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NeurAxis Reports Record First Quarter 2026 Financial Results Driven by 80% Year Over Year Revenue Growth

(Very Positive)
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NeurAxis (NYSE American: NRXS) reported record Q1 2026 revenue of $1.6 million, up 80% year over year, with unit deliveries up 35%. Gross margin rose to 86.4%, and operating loss declined 24%, supported by expanded insurance coverage from the new Category I CPT® code.

Cash was $7.1 million on March 31, 2026, plus $2.1 million raised afterward. NeurAxis highlighted new FDA clearances for IB-Stim, VA Federal Supply Schedule access, and pediatric guideline recommendations, broadening its addressable market.

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Positive

  • Revenue increased 80% year over year to $1.6 million in Q1 2026
  • Unit deliveries grew 35% year over year in Q1 2026
  • Gross margin expanded 200 basis points to 86.4%
  • Operating loss and net loss decreased 24% and 23% year over year
  • Cash balance of $7.1 million plus $2.1 million raised in April 2026
  • Category I CPT code effective, supporting broader payor coverage for PENFS
  • VA Federal Supply Schedule contract opens access to ~7 million VA patients
  • First FDA clearance for abdominal pain in functional dyspepsia with nausea
  • Expanded FDA clearance for IB-Stim age range to 8 years and older
  • Treatment regimen increased from 3 to 4 IB-Stim devices per patient
  • Pediatric guidelines recommend NeurAxis PENFS as the only FDA-cleared option

Negative

  • Operating expenses rose 3% year over year to $3.1 million
  • Company continues to report operating loss and net loss despite revenue growth
  • Recent liquidity improvement relied on at-the-market equity sales and warrant exercises

News Market Reaction – NRXS

+1.47%
5 alerts
+1.47% Session close to close
-11.6% Trough in 26 hr 7 min
$93.77M Market Cap
0.4x Rel. Volume

In the May 12 session, NRXS gained 1.47%, reflecting a mild positive market reaction. Argus tracked a trough of -11.6% from its starting point during tracking. Our momentum scanner triggered 5 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement underscores rapid revenue growth, with Q1 2026 sales of $1.6M up 80% year over yea...
Analysis

This announcement underscores rapid revenue growth, with Q1 2026 sales of $1.6M up 80% year over year and gross margin improving to 86.4%. The full-quarter impact of the Category I CPT code and broader coverage appears in higher unit deliveries and more full-price sales. Recent filings still note ongoing losses and liquidity management, so investors may watch future quarters for sustained margin performance, cash trends, and further expansion of payer and guideline support.

Key Figures

Q1 2026 revenue: $1.6M Revenue growth: 80% year-over-year Gross margin: 86.4% +5 more
8 metrics
Q1 2026 revenue $1.6M Revenues increased 80% year over year in Q1 2026
Revenue growth 80% year-over-year Q1 2026 vs Q1 2025
Gross margin 86.4% Q1 2026 vs 84.4% in Q1 2025 (up 200 bps)
Unit deliveries growth 35% year-over-year Increase in IB-Stim unit deliveries in Q1 2026
Operating expenses $3.1M Q1 2026, up 3% from $3.0M in Q1 2025
Operating loss improvement 24% year-over-year Q1 2026 operating loss vs Q1 2025
Cash balance $7.1M Cash on hand as of March 31, 2026
ATM and warrants proceeds $2.1M Raised in April and May 2026 via ATM and warrant exercises

Previous Earnings Reports

5 past events · Latest: May 05 (Neutral)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 05 Earnings call announcement Neutral +4.7% Scheduled Q1 2026 results release and business update conference call.
Mar 19 Quarter & year results Positive +2.4% Strong Q4 and FY 2025 revenue growth with key commercial wins.
Mar 12 Earnings call announcement Neutral +0.5% Announced timing and access details for Q4 and FY 2025 call.
Nov 11 Quarterly results Positive -5.9% Q3 2025 revenue up 22% with multiple FDA clearances and CPT code win.
Aug 12 Quarterly results Positive +2.5% Q2 2025 revenue up 46% plus FDA clearance and guideline support.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Earnings-related headlines have usually led to modest positive moves, with one notable selloff despite strong results.

Recent Company History

Over the past few quarters, NeurAxis has repeatedly reported strong revenue growth and commercial milestones. Q2 and Q3 2025 earnings showed year-over-year revenue increases of 46% and 22%, supported by FDA clearances and expanding coverage. The Q4/FY 2025 update highlighted continued growth but wider losses. More recently, the May 5 and March 12 earnings-call announcements produced small positive share moves. Today’s Q1 2026 results extend this narrative of revenue acceleration and broader reimbursement adoption.

