Core Viewpoint - NeurAxis, Inc. (NRXS) reported a mixed performance in Q2 2025, with revenue growth but continued net losses and margin compression, while management anticipates improved financial health with upcoming insurance coverage changes and product approvals [1][2][5][6]. Revenue and Earnings Performance - NeurAxis reported Q2 2025 revenues of $0.9 million, a 46.2% increase from $0.6 million in Q2 2024, driven by a 58% increase in unit sales due to greater adoption of the IB-Stim device [2] - Gross margin decreased to 83.6% from 88% year-over-year, attributed to deeper discounting for uninsured patients and expired inventory [2] Expense Management - Operating expenses fell by 10.2% to $2.5 million from $2.7 million, primarily due to the absence of one-time costs and lower investor relations and insurance costs [3] - The operating loss narrowed to $1.7 million from $2.2 million a year earlier, while the net loss was $1.7 million, or $0.22 per share, compared to a $2.9 million loss, or $0.42 per share, in Q2 2024 [3] Cash and Liquidity - NeurAxis ended the quarter with $5.9 million in cash, supported by a $5 million equity financing round and $1 million from warrant exercises [4] - Cash used in operations was $3.1 million for the first half of 2025, up from $2.9 million in the same period last year [4] Future Outlook - Management expects gross margins to recover as more patients gain access through commercial reimbursement with the new permanent Category I CPT code effective January 1, 2026 [5] - CEO Brian Carrico indicated that national insurance coverage and inclusion of IB-Stim in clinical guidelines will enhance patient access and revenue growth [6] Regulatory Developments - NeurAxis received FDA clearance to extend IB-Stim's indication to treat pediatric functional dyspepsia, nearly doubling its addressable market [7] - The company also secured FDA clearance for the Rectal Expulsion Device (RED) and terminated its NSS-2 Bridge license with Masimo, regaining associated intellectual property [12][13] Guidance and Expectations - Although no explicit numerical guidance was provided, executives expressed confidence in achieving breakeven in 2026, contingent on broader payer adoption of IB-Stim [10] - Management anticipates continued revenue growth in the second half of 2025, supported by further insurance policy adoption and early traction for RED [11]