| Mountaineer Heating and Cooling Inc. | Construction | $159,801 | $161,768 | 14 | <$5M | AI Deep Dive |
| Mountain Resort Management, LLC | Accommodation and Food Services | $156,500 | $157,885 | 65 | $20.3M | AI Deep Dive |
| Daniel J Sullivan Od PA | Health Care and Social Assistance | $156,145 | $157,399 | 21 | <$5M | AI Deep Dive |
| Appalachian Home Care LLC | Health Care and Social Assistance | $154,670 | $156,449 | 29 | <$5M | AI Deep Dive |
| Appalachian Home Care, LLC | Health Care and Social Assistance | $154,300 | $156,147 | 42 | $7.2M | AI Deep Dive |
| Daniel Winkler Knifemaker LLC | Administrative and Support and Waste Management | $151,100 | $153,404 | 12 | <$5M | AI Deep Dive |
| Mountaineer Heating and Cooling INC | Construction | $150,960 | $151,782 | 15 | <$5M | AI Deep Dive |
| Deal, Moseley, & Smith LLP | Professional, Scientific, and Technical Services | $150,200 | $151,949 | 9 | <$5M | AI Deep Dive |
| Hellbender INC | Accommodation and Food Services | $149,900 | $151,041 | 25 | <$5M | AI Deep Dive |
| Basil's Fresh Pasta INC | Accommodation and Food Services | $148,340 | $149,650 | 19 | <$5M | AI Deep Dive |
| Shulls Mill Grill INC | Accommodation and Food Services | $148,145 | $149,425 | 29 | $5.1M | AI Deep Dive |
| Greenway Medical Associates | Health Care and Social Assistance | $147,500 | $148,914 | 12 | <$5M | AI Deep Dive |
| Capehart & Washburn,llc | Construction | $147,321 | $149,525 | 12 | <$5M | AI Deep Dive |
| Watauga Hospitality LLC | Accommodation and Food Services | $144,154 | $144,979 | 26 | $8.1M | AI Deep Dive |
| Ratchford Restaurant Ventures | Accommodation and Food Services | $143,058 | $145,092 | 22 | <$5M | AI Deep Dive |
| Primedical Healthcare PA | Health Care and Social Assistance | $142,400 | $143,982 | 14 | <$5M | AI Deep Dive |
| Daniel J. Sullivan Od P.a. | Health Care and Social Assistance | $141,484 | $142,140 | 12 | <$5M | AI Deep Dive |
| Opposing Abuse With Service, Information and Shelter, Inc. | Health Care and Social Assistance | $141,297 | $142,526 | 15 | N/A | AI Deep Dive |
| Jamus Flp No 3 | Accommodation and Food Services | $141,290 | $142,259 | 39 | $12.2M | AI Deep Dive |
| Hospitality Group of Boone INC | Accommodation and Food Services | $140,994 | $142,251 | 60 | $18.8M | AI Deep Dive |
| Okole Maluna INC | Accommodation and Food Services | $140,840 | $141,939 | 25 | <$5M | AI Deep Dive |
| The Ale House INC | Accommodation and Food Services | $140,441 | $141,069 | 40 | $7.1M | AI Deep Dive |
| Inn at Crestwood, Inc. | Accommodation and Food Services | $137,000 | $137,807 | 15 | <$5M | AI Deep Dive |
| Cbslc, LLC | Unknown | $137,000 | $139,229 | 37 | N/A | AI Deep Dive |
| The Pedalin' Pig Boone INC | Accommodation and Food Services | $136,913 | $137,997 | 39 | $6.9M | AI Deep Dive |