Key Terms

category i cpt code, percutaneous electrical nerve field stimulation (penfs), functional dyspepsia, functional abdominal pain, +4 more
8 terms
category i cpt code medical
"reflecting the AMA Category I CPT® code assignment for Percutaneous Electrical..."
A Category I CPT code is a five-digit medical billing number used to describe commonly performed procedures and services so insurers and providers speak the same language when submitting claims and paying bills. For investors, these codes matter because they determine how easily and consistently a treatment or test can be billed and reimbursed—think of them like a standardized barcode that helps forecast revenue, adoption, and insurance coverage risks for healthcare products and services.
percutaneous electrical nerve field stimulation (penfs) medical
"CPT® code assignment for Percutaneous Electrical Nerve Field Stimulation (PENFS)..."
Percutaneous electrical nerve field stimulation (PENFS) is a medical therapy that uses tiny electrical currents delivered through the skin to stimulate nerves near the ear or other small body areas, aiming to reduce pain, nausea, or anxiety by changing how the nervous system signals sensations. Investors should care because PENFS devices represent a non-drug, low-risk treatment option that can create recurring device sales, reimbursement questions, and clinical data risks or opportunities that affect a medical device company’s growth and valuation.
functional dyspepsia medical
"first-ever FDA clearance for the treatment of abdominal pain in functional dyspepsia (FD)..."
A common chronic disorder of the upper digestive tract that causes recurring stomach discomfort, bloating, early fullness, and nausea without an obvious structural cause. Think of it as a repeatedly upset stomach that persists and interferes with daily life; for investors it matters because its high prevalence and limited effective treatments drive demand for new drugs, diagnostics, and therapies, affecting commercial prospects and regulatory attention in the gastrointestinal market.
functional abdominal pain medical
"guidelines recommendation for treatment of functional abdominal pain (FAP) in irritable bowel..."
Functional abdominal pain is recurring or chronic belly pain that persists despite tests showing no clear structural disease or injury; it's thought to come from how the gut and nervous system communicate and how sensitive the gut is, not from a visible lesion. For investors, it matters because this diagnosis defines a patient group seeking symptom relief and drives demand for therapies, diagnostics, and clinical trials—similar to an alarm that keeps sounding even though no obvious fire is found.
irritable bowel syndrome (ibs) medical
"functional abdominal pain (FAP) in irritable bowel syndrome (IBS) in pediatrics."
A chronic digestive disorder causing recurring stomach pain, bloating, and changes in bowel habits (constipation, diarrhea, or both). Think of it like a miswired plumbing system where the gut’s signals are inconsistent; symptoms vary widely and can come and go. For investors it matters because IBS drives ongoing demand for treatments, impacts healthcare costs and workplace productivity, and shapes markets for drugs, devices, and diagnostics tied to symptom control and reimbursement.
fda clearance regulatory
"Awarded the first-ever FDA clearance for the treatment of abdominal pain..."
FDA clearance is the U.S. Food and Drug Administration’s official permission to market certain medical devices or diagnostic tests after reviewing evidence that they are as safe and effective as similar products already on the market. For investors, it’s like a product passing a required safety inspection — it reduces regulatory uncertainty, speeds commercial rollout, and can directly affect sales prospects, valuation, and partnership opportunities.
at-the-market equity offering financial
"completed an additional $2.1 million through its at-the-market equity offering..."
An at-the-market equity offering is a way for a public company to raise cash by selling newly issued shares directly into the open market at current market prices over time through a broker. Think of it as gradually selling items on an online marketplace at whatever buyers are paying now rather than holding a single big sale; it gives the company flexible access to funds but can lower each existing owner’s share of the company and put gentle downward pressure on the stock price if done in large amounts.
federal supply schedule (fss) regulatory
"Awarded a Veterans Affairs Federal Supply Schedule (FSS) contract..."
A federal supply schedule (FSS) is a pre-approved government purchasing list where suppliers offer goods or services to federal agencies at negotiated prices and terms, much like a catalog with set prices for government buyers. For investors, FSS status can mean steadier, more predictable sales and easier access to large government contracts, but it can also limit pricing flexibility and require compliance and reporting that affect margins.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Conference call will be held today, Tuesday, May 12 at 9:00 am ET

CARMEL, Ind., May 12, 2026 (GLOBE NEWSWIRE) -- NeurAxis, Inc. (“NeurAxis,” or the “Company”) (NYSE American: NRXS), a medical technology company commercializing neuromodulation therapies for chronic and debilitating conditions in children and adults, today announced results for the first quarter period ended March 31, 2026.

