| D K Masonry and Concrete LLC | Construction | $161,578 | $162,565 | 12 | <$5M | AI Deep Dive |
| Wagner Wholesale, LLC | Retail Trade | $161,220 | $162,241 | 32 | <$5M | AI Deep Dive |
| Harper Industries, Inc. | Manufacturing | $160,500 | $161,969 | 9 | <$5M | AI Deep Dive |
| Saladino & Schaaf Pllc | Professional, Scientific, and Technical Services | $160,310 | $161,382 | 12 | <$5M | AI Deep Dive |
| Wilkins Construction Co. Inc. | Construction | $159,807 | $161,063 | 19 | $5.9M | AI Deep Dive |
| West Towne Pharmacy, Inc. | Retail Trade | $158,689 | $159,672 | 13 | <$5M | AI Deep Dive |
| Clix Marketing Holding Company | Professional, Scientific, and Technical Services | $157,600 | $159,012 | 8 | <$5M | AI Deep Dive |
| Global Gear and Machine | Manufacturing | $157,250 | $158,240 | 15 | <$5M | AI Deep Dive |
| Michelson Jewelers, Inc. | Retail Trade | $157,091 | $158,089 | 9 | <$5M | AI Deep Dive |
| Paducah Riverfront Hotel LP | Accommodation and Food Services | $156,472 | $157,681 | 29 | $9.1M | AI Deep Dive |
| Barbara Bowers M.d. Pllc | Professional, Scientific, and Technical Services | $155,200 | $156,094 | 26 | <$5M | AI Deep Dive |
| Joan Manganaro Paducah LLC | Accommodation and Food Services | $155,106 | $156,678 | 137 | $24.3M | AI Deep Dive |
| Aloha Pools and Spas of Paducah | Retail Trade | $154,400 | $156,354 | 43 | $6.7M | AI Deep Dive |
| American Society of Interventional Pain Physicians, Inc. | Health Care and Social Assistance | $153,595 | $155,552 | 14 | N/A | AI Deep Dive |
| Victor Enterprises, INC | Manufacturing | $153,187 | $155,051 | 9 | <$5M | AI Deep Dive |
| O'carra, Inc. | Administrative and Support and Waste Management | $153,000 | $154,144 | 16 | <$5M | AI Deep Dive |
| Global Gear and Machine | Manufacturing | $152,602 | $153,441 | 11 | <$5M | AI Deep Dive |
| American Sociaty of Interventional Pain Physicians Inc. | Other Services (except Public Administration) | $152,250 | $153,998 | 10 | N/A | AI Deep Dive |
| Paducah Service Company, Inc. | Wholesale Trade | $150,023 | $152,035 | 14 | <$5M | AI Deep Dive |
| Lupe INC | Accommodation and Food Services | $150,000 | $151,100 | 28 | <$5M | AI Deep Dive |
| Holloway Masonry LLC | Construction | $149,900 | $150,758 | 27 | <$5M | AI Deep Dive |
| Broadway Dental Care Pllc | Health Care and Social Assistance | $149,749 | $151,026 | 13 | <$5M | AI Deep Dive |
| Garrett Recycling INC | Wholesale Trade | $148,908 | $149,880 | 18 | $5.5M | AI Deep Dive |
| Garrett Recycling | Wholesale Trade | $148,908 | $150,620 | 18 | $5.5M | AI Deep Dive |
| Paducah-Mccracken County Riverport Authority | Transportation and Warehousing | $148,874 | $149,347 | 8 | <$5M | AI Deep Dive |