| Whitlow, Roberts, Houston, & Straub, Pllc | Other Services (except Public Administration) | $241,456 | $242,706 | 21 | <$5M | AI Deep Dive |
| Ez Portable Buildings | Construction | $239,843 | $242,741 | 42 | $47.9M | AI Deep Dive |
| Kidney Specialists of Paducah, Pllc | Health Care and Social Assistance | $239,500 | $240,930 | 19 | $6.0M | AI Deep Dive |
| Miller Hahn, Pllc (f/k/a the Miller Law Firm, Pllc) | Professional, Scientific, and Technical Services | $238,357 | $240,088 | 13 | <$5M | AI Deep Dive |
| Mott Electric LLC | Construction | $238,000 | $240,036 | 28 | $9.2M | AI Deep Dive |
| Paducah Dermatology Pllc | Health Care and Social Assistance | $235,000 | $236,745 | 32 | $7.4M | AI Deep Dive |
| Milner and Orr Funeral Homes, INC | Other Services (except Public Administration) | $235,000 | $236,307 | 49 | $9.4M | AI Deep Dive |
| Jones Pharmacy INC | Retail Trade | $232,176 | $234,814 | 36 | $6.3M | AI Deep Dive |
| The Cecil Clinic, Pllc | Health Care and Social Assistance | $231,700 | $232,932 | 21 | $6.6M | AI Deep Dive |
| Paducah Nissan LLC | Retail Trade | $230,000 | $231,872 | 16 | <$5M | AI Deep Dive |
| Higdon Furniture Company INC | Retail Trade | $229,754 | $230,836 | 33 | $6.0M | AI Deep Dive |
| Higdon Furniture Company, Inc. | Retail Trade | $229,754 | $230,975 | 35 | $6.3M | AI Deep Dive |
| Paducah Dermatology, Pllc | Health Care and Social Assistance | $227,100 | $229,265 | 25 | $7.8M | AI Deep Dive |
| Kentucky Bell, Inc. | Accommodation and Food Services | $225,440 | $226,805 | 49 | $8.7M | AI Deep Dive |
| Flamingo Row Bread & Co., INC | Accommodation and Food Services | $224,900 | $227,494 | 15 | <$5M | AI Deep Dive |
| Network Connection, INC | Professional, Scientific, and Technical Services | $220,400 | $221,710 | 21 | <$5M | AI Deep Dive |
| Warden Electric Company INC | Other Services (except Public Administration) | $220,117 | $222,801 | 18 | <$5M | AI Deep Dive |
| Durham Restoration INC | Construction | $219,700 | $222,391 | 25 | $7.6M | AI Deep Dive |
| Paducah Riverfront Hotel LP | Accommodation and Food Services | $219,058 | $220,348 | 13 | <$5M | AI Deep Dive |
| First Baptist Church of Paducah, Kentucky, Inc. | Other Services (except Public Administration) | $219,034 | $220,252 | 60 | N/A | AI Deep Dive |
| Four Rivers Internal Medicine Pllc | Health Care and Social Assistance | $216,462 | $219,204 | 24 | $7.5M | AI Deep Dive |
| Utilities Dynamics INC | Professional, Scientific, and Technical Services | $216,340 | $218,112 | 15 | <$5M | AI Deep Dive |
| Jones Pharmacy INC | Retail Trade | $214,900 | $216,953 | 18 | <$5M | AI Deep Dive |
| Tsatl2 LLC | Unknown | $213,915 | $214,991 | 11 | N/A | AI Deep Dive |
| Lundberg Medical Imaging Psc | Health Care and Social Assistance | $213,200 | $215,250 | 21 | <$5M | AI Deep Dive |