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 | opis, a dow jones company | mid-size regional | Deploy AI-powered predictive pricing models that ingest real-time satellite imagery, weather, and geopolitical feeds to forecast refined product and crude oil spot prices with higher accuracy than traditional methods. | Oil & Energy Data and Analytics |
| 2 | oportun | national operator | AI can transform Oportun's core underwriting by using alternative data and behavioral patterns to more accurately assess creditworthiness for thin-file or no-file consumers, reducing defaults while expanding responsible access to credit. | Financial services & lending |
| 3 | oppenheimer & co. inc. | national operator | AI can enhance investment research and client portfolio management by automating data synthesis from earnings calls, SEC filings, and news to generate alpha signals and personalized client insights. | Investment Banking & Brokerage |
| 4 | oppenheimerfunds | enterprise | Implementing AI-driven predictive analytics for portfolio optimization and risk management can enhance alpha generation and automate complex investment decisions at scale. | Investment Management |
| 5 | oppent | regional multi-site | Non Profits And Non Profit Services | |
| 6 | opsware | mid-size regional | Automating IT operations and incident response with AI-driven predictive analytics and self-healing infrastructure. | Enterprise software |
| 7 | optavia | national operator | AI-powered predictive analytics can automate investment thesis generation and portfolio rebalancing, enabling advisors to deliver hyper-personalized, data-driven strategies at scale. | Investment management & financial services |
| 8 | Optical Women's Assn | regional multi-site | Civic And Social Organization | |
| 9 | optima graphics | mid-size regional | Leverage generative AI for automated ad creative generation and personalization at scale, reducing production time and costs while improving campaign performance. | Marketing & Advertising |
| 10 | optimal | mid-size regional | Leverage generative AI to automate ad creative production and personalization at scale, reducing time-to-market and improving campaign ROI. | Marketing & Advertising |
| 11 | Optimize RCM | regional multi-site | Automated Prior Authorization Processing | Hospital And Health Care |
| 12 | Optim Orthopedics | regional multi-site | Automated Patient Intake and Registration | Medical Practice |
| 13 | optimum | enterprise | AI-powered predictive network maintenance can proactively identify and resolve infrastructure faults, dramatically reducing service outages and costly technician dispatches. | Telecommunications |
| 14 | optimumcx customer experience solutions | mid-size regional | Deploying AI-driven personalization engines to optimize customer journeys and increase client campaign ROI. | Marketing & Advertising |
| 15 | Optimum Life Reinsurance | mid-size regional | Automated Claims Triage and Initial Assessment | Insurance |
| 16 | optimum outcomes | mid-size regional | AI-driven automation of claims processing and denial management can significantly reduce manual effort and improve cash flow for healthcare providers. | Healthcare revenue cycle management |
| 17 | optisol business solutions | mid-size regional | Implementing an AI-powered code generation and testing assistant to accelerate custom software delivery, reduce project timelines by up to 30%, and improve margins on fixed-bid contracts. | IT Services & Consulting |
| 18 | opulence group | regional multi-site | AI can automate code generation, testing, and system integration tasks, dramatically accelerating project delivery and reducing costs for clients. | IT services & consulting |
| 19 | opulence planners | mid-size regional | Automating personalized financial planning and portfolio optimization using AI-driven analytics to enhance client outcomes and operational efficiency. | Wealth Management |
| 20 | oracle | toa technologies | regional multi-site | AI can optimize field service dispatch and scheduling in real-time using predictive models for job duration, travel times, and technician skill-matching, dramatically improving first-time fix rates and resource utilization. | Enterprise software & services |
| 21 | orangetheory fitness | mid-size regional | Deploy AI-driven dynamic scheduling and personalized workout intensity algorithms to maximize studio utilization and member retention across 1,500+ locations. | Fitness & wellness centers |
| 22 | orbit digital | mid-size regional | Deploy an AI-driven media buying and creative optimization engine to automate campaign management, improve ROAS, and scale personalized ad delivery across channels. | Marketing & Advertising |
| 23 | orca pacific: a monks company | mid-size regional | Leverage generative AI to automate content creation, personalization, and campaign optimization, reducing production time and costs while improving ROI for clients. | Marketing & Advertising |
| 24 | orchid cellmark | mid-size regional | Leverage AI for automated DNA profile interpretation and predictive analytics in forensic casework to reduce turnaround time and increase accuracy. | Biotechnology |
