The uniquely characteristic macrostructures of binary hydrogen-clathrate compounds MH n formed at high pressure, a cage of hydrogens surrounding a central-atom host, is theoretically predicted in various studies to include structurally stable phonon-mediated superconductors. High superconductive transition temperatures T C have thus far been measured for syntheses with M = La, Y, and Th. In compressed LaH 10 , independent studies report T C of 250 K and over 260 K, a maximum in T C with pressure P, and normal-state resistance scaling with temperature (suggesting unconventional pairing). According to reported band structure calculations of Fm m-phase LaH 10 , the La is anionic, with the chemical valence electrons appearing evenly split between La and H 10 . Thus, compressed LaH 10 contains the combination of structure, charge separation and optimal balanced allocation of valence electrons for supporting unconventional high-T C superconductivity mediated by Coulomb interactions between electronic charges associated with La and H 10 . A general expression for the optimal superconducting transition temperature for MH n clathrates is derived as T C0 = k B 1 [(n + v)/2A] 1/2 e 2 /ζ, where is a universal constant, (n + v) is the chemical valence sum per formula unit, taking unity for H and v for atom M, A is the surface area of the H-polyhedron cage, and is the mean distance between the M site and the centroids of the polyhedron faces. Applied to Fm m LaH 10 , T C0 values of 249.8(1.3) K and 260.7(2.0) K are found for the two experiments. Associated attributes of charge allocation, structure, effective Coulomb potential, and H-D isotope effect in T C of Fm m LaH 10 and Im m H 3 S are discussed, along with a generalized prospective for Coulomb-mediated superconductivity in MH n . 1 The layered FeH 5 , synthesized with no demonstration of superconductivity [32], is predicted to be superconducting in [33,34] and non-superconducting in [35]. 2 Note that here is a typographical error at the end of Section 3 (p. 5) of [41] which should read, "ℓ = (A/) 1/2 = 2.88 Å," with the reported T C0 remaining unchanged.