How competitive would I be for top 10 IM programs? I know that some programs have cutoffs for Step I but I'm not sure if it is a 240 or 230. I'm not AOA either which could hurt me. Could anyone give me any insight (good or bad) on whether that Step I score could make me competitive for top 10 programs despite not being AOA?

For top 10 programs, I think this score is in the no harm/no help range. PD's aren't going to look at it and think they have to have you but it won't close any doors either.