| 25 | orderpin pos | mid-size regional | Deploy AI-driven demand forecasting and dynamic menu pricing to help small and mid-sized restaurants optimize inventory and maximize margins. | Restaurant & Retail Technology |
| 26 | oregon state university | national operator | AI can personalize adaptive learning pathways for its 35,000+ students, improve research grant outcomes through data analytics, and optimize campus operations and energy use across its extensive physical footprint. | Higher education & research |
| 27 | orgadata usa | now part of forterro | mid-size regional | Leverage AI to automate window/door design optimization, generate production-ready CNC code from architectural drawings, and provide predictive maintenance for manufacturing equipment. | Window & door manufacturing software |
| 28 | Organization of American States | regional multi-site | International Affairs | |
| 29 | organon | enterprise | AI-driven predictive analytics can optimize clinical trial design for women's health and biosimilars, accelerating time-to-market and reducing R&D costs. | Pharmaceuticals & Biotech |
| 30 | origence cudl | mid-size regional | Deploy an AI-powered automated underwriting engine that reduces loan decision times from days to minutes while improving risk assessment accuracy for credit union partners. | Financial services |
| 31 | orion worldwide | mid-size regional | Deploy AI-driven predictive analytics for campaign performance and creative optimization to improve client ROI and agency efficiency. | Marketing & Advertising |
| 32 | orlando health | enterprise | AI-powered predictive analytics for patient flow can optimize bed utilization, reduce emergency department wait times, and improve staff allocation across this large multi-hospital system. | Health systems & hospitals |
| 33 | Orora Visual | regional multi-site | Retail | |
| 34 | orpine inc, an inc 5000 company | mid-size regional | Leverage AI-powered talent matching and automated code generation to accelerate client project delivery and reduce bench time. | IT services & consulting |
| 35 | OrthoArkansas | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Medical Practice |
| 36 | ortho dermatologics | mid-size regional | Leveraging AI for personalized dermatology treatment plans and accelerating clinical trials for new topical and systemic therapies. | Pharmaceuticals |
| 37 | orthofi | mid-size regional | Deploy AI-driven underwriting and automated treatment plan financing to instantly approve more orthodontic patients while reducing default risk by 15-20%. | Fintech & Payments |
| 38 | OrthoIndy | regional multi-site | AI-Powered Patient Intake and Registration Automation | Hospital And Health Care |
| 39 | Ortho Northeast | regional multi-site | Automated patient intake and pre-registration processing | Hospital And Health Care |
| 40 | Orthopaedic and Neurosurgery Specialists | regional multi-site | Automated Patient Intake and Registration | Medical Practice |
| 41 | Orthopaedic & Spine Center of the Rockies | regional multi-site | Automated Patient Intake and Registration | Hospital And Health Care |
| 42 | Orthopeadic Specialists | mid-size regional | Automated Appointment Scheduling and Rescheduling Agent | Hospital And Health Care |
| 43 | Orthopedic Center of Florida | regional multi-site | Automated Patient Appointment Scheduling and Optimization | Medical Practice |
| 44 | Orthopedic Institute | regional multi-site | Automated Patient Intake and Pre-registration | Medical Practice |
| 45 | oscar health | national operator | AI-powered predictive analytics can identify at-risk members for proactive care management, reducing costly hospitalizations and improving health outcomes. | Health insurance |
| 46 | oscar mayer | enterprise | AI-powered predictive analytics can optimize production planning, inventory, and distribution across the supply chain to dramatically reduce waste and improve freshness for a large-scale perishable goods manufacturer. | Processed meat manufacturing |
| 47 | os-climate | mid-size regional | Leverage LLMs to automate the extraction and normalization of unstructured corporate climate disclosures, dramatically scaling the OS-Climate data commons and accelerating financial-sector decarbonization. | Climate analytics & data platform |
| 48 | Oscorp Industries Consulting | regional multi-site | Automated Client Prospecting and Lead Qualification | Management Consulting |
| 49 | osf healthcare | enterprise | Deploying predictive AI for patient flow and readmission risk can optimize bed capacity and improve care quality across their large network. | Health systems & hospitals |
| 50 | Oshhs | regional multi-site | Hospital And Health Care | |
| 51 | oshkosh defense | enterprise | AI-powered predictive maintenance and supply chain optimization for its global fleet of tactical vehicles can dramatically reduce operational downtime and lifecycle costs. | Defense & Space Manufacturing |
| 52 | osi digital | national operator | Deploying AI-augmented development platforms and intelligent automation tools to dramatically accelerate custom software delivery, improve code quality, and reduce client project timelines. | IT consulting & systems integration |
