If $X\geqslant b$ almost surely, then Markov inequality applied to $Y=X-b$ and $y=x-b$ with $x\gt b$ yields $P[Y\geqslant y]\leqslant E[Y]/y$, that is, $P[X\geqslant x]\leqslant(E[X]-b)/(x-b)$. Note that the upper bound is the usual Markov upper bound $E[X]/x$ when $b=0$.
For $E[X]=1000$, $b=500$ and $x=2000$, Markov inequality yields $P[X\geqslant x]\leqslant1000/2000=1/2$ while the modified version yields $P[X\geqslant x]\leqslant500/1500=1/3$.
If $X\geqslant b$ almost surely, then Markov inequality applied to $Y=X-b$ and $y=x-b$ with $x\gt b$ yields $P[Y\geqslant y]\leqslant E[Y]/y$, that is, $P[X\geqslant x]\leqslant(E[X]-b)/(x-b)$. Note that the upper bound is the usual Markov upper bound $E[X]/x$ when $b=0$.
For $E[X]=1000$, $b=500$ and $x=2000$, Markov inequality yields $P[X\geqslant x]\leqslant1000/2000=1/2$ while the modified version yields $P[X\geqslant x]\leqslant500/1500=1/3$.