| Allied Hosts L.l.c. | Accommodation and Food Services | $173,966 | $175,909 | 19 | $5.9M |  Research |
| West Virginia Dermatology and Skin Surgery Center | Health Care and Social Assistance | $173,842 | $175,766 | 15 | <$5M | Research |
| N Patel and Patel MD INC | Health Care and Social Assistance | $172,250 | $241,611 | 19 | <$5M | Research |
| C. Edwin Childers Jr. MD Pllc | Health Care and Social Assistance | $170,500 | $151,736 | 9 | <$5M | Research |
| Rm Huffman Company | Construction | $160,433 | $162,104 | 10 | <$5M | Research |
| Kanawha Valley Gastroenterology Associates, INC | Health Care and Social Assistance | $159,900 | $161,894 | 11 | <$5M | Research |
| Moore & Bishop Pllc | Professional, Scientific, and Technical Services | $158,500 | $159,851 | 8 | <$5M | Research |
| Precision Samplers, INC | Manufacturing | $158,100 | $160,129 | 13 | <$5M | Research |
| A Special Touch in Home Care, LLC | Health Care and Social Assistance | $156,780 | $158,325 | 57 | $9.8M | Research |
| Taylor Eye Associates, Pllc | Health Care and Social Assistance | $155,800 | $156,910 | 15 | <$5M | Research |
| Mountaineer Employment Solutions, LLC | Administrative and Support and Waste Management | $155,400 | $156,792 | 22 | <$5M | Research |
| Mountaineer Employment Solutions LLC | Administrative and Support and Waste Management | $155,357 | $155,864 | 19 | <$5M | Research |
| Saar Psychological Group Pllc | Health Care and Social Assistance | $150,500 | $151,362 | 14 | <$5M | Research |
| Damous Psychological Services Pllc | Health Care and Social Assistance | $150,000 | $151,159 | 18 | <$5M | Research |
| Saar Psychological Group Pllc | Health Care and Social Assistance | $150,000 | $150,725 | 14 | <$5M | Research |
| Las Trancas of Charleston INC | Accommodation and Food Services | $142,800 | $144,018 | 6 | <$5M | Research |
| Gharee and Ghareeb, Dds, PC | Health Care and Social Assistance | $141,600 | $142,914 | 12 | <$5M | Research |
| Rm Huffman Company | Construction | $138,253 | $139,117 | 9 | <$5M | Research |
| Spring Hill Pastry, LLC | Retail Trade | $136,900 | $138,433 | 21 | <$5M | Research |
| Rebecca V. St. Jean O.d. Pllc | Health Care and Social Assistance | $132,335 | $132,908 | 12 | <$5M | Research |
| Rebecca V. St. Jean, O.d., Pllc | Health Care and Social Assistance | $132,300 | $133,355 | 11 | <$5M | Research |
| Raines Motors INC | Retail Trade | $130,000 | $131,649 | 15 | <$5M | Research |
| Raines Motors Inc. | Retail Trade | $130,000 | $131,724 | 15 | <$5M | Research |
| Doan LLC | Accommodation and Food Services | $129,788 | $131,765 | 22 | <$5M | Research |
| Given Glass & Glazing LLC | Construction | $121,583 | $122,502 | 10 | <$5M | Research |