| 53 | os.social | mid-size regional | Deploy AI-driven predictive analytics to optimize influencer-brand matching and campaign ROI, leveraging first-party social data to automate media buying and content personalization at scale. | Marketing & Advertising |
| 54 | Osterweis Capital Management | mid-size regional | Automated Client Onboarding and KYC Compliance | Investment Management |
| 55 | otsuka pharmaceutical companies (u.s.) | national operator | AI can accelerate drug discovery and clinical trial optimization for Otsuka's neuroscience and oncology pipelines, reducing time-to-market and R&D costs. | Pharmaceutical Manufacturing |
| 56 | otterbox | national operator | Leverage generative AI to accelerate new product design and optimize global demand forecasting, reducing time-to-market and inventory waste. | Consumer electronics accessories |
| 57 | otto software | mid-size regional | Embedding generative AI into their custom enterprise software development lifecycle to automate code generation, testing, and documentation, dramatically accelerating client project delivery. | Custom software development & consulting |
| 58 | OTW | regional multi-site | Publishing | |
| 59 | our next energy (one) | mid-size regional | Leverage physics-informed neural networks to accelerate electric motor design optimization and reduce simulation-to-production cycles by 40-60%. | Electric motor & generator manufacturing |
| 60 | ouster | mid-size regional | Leverage Ouster's high-resolution digital lidar data to train AI models for real-time object classification and predictive maintenance in industrial automation environments, creating a proprietary perception software layer that increases sensor stickiness and recurring revenue. | Industrial automation & sensing |
| 61 | outcome | mid-size regional | Leverage generative AI to accelerate clinical trial protocol design and patient recruitment by analyzing historical trial data and real-world evidence, reducing cycle times by 30-40%. | Pharmaceuticals |
| 62 | outerbox | mid-size regional | Deploy AI-driven predictive analytics to optimize client campaign performance and automate personalized content creation at scale, directly increasing ROI for mid-market e-commerce clients. | Marketing & Advertising |
| 63 | outlaw | mid-size regional | Embedding generative AI into Outlaw's contract authoring and negotiation workflows to automate clause generation, risk scoring, and counterparty redline reconciliation, directly boosting platform stickiness and average contract value. | Legal technology & contract software |
| 64 | outline systems | mid-size regional | Leverage generative AI to automate code generation and testing, accelerating software delivery for clients while reducing costs. | IT services & consulting |
| 65 | outreach influencer solutions | mid-size regional | Leveraging AI to automate influencer discovery, campaign personalization, and performance analytics to scale outreach efficiency and ROI. | Marketing & advertising |
| 66 | outreachpapa | mid-size regional | Deploy AI-driven lead scoring and personalized multi-channel outreach sequences to dramatically improve client campaign conversion rates and reduce manual SDR effort. | Marketing & Advertising |
| 67 | ovations management solutions | mid-size regional | Deploy AI-driven predictive maintenance and financial analytics to enhance property management efficiency and resident satisfaction. | Property management software |
| 68 | overall capital partners | regional multi-site | AI can enhance deal sourcing and due diligence by analyzing vast datasets of private companies, market trends, and founder backgrounds to identify high-potential investments faster and with greater precision. | Venture capital & private equity |
| 69 | over easy office | mid-size regional | Automating routine bookkeeping and tax preparation with AI-driven data extraction and classification to reduce manual hours and improve accuracy. | Accounting & tax services |
| 70 | overture promotions | mid-size regional | Leverage generative AI for rapid creative iteration and personalized promotional campaign design, reducing turnaround time and boosting client engagement. | Marketing & Advertising |
| 71 | overwatch technologies | regional multi-site | Implementing AI-powered predictive analytics for deal sourcing and market sentiment analysis can significantly enhance investment thesis generation and client advisory speed. | Financial services & investment banking |
| 72 | owlsurance technologies | regional multi-site | Owlsurance can deploy AI-driven predictive analytics and automated underwriting models to enhance risk assessment accuracy and operational efficiency for its insurance clients. | IT Services & Software |
| 73 | oxbridge capital | mid-size regional | Deploy AI-driven portfolio optimization and risk analytics to enhance investment decision-making and client reporting. | Capital Markets |
| 74 | oz | mid-size regional | Leveraging generative AI to automate code generation and accelerate software delivery for clients, reducing project timelines by up to 30%. | IT Services & Consulting |
| 75 | ozemio | mid-size regional | Leverage generative AI to automate proposal drafting, research synthesis, and deliver AI-augmented strategic insights to clients, reducing project turnaround by 30%. | Management consulting |