1Q26 Financial Highlights

  • Revenues increased 80% year over year to $1.6M, reflecting the AMA Category I CPT® code assignment for Percutaneous Electrical Nerve Field Stimulation (PENFS) effective January 1, 2026, substantially increasing payor coverage.
  • Expanded gross margin by 200 basis points and improved operating loss by 24% year over year as more IB-Stim® devices were sold at full price due to the recently secured Category I CPT® Code.
  • Cash balance was $7.1 million as of March 31, 2026.  Subsequently, the Company successfully completed an additional $2.1 million through its at-the-market equity offering and warrant exercises in April and May of 2026.

Recent Operational Highlights

  • Category I CPT® code assignment to report Percutaneous Electrical Nerve Field Stimulation (PENFS) procedures is now effective, completing a successful commercial milestone for the Company’s proprietary technology, IB-Stim®.
  • Awarded a Veterans Affairs Federal Supply Schedule (FSS) contract, officially designating NeurAxis as a federal contractor, demonstrating a clear commercial pathway into the Veterans Affairs health system, which serves ~7 million patients annually. 
  • Awarded the first-ever FDA clearance for the treatment of abdominal pain in functional dyspepsia (FD), with associated nausea symptoms, in patients 8 years of age and older, expanding the total addressable market for IB-Stim.
  • Secured key important academic society guidelines recommendation for treatment of functional abdominal pain (FAP) in irritable bowel syndrome (IBS) in pediatrics. NeurAxis’s PENFS technology is the only FDA-cleared or approved treatment recommended in the pediatrics guidelines, enabling momentum for large-scale insurance coverage for IB-Stim.
  • Received expanded FDA clearance for the age and treatment time per patient for IB-Stim in the 2nd half of 2025:
    • The age range expanded from 8-21 years to 8 years and older.
    • The new recommended treatment per patient increased from 3 devices to 4 devices, one device per week, for 4 consecutive weeks.

Management Commentary

Brian Carrico, Chief Executive Officer of NeurAxis, commented, “The first quarter marked a transformational period for NeurAxis, representing our first full quarter operating with the Category I CPT® code for PENFS in effect. This provided our clearest view to date into the key drivers of adoption, and where we will focus our resources. We delivered a strong 80% year-over-year revenue growth alongside healthy gross margins, driven by expanding insurance coverage that is enabling more devices to be sold at full price.

“Our value proposition continues to resonate with payers, patients, and physicians. IB-Stim addresses a significant unmet need in disorders of the gut-brain interaction. Our products favorable safety profile serves as a beneficial alternative to off-label drug use, including medications with FDA black-box warnings. Expanded clinical evidence, accepted published guidelines, the Category I CPT code, and growing payer adoption together provide a strong foundation for continued coverage expansion.”

First Quarter 2026 Financial Results

Revenues in the first quarter of 2026 of $1.6 million were up 80% compared to $896 thousand in the first quarter of 2025.   Unit deliveries increased 35% year over year due to the Category I CPT® code for PENFS becoming effective January 1, 2026, and corresponding increased payor coverage.

Gross margin in the first quarter of 2026 increased to 86.4% from 84.4% in the first quarter of 2025.  The increase in gross margin was due to a mix shift in unit deliveries from patients utilizing the Company’s discounted financial assistance program to full reimbursement payors on account of the Category I CPT® code.

Operating expenses in the first quarter of 2026 of $3.1 million increased 3% compared to $3.0 million in the first quarter of 2025 due to higher selling expenses driven by the Company’s revenue growth, partially offset by the absence of a one-time, non-recurring legal settlement incurred in the first quarter of 2025. 

Operating loss and net loss in the first quarter of 2026 decreased 24% and 23%, respectively, compared to the first quarter of 2025 due to higher gross profit from revenue growth, slightly offset by higher operating expenses.

Cash on hand as of March 31, 2026, was $7.1 million.  In April 2026, the Company improved its liquidity position by raising $2.1 million through its at-the-market equity facility and the exercises of warrants.

