat, similar to airline and hotel models. | Restaurant reservations & hospitality tech |
| 99 | OpenView | mid-size regional | Automated Deal Sourcing and Initial Screening | Venture Capital And Private Equity |
| 100 | openweb | mid-size regional | Leverage proprietary community conversation data to train AI models that automate content moderation, personalize user feeds, and generate actionable brand insights, transforming OpenWeb from a moderation tool into an AI-powered community intelligence platform. | Computer software |
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