| 76 | p2p track | mid-size regional | Automating real-time shipment tracking and predictive ETA using machine learning on GPS and traffic data to reduce customer inquiries and improve delivery accuracy. | Logistics & supply chain |
| 77 | paceb2b | mid-size regional | Leverage generative AI to automate personalized B2B content creation and lead nurturing at scale, reducing campaign turnaround time by 40% and boosting conversion rates. | Marketing & Advertising |
| 78 | Pacecenter | regional multi-site | Non Profits And Non Profit Services | |
| 79 | pacific communications | mid-size regional | Leverage generative AI to automate creative production and personalization at scale, enabling faster campaign iteration and higher ROI for clients while reducing internal production costs. | Marketing & Advertising |
| 80 | pacific gas and electric company | enterprise | AI-powered predictive maintenance and grid optimization can significantly reduce wildfire risk, improve reliability, and lower operational costs across its vast infrastructure. | Utilities & Energy Distribution |
| 81 | pacific market research | mid-size regional | Automate survey data processing and generate real-time insights, reducing project turnaround time by 40% and enabling predictive analytics for client recommendations. | Market research & polling |
| 82 | pacific office automation | national operator | Deploy an AI-powered predictive service desk to automate Level 1 ticket resolution and proactively identify network anomalies, reducing mean time to resolution by 40% and freeing engineers for complex projects. | Telecommunications |
| 83 | Pacific Pulmonary Services | regional multi-site | Automated Supply Chain Demand Forecasting | Medical Devices |
| 84 | Packerland Brokerage Services | regional multi-site | Automated Client Onboarding and KYC Verification | Financial Services |
| 85 | Pademolay | regional multi-site | Non Profits And Non Profit Services | |
| 86 | Padgett Law Group | regional multi-site | Automated Legal Document Review and Analysis | Law Practice |
| 87 | paid forum posting | mid-size regional | Leverage generative AI to automate and scale forum content creation, moderation, and performance analytics, reducing manual effort and improving client ROI. | Content marketing & writing services |
| 88 | paizabio | mid-size regional | Leverage AI-driven process optimization and predictive analytics to accelerate biosimilar development timelines and reduce manufacturing costs, directly improving competitiveness against reference biologics. | Pharmaceuticals & biotech |
| 89 | paklogics | mid-size regional | Leverage AI to automate software testing and code generation, reducing development cycles and improving product quality. | Software publishers |
| 90 | paladion an atos business | regional multi-site | Implementing AI-powered predictive threat intelligence to proactively identify and neutralize advanced persistent threats (APTs) before they cause a breach. | Cybersecurity & Managed Security Services |
| 91 | palmetto health | enterprise | AI-powered predictive analytics for patient readmission and length-of-stay optimization can significantly reduce costs and improve care coordination across this large regional system. | Health systems & hospitals |
| 92 | Palm Plantation | mid-size regional | Automated Client Onboarding and Document Verification | Financial Services |
| 93 | Palomar Health Medical Group | regional multi-site | Automated Patient Appointment Scheduling and Reminders | Hospital And Health Care |
| 94 | PAL Services | regional multi-site | Environmental Services And Clean Energy | |
| 95 | panasonic avionics corporation | enterprise | AI-powered predictive maintenance for its global fleet of in-flight entertainment and connectivity systems can drastically reduce downtime, improve passenger satisfaction, and optimize operational costs. | Aviation & Aerospace Manufacturing |
| 96 | pan atlantic associates | mid-size regional | Leverage generative AI to automate creative asset production and personalize ad campaigns at scale, reducing turnaround time and costs while improving performance. | Marketing & Advertising |
| 97 | pandemic studios | mid-size regional | Leverage generative AI for procedural content generation and automated QA testing to dramatically reduce AAA game development cycles and costs. | Video Games |
| 98 | panorama education | mid-size regional | Leverage AI to generate personalized, real-time intervention plans for at-risk students by analyzing multi-dimensional data (academics, attendance, behavior, and SEL) already captured in the platform. | Education technology & support services |
| 99 | pantheon | regional multi-site | AI-powered predictive autoscaling and performance optimization can proactively manage client site traffic and resource usage, reducing operational costs and preventing downtime. | WebOps & Website Hosting |
| 100 | paper-due-now.com | regional multi-site | Leverage generative AI to automate essay drafting and editing, reducing turnaround time and scaling personalized tutoring services. | Writing & Editing Services |
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