Conference Call Details

Date and Time: Tuesday, May 12, 2026, at 9:00am ET

Toll Free: 1-877-270-2148 (U.S. and Canada toll-free) International: 1-412-317-6060
Webcast: https://app.webinar.net/892nzbBzqeJ

Replay: Toll Free: 1-855-669-6958 (U.S. and Canada toll-free) International: 1-412-317-0088

Replay access code: 5040620
Webcast: https://app.webinar.net/892nzbBzqeJ

About NeurAxis, Inc.
NeurAxis, Inc., is a medical technology company focused on neuromodulation therapies to address chronic and debilitating conditions in children and adults. NeurAxis is dedicated to advancing science and leveraging evidence-based medicine to drive the adoption of IB-Stim, its proprietary Percutaneous Electrical Nerve Field Stimulation (PENFS) technology, by the medical, scientific, and patient communities. IB-Stim is FDA-cleared for functional abdominal pain in irritable bowel syndrome (IBS) and functional dyspepsia, including FD-linked nausea symptoms in patients ages 8 and older. Additional clinical trials of PENFS in multiple pediatric and adult conditions with large unmet healthcare needs are underway. For more information, please visit http://neuraxis.com.

Forward-Looking Statements
Certain statements in this press release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. There are a number of important factors that could cause actual results, developments, business decisions or other events to differ materially from those contemplated by the forward-looking statements in this press release. These factors include, among other things, the conditions in the U.S. and global economy, the trading price and volatility of the Company’s stock, public health issues or other events, the Company’s compliance with applicable laws, the results of the Company’s clinical trials and perceptions thereof, the results of submissions to the FDA, and factors described in the Risk Factors section of NeurAxis’s public filings with the Securities and Exchange Commission (SEC). Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of the date of this press release and, except to the extent required by applicable law, the Company undertakes no obligation to update or revise these statements, whether as a result of any new information, future events and developments or otherwise.

For contraindications, precautions, warnings, and IFU, please see: https://ibstim.com/important-information/.

For important RED information, including indications, precautions, and contraindications, visit: https://red4constipation.com/information/

Contacts:

Company
NeurAxis, Inc.
info@neuraxis.com

Investor Relations
Lytham Partners
Ben Shamsian
646-829-9701
shamsian@lythampartners.com

    
NeurAxis, Inc.
Condensed Statements of Operations
    
 (Unaudited)
 Three Months Ended Mar 31,
 2026 2025
      
Net sales$1,607,883  $895,655 
Cost of goods sold218,366  139,475 
Gross profit1,389,517  756,180 
Selling expenses824,336  500,119 
Research and development99,567  117,867 
General and administrative2,206,293  2,433,292 
Operating loss(1,740,679) (2,295,098)
Other (expense) income:     
Interest expense, net(26,189) (2,237)
Change in fair value of warrant liability(31,506) 1,831 
Other income36,942  16,820 
Total other (expense) income, net(20,753) 16,414 
Net loss$(1,761,432) $(2,278,684)
        

FAQ

What were NeurAxis (NRXS) Q1 2026 earnings and revenue results?

NeurAxis reported Q1 2026 revenue of $1.6 million, an 80% year-over-year increase. According to NeurAxis, gross margin improved to 86.4%, while operating loss and net loss decreased 24% and 23% year over year, respectively, driven by higher full-price IB-Stim sales.

How did the Category I CPT code affect NeurAxis (NRXS) Q1 2026 performance?

The Category I CPT code for PENFS significantly supported Q1 2026 growth at NeurAxis. According to NeurAxis, it boosted payor coverage, increased unit deliveries 35% year over year, expanded gross margin to 86.4%, and allowed more IB-Stim devices to be sold at full reimbursement.

What new FDA clearances did NeurAxis (NRXS) receive for IB-Stim?

NeurAxis received FDA clearance for treating abdominal pain in functional dyspepsia with nausea in patients 8 and older. According to NeurAxis, it also previously gained expanded clearance increasing the age range to 8 years and older and extending treatment to four weekly devices per patient.

How strong is NeurAxis (NRXS) cash position after Q1 2026?

NeurAxis ended March 31, 2026 with $7.1 million in cash on hand. According to NeurAxis, liquidity improved further through $2.1 million raised in April and May 2026 via its at-the-market equity facility and warrant exercises, supporting ongoing commercial activities.

What is the impact of the VA Federal Supply Schedule contract on NeurAxis (NRXS)?

The VA Federal Supply Schedule contract designates NeurAxis as a federal contractor, enabling access to the VA system. According to NeurAxis, this provides a defined commercial pathway to a network serving about 7 million patients each year, potentially expanding IB-Stim adoption.

How did margins and expenses trend for NeurAxis (NRXS) in Q1 2026?

NeurAxis improved gross margin to 86.4% in Q1 2026, up from 84.4% a year earlier. According to NeurAxis, operating expenses increased 3% to $3.1 million, while operating loss still decreased 24% as higher revenue and favorable payer mix lifted gross profit.